机器人辅助步态训练联合综合康复治疗对下肢危重烧伤患者康复效果及膝关节功能的影响  

Effect of robot-assisted gait training combined with comprehensive rehabilitation therapy on the rehabilitation and knee joint function of patients with critically burned lower limbs

作　　者：靳岚 叶婧琳 居亭 张瑞 周琴 JIN Lan;YE Jinglin;JU Ting;ZHANG Rui;ZHOU Qin(Army Burn Center,the First Affiliated Hospital of Air Force Military Medical University,Xi’an 710032,China)

机构地区：[1]空军军医大学第一附属医院全军烧伤中心,陕西西安710032

出　　处：《机器人外科学杂志（中英文）》2024年第6期1100-1104,共5页Chinese Journal of Robotic Surgery

基　　金：陕西省重点研发计划项目(2023-YBSF-578)。

摘　　要：目的:探讨机器人辅助步态训练联合综合康复治疗对下肢危重烧伤患者康复效果及膝关节功能的影响。方法:选取2018年2月—2023年2月于空军军医大学第一附属医院治疗的下肢危重烧伤患者106例,以随机数表法分为对照组(53例,常规护理)和研究组(53例,机器人辅助步态训练联合综合康复治疗),比较关节活动度、步行能力、生活质量和恢复情况。结果:与护理前比较,两组患者护理后主动、被动关节活动度(ROM)均升高,且与对照组比较,研究组主动、被动ROM更高(P<0.05)。与护理前比较,两组患者护理后6 min步行试验(6MWD)步行距离增长,10 m步行测试用时缩短,且与对照组比较,研究组6MWD步行距离更长,10 m步行测试用时更短(P<0.05)。与护理前比较,两组患者护理后烧伤专用健康量表(BSHS-A)各维度评分均升高,且与对照组比较,研究组BSHS-A各维度评分更高(P<0.05)。与对照组比较,研究组的住院时间和康复时间更短(P<0.05)。结论:机器人辅助步态训练联合综合康复治疗应用于下肢危重烧伤患者,可以改善患者关节活动度,恢复膝关节功能,提高步行能力和生活质量,促进患者加速康复。Objective:To explore the effect of robot-assisted gait training combined with comprehensive rehabilitation therapy on the rehabilitation and knee joint function of patients with critically burned lower limbs.Methods:106 patients with critically burned lower limbs treated in the First Affiliated Hospital of Air Force Military Medical University from February 2018 to February 2023 were selected.They were divided into the control group(n=53)and the study group(n=53)using a random number table.The control group received routine care,while the study group received robot-assisted gait training combined with comprehensive rehabilitation therapy.The joint mobility,walking ability,quality of life,and recovery conditions of patients in the two groups were compared.Results:The ROM of patients in the two groups were all increased after nursing intervention compared with that before intervention,and the active and passive ROMs of patients in the study group were higher than those in the control group(P<0.05).Compared with that before intervention,the 6-minute Walk Test(6MWD)walking distance increased and the 10-m walk test time was shorter in the two groups after intervention.Compared with the control group,the 6MWD walking distance was longer and the 10-m walk test time was shorter in the study group(P<0.05).Compared with that before intervention,all dimensions of the Burn Specific Health Scale-A(BSHS-A)scores were improved in the two groups after intervention,and the BSHS-A scores for all dimensions were higher in the study group than those in control group(P<0.05).Length of hospital stay and rehabilitation time were shorter in the study group than those in the control group(P<0.05).Conclusion:Application of robot-assisted gait training combined with comprehensive rehabilitation therapy in patients with critically burned lower limbs can improve patients’joint mobility,restore knee joint function,improve walking ability and quality of life,and enhance accelerated recovery after surgery.

关 键 词：危重烧伤 机器人辅助步态训练 综合康复治疗 膝关节功能 

分 类 号：R644[医药卫生—外科学] R493[医药卫生—临床医学]