下肢康复机器人用于高血压性脑出血患者肢体功能及日常生活能力恢复的效果  

Effect of lower limb rehabilitation robot on recovering limb function and daily living ability of patients with hypertensive cerebral hemorrhage

作　　者：朱莉 郭文佳 ZHU Li;GUO Wenjia(Department of Rehabilitation,Taihe Hospital of Traditional Chinese Medicine Affiliated to Anhui University of Traditional Chinese Medicine,Fuyang Anhui 236600;Department of Rehabilitation,Second Affiliated Hospital of Anhui Medical University,Hefei 230601,China)

机构地区：[1]安徽中医药大学附属太和县中医院康复科,安徽阜阳236600 [2]安徽医科大学第二附属医院康复科,合肥230601

出　　处：《临床与病理杂志》2022年第2期333-338,共6页Journal of Clinical and Pathological Research

基　　金：安徽省教育厅高等学校省质量工程精品线下开放课程项目(2019kfkc340)。

摘　　要：目的:探讨下肢康复机器人干预在高血压性脑出血(hypertensive cerebral hemorrhage,HICH)患者恢复期康复治疗中的具体应用及效果,为进一步完善患者康复干预方案提供理论依据。方法:选取2020年3月至2021年4月在太和县中医院康复科接受康复治疗的78例HICH患者作为对象。经随机数字表法将纳入者分为常规组(n=39)与干预组(n=39)。常规组患者给予常规康复训练干预,即常规坐立位平衡训练、肢体活动等。干预组患者在常规康复训练基础上再接受下肢康复机器人康复干预。干预前及干预8周后行Holden步行功能分级评估、Fugl-Meyer运动功能量表评分、日常生活能力评定量表(Activity of Daily Living Scale,ADL)评分,并观察并发症发生情况,比较两组干预效果。结果:干预后,干预组Holden步行功能分级明显优于常规组,差异有统计学意义(P<0.05);干预组Fugl-Meyer量表评分明显优于常规组,差异有统计学意义(P<0.05);干预组ADL分级相比常规组明显更优,差异有统计学意义(P<0.05)。干预组并发症总发生率为5.13%(2/39),低于常规组的20.51%(8/39),差异有统计学意义(P<0.05)。结论:HICH患者恢复期在常规康复干预基础上再加入下肢康复机器人干预,有助于提高患者步行功能、肢体功能改善效果,促进患者日常生活能力更大程度地提高,减少并发症,最终提高总体康复效果。Objective:To explore the application and effect of lower limb rehabilitation robot intervention in the convalescent rehabilitation of patients with hypertensive intracerebral hemorrhage(HICH),and to provide theoretical basis for further improvement of rehabilitation intervention program.Methods:The subjects were 78 HICH patients who received rehabilitation intervention from March 2020 to April 2021 in the Rehabilitation Department of Taihe Hospital of Traditional Chinese Medicine.The participants were divided into a conventional group(39 cases)and an intervention group(39 cases)by the random number table method.The patients in the conventional group were given routine rehabilitation training intervention,that is,routine sitting and standing balance training,body movement,etc.The patients in the intervention group received rehabilitation intervention of lower limb rehabilitation robot on the basis of routine rehabilitation training.Before and 8 weeks after the intervention,the patients were assessed with Holden walking function scale,Fugl-Meyer motor function scale,Activity of Daily Living Scale(ADL),and the complications were observed.Results:After the intervention,Holden walking function grade in the intervention group was significantly better than the conventional group,and the difference was statistically significant(P<0.05);the scores of Fugl-Meyer scale in the intervention group were significantly higher than those in the conventional group(P<0.05);the ADL grading of the intervention group was significantly better than that of the conventional group,and the difference was statistically significant(P<0.05).The total complication rate of the intervention group was 5.13%(2/39),which was lower than that of the conventional group[20.51%(8/39),P<0.05].Conclusion:In the recovery period of patients with hypertensive cerebral hemorrhage,on the basis of routine rehabilitation intervention,the rehabilitation robot intervention of lower limbs is helpful to improve the effect of walking function and limb function,improve

关 键 词：高血压性脑出血 恢复期 康复训练 下肢康复机器人 肢体功能 日常生活能力 

分 类 号：R743.3[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]