单侧大腿截肢者应用两种假肢接受腔康复效果的对比研究  

Comparative Study on Rehabilitation Effects of Two Types of Prosthetic Receiving Cavities for Unilateral Thigh Amputees

作　　者：王娜 王应良 张玉德 杨剑伟 郭志强 WANG Na;WANG Yingliang;ZHANG Yude;YANG Jianwei;GUO Zhiqiang(Gansu Disabled Assistance Equipment Resource Center,Lanzhou City,Gansu Province,China 730300)

机构地区：[1]甘肃省残疾人辅助器具资源中心,甘肃兰州730300

出　　处：《卫生职业教育》2025年第2期94-97,共4页HEALTH VOCATIONAL EDUCATION

基　　金：2022年度中国残联课题残疾人辅助器具专项研究课题“大腿假肢接受腔MAS与四边形制作技术及康复的对比研究”(2022CDPFAT-33)。

摘　　要：目的比较单侧大腿截肢者使用大腿假肢MAS接受腔与四边形接受腔时步态及满意度的差异,为临床适配大腿假肢选择接受腔口型圈提供指导。方法选取10例大腿截肢者作为研究对象,分别适配大腿假肢MAS接受腔和四边形接受腔,步态参数应用G-WALK三维步态分析仪采集,满意度调查选用Trinity截肢和假肢体验量表。结果大腿假肢穿戴MAS接受腔和四边形接受腔并进行康复训练,步态的双支撑期2周后差异有统计学意义(P<0.05),步态的单支撑期、双支撑期、摆动期、步态周期6周后差异均有统计学意义(P<0.05)。MAS接受腔相比四边形接受腔,表现出更少的功能障碍和更高的满意度(P<0.05)。结论大腿假肢使用MAS接受腔,受试者步行能力和满意度明显更高,功能障碍更少,MAS接受腔在大腿假肢适配中有很好的推广应用价值。Objective To compare the differences in gait and satisfaction between unilateral thigh amputees with thigh prosthesis MAS receiving cavity and quadrilateral receiving cavity,and provide guidance for clinical adaptation of thigh prosthesis selection of receiving cavity ring.Methods Ten cases of thigh amputees were selected as the research subjects,and were respectively adapted to the thigh prosthesis MAS receiving cavity and the quadrilateral receiving cavity.Gait parameters were collected with the G-WALK three-dimensional gait analyzer,and satisfaction surveys were conducted with the Trinity Amputation and Prosthetic Experience Scale.Results After wearing the MAS receiving cavity and quadrilateral receiving cavity for thigh prostheses and undergoing rehabilitation training,there was a statistically significant difference(P<0.05)in gait after 2 weeks of double support phase,and a statistically significant difference(P<0.05)in gait after 6 weeks of single support phase,double support phase,swing phase,and gait cycle.Compared with the quadrilateral receiving cavity,the MAS receiving cavity showed fewer functional impairments and higher satisfaction(P<0.05).Conclusion The use of MAS receiving cavity in thigh prostheses significantly improves walking ability and satisfaction of subjects,with fewer functional impairments.MAS receiving cavity has good promotion and application value in thigh prosthesis adaptation.

关 键 词：大腿假肢 MAS 接受腔 

分 类 号：R687.5[医药卫生—骨科学]