减重步态训练对胸腰段脊髓损伤患者步行能力的影响研究  

Study on the Effect of Weight Loss Gait Training on Walking Ability of Patients with Thoracolumbar Spinal Cord Injury

作　　者：陈飞 覃婷 丘云锋 董玲 CHEN Fei;QIN Ting;QIU Yunfeng;DONG Ling(Department of Rehabilitation Medicine,Guizhou Orthopedic Hospital,Guiyang,Guizhou Province,550007 China)

机构地区：[1]贵州省骨科医院康复医学科,贵州贵阳550007

出　　处：《系统医学》2021年第12期60-64,共5页Systems Medicine

基　　金：2015年贵州省卫生计生委科学技术基金项目(GZWJKJK2015-1-009)。

摘　　要：目的探究分析减重步态训练对胸腰段脊髓损伤患者步行能力的影响。方法选取2019年1月—2020年4月该院收治的82例胸腰段脊髓损伤患者,按照双色球分组法将患者分为观察组和对照组,每组41例。对照组41例常规康复训练,观察组41例联合减重步态训练。比较两组疗效。结果观察组治疗有效率97.6%大于对照组78.0%,差异有统计学意义(χ^(2)=7.289,P=0.007)。两组训练前的下肢运动功能、步行能力比较,差异无统计学意义(P>0.05);两组训练1个月、训练3个月后的下肢运动功能、步行能力大于训练前,观察组训练1个月、训练3个月后的下肢运动功能[(14.42±2.12)分、(17.21±2.10分)]、步行能力[(4.45±0.39)分、(7.56±0.43)分]大于对照组[(11.70±2.08)分、(13.86±2.03)分]、[(3.21±0.36)分、(5.14±0.45)分],差异有统计学意义(t=5.864、7.344、14.959、24.895,P<0.05)。两组训练前的综合功能、日常生活活动能力比较,差异无统计学意义(P>0.05);两组训练1个月、训练3个月后的综合功能、日常生活活动能力大于训练前,观察组训练1个月、训练3个月后的综合功能[(69.89±8.85)分、(87.42±9.21)分]、日常生活活动能力[(56.24±7.57)分、(77.87±8.14)分]大于对照组[(60.22±8.43)分、(73.11±8.99)分]、[(45.79±7.12)分、(66.35±7.67)分],差异有统计学意义(t=5.066、7.120、6.438、6.595,P<0.05)。结论胸腰段脊髓损伤患者实施减重步态训练,可有效改善患者的下肢运动功能、步行能力、综合功能以及日常生活活动能力,可促进患者尽快康复,值得推广应用。Objective To explore and analyze the effect of weight loss gait training on walking ability of patients with thoracolumbar spinal cord injury.Methods Selected 82 patients with thoracolumbar spinal cord injury admitted to the hospital from January 2019 to April 2020,and divide the patients into observation group and control group according to the two-color ball grouping method,with 41 cases in each group.The control group was 41 cases of routine rehabilitation training,and the observation group was 41 cases of combined weight loss gait training.Compared the efficacy of the two groups.Results The effective rate of treatment in the observation group was 97.6%higher than that in the control group 78.0%,the difference was statistically significant(χ^(2)=7.289,P=0.007).There was no significant difference in lower limb motor function and walking ability between the two groups before training(P>0.05);the lower limb motor function and walking ability of the two groups after 1 month training and 3 months training were greater than those before training.Observation group training After 1 month and 3 months of training,the lower limb motor function[(14.42±2.12)points,(17.21±2.10 points)],walking ability[(4.45±0.39)points,(7.56±0.43)points]were greater than the control group[(11.70±2.08)points,(13.86±2.03)points],[(3.21±0.36)points,(5.14±0.45)points],the difference was statistically significant(t=5.864,7.344,14.959,24.895,P<0.05).There was no statistically significant difference in the comprehensive functions and activities of daily living between the two groups before training(P>0.05);the comprehensive functions and activities of daily living ability of the two groups after training for 1 month and 3 months after training were greater than those before training.The comprehensive function[(69.89±8.85)points,(87.42±9.21)points],activities of daily living[(56.24±7.57)points,(77.87±8.14)points]after the group training for 1 month and 3 months training]was greater than the control group[(60.22±8.43)points,(73.11±8.

关 键 词：胸腰段脊髓损伤 常规康复训练 减重步态训练 步行能力 下肢运动能力 日常生活活动能力 

分 类 号：R59[医药卫生—内科学]