重心移动式截瘫步行矫形器对胸腰段脊髓损伤患者的疗效分析

发布时间：2018-01-28 20:28

本文关键词： 胸腰段脊髓损伤重心移动式步行矫形器步行能力生存质量　出处：《中国临床解剖学杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的观察胸腰段完全性脊髓损伤患者应用重心移动式截瘫步行矫形器(AGO)后对步行能力、日常生活活动能力和生存质量的临床疗效。方法胸腰段完全性脊髓损伤患者60例,随机分为AGO组和对照组,各30例。所有患者均进行SCI常规康复训练和处理,AGO组在常规治疗的基础上,装配AGO及进行步行训练。两组分别在入院时、装配AGO前、装配AGO后8周进行步行能力评定、ADL评定和生存质量评定。结果经4个月的治疗前后,进行组间比较,AGO及训练后,均可借助肘拐或步行器步行,患者10 m步行时间平均87.27s,6 min步行距离平均46.35 m;ADL能力在装配后比较治疗组明显优于对照组(P0.01);生存质量评分中的生理和心理方面改善具有统计学意义(P0.05)。结论AGO配合系统的康复治疗对改善胸腰完全性脊髓损伤患者日常生活活动能力、步行能力及生存质量有一定效果,值得临床进一步应用。
[Abstract]:Objective to observe the ability of walking in patients with complete thoracolumbar spinal cord injury (sci) after the use of ambulation orthosis (AGOA). Methods 60 patients with complete thoracolumbar spinal cord injury were randomly divided into AGO group and control group. All patients were treated with SCI routine rehabilitation training and treatment ago group. On the basis of routine treatment, AGO was assembled and walking training was performed in both groups. The walking ability and quality of life were assessed 8 weeks after AGO assembly. Results after 4 months of treatment, the group were compared with ago and after training, they could walk by elbow or walker. The average walking time of the patients was 87.27s6 min and the average walking distance was 46.35mm. The ability of ADL was significantly better in the treatment group than in the control group after assembly. The improvement of physical and psychological aspects in the score of quality of life was statistically significant (P0.050.Conclusion AGO combined with rehabilitation therapy can improve the activity of daily life in patients with thoracolumbar complete spinal cord injury. Walking ability and quality of life have certain effect, which is worthy of further clinical application.
【作者单位】：南方医科大学珠江医院;广东省工伤康复医院;宜兴九如城康复医院;
【分类号】：R651.2
【正文快照】： 脊髓损伤(Spinal cord injury,SCI)可造成损伤平面以下运动、感觉及反射功能的障碍[1]。随着经济社会的迅速发展,脊髓损伤发生率呈逐年升高趋势。虽然现代医学技术的进步,SCI的救治与研究较过去都有了长足的发展,但仍然不能通过临床的医疗使脊髓功能恢复。因此,完全性SCI患

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