CAJ | 학술논문

目的：研究卒中后遗症期偏瘫患者进行减重步行康复训练的临床效果。方法选取该院2010年8月—2014年8月期间收治的100例卒中后遗症期偏瘫患者,将所有患者按随机抽样法分为两组各50例。其中50例患者使用常规康复治疗作为对照组,另50例患者在常规康复治疗的基础上进行减重步行训练作为观察组。结果康复训练前观察两组患者FAC、FMA、ADL评分以及辅助步行、独立步行人数所占比例均无差异,P>0.05；而康复训练后观察组辅助步行、独立步行人数所占比例明显高于对照组,P<0.05；且观察组FAC、FMA以及ADL评分均高于对照组,P<0.05。结论卒中后遗症期偏瘫患者进行减重步行训练效果显著,极大的促进了患者运动功能及步行能力的恢复,值得临床应用及推广。
목적：연구졸중후유증기편탄환자진행감중보행강복훈련적림상효과。방법선취해원2010년8월—2014년8월기간수치적100례졸중후유증기편탄환자,장소유환자안수궤추양법분위량조각50례。기중50례환자사용상규강복치료작위대조조,령50례환자재상규강복치료적기출상진행감중보행훈련작위관찰조。결과강복훈련전관찰량조환자FAC、FMA、ADL평분이급보조보행、독립보행인수소점비례균무차이,P>0.05；이강복훈련후관찰조보조보행、독립보행인수소점비례명현고우대조조,P<0.05；차관찰조FAC、FMA이급ADL평분균고우대조조,P<0.05。결론졸중후유증기편탄환자진행감중보행훈련효과현저,겁대적촉진료환자운동공능급보행능력적회복,치득림상응용급추엄。
Objective To study the clinical effects of BWSTT for hemiplegic patient with stroke at sequela phase. Methods 100 hemiplegic patients with stroke at sequela phase treated from August 2010 to August 2014 in our hospital were selected and randomly divided into control group and observation group, 50 cases each group. The control group received the conventional rehabilitation therapy and the observation group received the conventional rehabilitation therapy combined with BWSTT. Results Before the treatment of BWSTT, the scores of FAC, FMA, ADL and the proportion of conducting the aid walking and independent walking was not different (P>0.05);after treatment of BWSTT, the proportion of conducting the aid walking and independent walking was significantly higher than that of control group(P<0.05);the scores of FAC, FMA and ADL were significantly higher than that of control group(P<0.05). Conclusion For treatment of hemiplegic patient with stroke at sequela phase, BWSTT has a significant clinical efficacy and greatly improved the patients’movement function and recovery of walking ability. It is worthy of clinical application and promotion.