平衡功能训练联合肌内效贴对脑卒中偏瘫患者平衡功能、步行功能和生活质量的影响

摘要 目的：观察脑卒中偏瘫患者经肌内效贴联合平衡功能训练治疗后，其步行功能、生活质量及平衡功能的变化。方法：于2018年6月~2020年8月期间，选取我院收治的300例脑卒中偏瘫患者，根据随机数字表法分为对照组（150例，常规康复训练和平衡功能训练）和研究组（150例，常规康复训练、平衡功能训练联合肌内效贴），均治疗4周。对比两组平衡功能、步行功能、生活质量、睁眼站立、脚前后站立、闭眼站立的重心摆动速度及动态稳定时间。结果：治疗4周后，两组Fugl-Meyer下肢运动功能评定量表（FMA）、Berg平衡量表（BBS）评分较治疗前升高，且研究组高于对照组（P<0.05）。治疗4周后，两组步行功能指标：步频、步长、步速、步幅较治疗前升高，且研究组高于对照组（P<0.05）。治疗4周后，两组SF-36各维度评分较治疗前升高，且研究组高于对照组（P<0.05）。治疗4周后，两组睁眼站立、脚前后站立、闭眼站立的重心摆动速度和动态稳定时间较治疗前降低，且研究组低于对照组（P<0.05）。结论：脑卒中偏瘫患者经肌内效贴联合平衡功能训练治疗后，平衡功能得到较好的恢复，步行能力提高，其生活质量得到改善。

Effect of Balance Function Training Combined with Intramuscular Patch on Balance Function, Walking Function and Quality of Life of Stroke Patients with Hemiplegia

ABSTRACT Objective: To observe the changes of walking function, quality of life and balance function of hemiplegic patients after treatment with intramuscular plaster combined with balance function training. Methods: From June 2018 to August 2020, 300 cases of stroke patients with hemiplegia who were admitted to our hospital were selected, and they were randomly divided into control group (150 cases, routine rehabilitation training and balance function training) and study group (150 cases, routine rehabilitation training, balance function training combined with intramuscular patch) according to the random number table method, all patients were treated for 4 weeks. The balance function, walking function, quality of life, pelocity of center of gravity swing and dynamic stabilization time when standing with eyes open, feet forward and back, and stand with eyes closed were compared. Results: 4 weeks after treatment, the scores of Fugl-Meyer lower limb motor function assessment (FMA) and Berg Balance Scale (BBS) in the two groups were higher than those before treatment, and the study group was higher than the control group(P<0.05). 4 weeks after treatment, the walking function indexes of the two groups: stride frequency, step width, stride speed, stride length were higher than those before treatment, and the study group was higher than the control group(P<0.05). 4 weeks after treatment, SF-36 score of each dimension in the two groups were higher than those before treatment, and the study group was higher than the control group (P<0.05). 4 weeks after treatment, the pelocity of center of gravity swing and dynamic stabilization time when standing with eyes open, feet forward and back, and stand with eyes closed in the two groups were lower than before treatment, and the study group was lower than the control group (P<0.05). Conclusion: Intramuscular plaster combined with balance function training in the treatment of stroke patients with hemiplegia can well recover the balance function of patients, improve the walking ability, and improve their quality of life.