摘要
【目的】探讨高压氧联合下肢康复机器人辅助训练对脊髓损伤患者下肢张力及步行能力的影响。【方法】选取2015年2月至2017年2月本院诊治的脊髓损伤患者70例;按照随机数表法分为对照组和观察组;每组35例。对照组给予综合康复治疗和下肢康复机器人辅助训练;观察组患者在对照组基础上加用高压氧治疗。两组治疗前后分别采用改良Ashworth量表(MAS)和下肢康复机器人反馈数据评价下肢肌张力和关节作用力;采用功能性步行量表评定表(FAC)、Berg平衡量表(BBS)、改良Barthel指数量表(modified Barthel index;MBI)评价步行能力、下肢平衡功能及患者日常生活活动能力。【结果】观察组患者治疗后临床总有效率明显高于对照组;差异有统计学意义(P<0.05)。观察组治疗后股内收肌、屈膝肌、伸膝肌及踝跖屈肌群MAS评分明显低于对照组;差异有统计学意义(P<0.05);机器人反馈数据结果显示;观察组治疗后髋关节和膝关节作用力明显高于对照组;差异有统计学意义(P<0.05);观察组治疗后步行功能分级及下肢平衡能力明显优于对照组;差异有统计学意义(P<0.05);两组患者治疗后日常生活能力MBI评分比较差异无统计学意义(P>0.05)。【结论】高压氧联合下肢康复机器人康复训练治疗脊髓损伤患者;疗效显著;可有效改善脊髓损伤患者下肢肌张力及运动功能;值得临床推广应用。
【Objective】 To investigate the effect of hyperbaric oxygen combined with lower extremity rehabilitation robot assisted training on the lower limb tension and walking ability of patients with spinal cord injury. 【Methods】 A total of 70 patients with spinal cord injury admitted and treated in our hospital from February 2015 to February 2017 were divided into the control group and the observation group according to the random number table method, with 35 cases in each group. All patients were given comprehensive rehabilitation therapy and lower limb rehabilitation robot assisted training. In addition to this, patients in the observation group were given hyperbaric oxygen therapy. The muscle strength and joint force of lower limbs were evaluated by the modified Ashworth scale (MAS) and lower limb rehabilitation robot feedback data, the walking ability, lower limb balance function and activity of daily living were evaluated by functional ambulation category scale (FAC), Berg balance scale (BBS) and modified Barthel index (MBI). 【Results】 The total effective rate of the patients in the observation group was significantly higher than that in the control group (P<0.05). The MAS scores of the adductor muscle, flexor knee, extensor and ankle flexion of the observation group were significantly lower than those of the control group after the treatment (P<0.05). The results of the robot feedback data showed that the force of the hip joint and the knee joint in the observation group was significantly higher than that in the control group (P<0.05), and the level of walking function and balance of lower limbs were significantly better than those of control group (P<0.05). However, there was no significant difference in MBI scores between the two groups after treatment (P>0.05). 【Conclusion】 The combination of hyperbaric oxygen and lower limb rehabilitation robot rehabilitation training can effectively improve the lower limb muscle tension and motor function in patients with spinal cord injury, and the clinical curative effect is remarkable.
作者
毛兵兵
白瑞
MAO Bing-bing;BAI Rui(Rehabilitation Department,Red Cross Hospital of Lianhu District,Xi'an City,Shanxi Xi'an 710000)
出处
《医学临床研究》
CAS
2018年第12期2335-2337,2342,共4页
Journal of Clinical Research
关键词
脊髓损伤/康复
高压氧
机器人
Spinal Cord Injuries/RH
Hyperbaric Oxygenation
Robotics
作者简介
通讯作者:白瑞E-mail:269296366@qq.com.
