不同强化训练时间对脑卒中患者步行功能恢复的影响

Effects of Different Intensive Training Time on Walk Function Recovery in Patients with Stroke

目的：探讨不同强化时间对脑卒中患者步行功能恢复的影响。方法：选取2011年1月~2014年10月脑卒中后偏瘫并接受康复治疗的患者51例,并随机分为80min组（n=25例）和120min组（n=26例）。对照组给予80min下肢强化训练,观察组给予120min下肢强化训练,对比两组疗效。结果：强化训练2周、4周后120min组的FAC分级分别为（3.32±0.57）级、（3.91±0.44）级,FMA评分分别为（26.76±5.88）分、（29.94±5.19）分,均明显高于80min组的（2.65±0.49）级、（3.22±0.31）级、（23.07±4.97）分、（25.31±3.68）分（P〈0.05）;强化训练2周以及强化训练4后,120min组独立步行比例依次为100%、100%,显著高于80min组的48%、68%（P〈0.05）。结论：强化训练对脑卒中患者步行功能恢复的影响效果显著,且患者的步行功能随着训练时间的延长而增强,120min下肢强化训练可以明显地提高患者的步行功能、下肢运动能力和独立步行能力,值得推广。

Objective：To investigate effects of different intensive training time on walk function recovery in patients with stroke.Methods： 51 cases of stroke patients with hemiplegia frome2013 January to 2014 October were selected and were randomly divided into 80min group （n=25 cases） and 120min group （n=26）.The control group was given 80min oflower extremity strengthening training, while the observation group was given 120min of lower extremity strengthening training. The efficacy of the two groups was compared. Results： After 2 weeks and 4 weeks of intensive training, FAC classification, FMA score, the proportion of independent walking of 120min groupwere significantly higher than those of 80min group （P〈0.05）.Conclusion：Strengtheniug training in treatment of walk function recovery in patients with stroke has a good effect, and walk function enhances with training time increasing.