CAJ | 학술논문

目的：研究探讨重点肌群强化对脑卒中偏瘫患者步行安全性及平衡功能的影响，为临床提供相关依据。方法：选择我院2009年2月～2012年2月接受脑卒中偏瘫治疗的患者126例作为研究对象，将所有患者严格按照随机分组原则分为锻炼组与对照各63例。其中2组均接受现代功能康复技术的步行训练与平衡训练，锻炼组在上述基础上强化加入髋外展肌群的训练，治疗前和治疗后6周使用Berg平衡评分量表以及Holden功能步行分类分别对2组患者平衡功能及步行功能进行评定，治疗结束后持续随访直至半年后，记录患者跌倒发生率。结果：治疗结束后，2组患者的BBS，Holden的功能步行分类级别较治疗之前有着明显的改善。组间比较锻炼组的评分级别优于对照组，差异具有显著性（ P＜0．05）。随访半年后，治疗结束的半年内锻炼组患者发生跌倒的频率显著低于对照组，差异具有统计学意义。（P＜0．05）。结论：在常规锻炼的基础上增加重点肌群的锻炼可以明显增强脑卒中偏瘫患者平衡功能，加快功能恢复，效果显著，具有较高的临床应用价值。
목적：연구탐토중점기군강화대뇌졸중편탄환자보행안전성급평형공능적영향，위림상제공상관의거。방법：선택아원2009년2월～2012년2월접수뇌졸중편탄치료적환자126례작위연구대상，장소유환자엄격안조수궤분조원칙분위단련조여대조각63례。기중2조균접수현대공능강복기술적보행훈련여평형훈련，단련조재상술기출상강화가입관외전기군적훈련，치료전화치료후6주사용Berg평형평분량표이급Holden공능보행분류분별대2조환자평형공능급보행공능진행평정，치료결속후지속수방직지반년후，기록환자질도발생솔。결과：치료결속후，2조환자적BBS，Holden적공능보행분류급별교치료지전유착명현적개선。조간비교단련조적평분급별우우대조조，차이구유현저성（ P＜0．05）。수방반년후，치료결속적반년내단련조환자발생질도적빈솔현저저우대조조，차이구유통계학의의。（P＜0．05）。결론：재상규단련적기출상증가중점기군적단련가이명현증강뇌졸중편탄환자평형공능，가쾌공능회복，효과현저，구유교고적림상응용개치。
Objective:research focus on muscle strengthening on the balance function of patients with cerebral apoplexy hemiplegia and pedestrian safety , provide evidences for clinical .Methods:select our hospital between December 2009 and February 20012 , 126 patients with cerebral apoplexy hemiplegia treated as object of study , all patients were in strict accordance with the principle of random grouping can be divided into exercise group and compared with 63 cases each .Two groups all received the balance of modern rehabilitation tech-niques training and walking training , the exercise groups on the basis of the above strengthening join xu lian hip abductor muscle group , before and after 6 weeks treatment using the Berg balance rating scale and walking Holden function classification on the balance function of patients with two groups respectively , and walking functions to assess , for continued follow ~up after treatment until after six months , the patient fall incidence .Results:after the treatment, two groups of patients with BBS , Holden function classification level than before treat-ment significantly improved on foot .Score levels of group comparison between exercise group is better than the control group , with signifi-cant difference (P <0.05).Follow~up after six months, half a year after the end of the exercise group of patients treatment fall fre-quency was significantly lower than the control group , difference has statistical significance .Regular exercise (P <0.05).conclusion:on the basis of increased focus on muscle group exercises can improve the balance function in patients with cerebral apoplexy hemiplegia , accelerate the recovery of function , the effect is remarkable , has high clinical application value .