CAJ | 학술논문

目的：观察强化骨盆控制训练对脑梗死偏瘫患者平衡、下肢运动功能的影响。方法：将102例脑梗死偏瘫恢复早期患者随机分成观察组和对照组各51例，两组患者均给予神经内科常规药物治疗，并应用理疗、作业治疗和常规康复训练，观察组增加骨盆控制训练。结果：治疗4周后，两组Berg平衡评分、Fugl-Meyer下肢运动评分较治疗前均显著提高(P＜0.001)，且观察组高于对照组(P＜0.01)；治疗8周后，观察组Berg平衡评分、Fugl-Meyer下肢运动评分显著高于对照组(P＜0.001)，两组Holden功能性步行分级较治疗前均显著提高(P＜0.01)，且观察组功能性步行分级≥3级患者百分比率远远高于对照组(P＜0.01)。结论：强化骨盆控制训练对脑梗死偏瘫患者平衡功能、下肢运动功能的恢复具有较好的促进作用。
목적：관찰강화골분공제훈련대뇌경사편탄환자평형、하지운동공능적영향。방법：장102례뇌경사편탄회복조기환자수궤분성관찰조화대조조각51례，량조환자균급여신경내과상규약물치료，병응용리료、작업치료화상규강복훈련，관찰조증가골분공제훈련。결과：치료4주후，량조Berg평형평분、Fugl-Meyer하지운동평분교치료전균현저제고(P＜0.001)，차관찰조고우대조조(P＜0.01)；치료8주후，관찰조Berg평형평분、Fugl-Meyer하지운동평분현저고우대조조(P＜0.001)，량조Holden공능성보행분급교치료전균현저제고(P＜0.01)，차관찰조공능성보행분급≥3급환자백분비솔원원고우대조조(P＜0.01)。결론：강화골분공제훈련대뇌경사편탄환자평형공능、하지운동공능적회복구유교호적촉진작용。
Objective:To observe the influence of intensified pelvis control training on the balance and lower limb motor function of patients with cerebral hemiplegia.Methods:102 patients with cerebral hemiplegia in recovery early phase were randomly divided into the observation group and the control group with 51 cases in each.The patients in two groups were given neurology conventional medical treatment,applied physical therapy,homework therapy and conventional rehabilitation training.The observation group was increased pelvic control training.Results:After 4 weeks of treatment,the Berg balance score and Fugl-Meyer lower limb motor function score of two groups were significantly increased than those before treatment(P<0.001),and the observation group was higher than the control group(P<0.01).After 8 weeks of treatment,the Berg balance score and Fugl-Meyer lower limb motor function score of the observation group were significantly higher than those of the control group(P<0.001).The Holden functional ambulation category of two groups were significantly increased than those before treatment(P<0.01).The per centum of patients with functional ambulation category more than or equal to 3 levels in the observation group was much higher than that of the control group(P<0.01).Conclusion:The intensified pelvis control training on the balance function and lower limb motor function recovery of patients with cerebral hemiplegia has a better role in promoting.