运动康复联合物理治疗对职业性慢性氯丙烯中毒患者平衡能力及跌倒风险的影响  

The effect of exercise rehabilitation combined with physical therapy on balance ability and fall risk in patients with occupational chronic allyl chloride poisoning

作　　者：马文娣[1] 任丽萍[1] 林大伟 王成瑞 MA Wendi;REN Liping;LIN Dawei;WANG Chengrui(Shandong Academy of Occupational Health and Occupational Medical,Shandong First Medical University(Shandong Academy of Medical Sciences,Jinan),Shandong 250062,China)

机构地区：[1]山东省职业卫生与职业病防治研究院/山东第一医科大学(山东省医学科学院),山东济南250062

出　　处：《工业卫生与职业病》2024年第4期318-321,共4页Industrial Health and Occupational Diseases

基　　金：山东省医学科学院院级科技计划(2017-28)。

摘　　要：目的探讨运动康复联合物理治疗对职业性慢性氯丙烯中毒患者平衡能力及跌倒风险的影响。方法选取某院2020年1月至2023年3月确诊的22例氯丙烯中毒患者作为研究对象,观察组13例,对照组9例,两组患者均常规药物治疗和物理治疗,观察组在此基础上加肌力练习及平衡训练等。采用静态平衡能力测试、“起立-行走”计时测试(TUGT)、Morse跌倒风险评估量表、Barthel指数评定量表对两组干预前后评分进行比较。结果干预后静态平衡能力的4项测试时间观察组均长于对照组(t=3.076、2.403、2.696、2.777,P<0.05);“起立-行走”计时测试(TUGT)时间观察组[(7.81±1.561)s]短于对照组[(11.92±3.553)s](t=3.237,P<0.05);Morse跌倒风险评估总分观察组(14.44±5.833)低于对照组(31.15±12.442)(t=3.734,P<0.05);Barthel指数总分观察组(97.78±2.635)高于对照组(92.31±4.385)(t=3.646,P<0.05)。结论运动康复联合物理治疗能够有效改善患者平衡能力和日常活动能力,预防或降低患者跌倒的风险。Objective To explore the effects of exercise rehabilitation combined with physical therapy on balance ability and fall risk of occupational chronic propene poisoning patients.Methods A total of 22 patients diagnosed with propylene chloride poisoning in our hospital from January 2020 to March 2023 were selected as research objects,and were divided into control group(n=13)and observation group(n=9).Patients in both groups received routine drug therapy and physical therapy,and the observation group received muscle strength exercises and balance training on this basis.Static balance ability test,Timed"Up and Go"test(TUGT),Morse Fall Risk Assessment Scale and Barthel Index Rating Scale were used to compare the scores of the two groups before and after treatment.Results After intervention,the static balance ability of the observation group was longer than that of the control group(t=3.076,2.403,2.696,2.777,P<0.05).Timed"Up and Go"test(TUGT)time in the observation group[(7.81±1.561)s]was shorter than that in the control group[(11.92±3.553)s](t=3.237,P<0.05).Morse total fall risk assessment score in observation group(14.44±5.833)was lower than that in control group(31.15±12.442)(t=3.734,P<0.05).The total score of Barthel index in observation group(97.78±2.635)was higher than that in control group(92.31±4.385)(t=3.646,P<0.05).Conclusion Exercise rehabilitation combined with physical therapy can effectively improve patients'balance and daily living ability and prevent or reduce the risk of falling.

关 键 词：氯丙烯中毒 运动康复 物理治疗 平衡能力 跌倒 

分 类 号：R135.1[医药卫生—劳动卫生]