对足趾移植再造手指早期行下肢平衡功能训练的研究

The study of early balance training on patients with fingers reconstructed by toe transfer

目的探讨足趾移植再造手指患者早期进行下肢平衡功能训练的可行性及临床价值。方法收集2012年12月-2013年12月就诊的30例足趾再造手指患者，分成实验组及对照组，每组各15例。对照组不做下肢平衡功能训练，实验组术后10d开始进行四个疗程治疗，即40d的下肢平衡功能训练。两组均在术后10d及2个月时进行初期和末期评定，用B—PHY型平衡检测系统检测其患侧单腿站立平衡重心的轨迹长度及外周面积，进而分析重心稳定性变化。结果对照组和实验组外周面积及轨迹长度末期对比初期评定分别减少（0．348±0．79804）cm^2，（0．9267±2．43265）cm；（1．912±0．348）cm^2，（5．6067±7．51907）cm，采用SPSS18．0统计软件进行独立样本f检验计算，外周面积P=-0．03〈0．05，轨迹长度P=-0．02〈0．05，差异均有统计学意义。结论早期对足趾移植再造手指患者进行下肢平衡功能训练可以提高患者重心稳定性，从而改善平衡功能。

Objective To discuss the feasibility and clinical significance of early balance training on patients of fingers reconstructed by toe transfer. Methods 30 patients were divided into experimental group （n=15） and the control group （n=15）. Patients of experimental group had early balance training for one month in the first ten postoperative days, while the control group had no function training. Two groups were evaluated with PH-A balance test and training equipment for the changes of stability in the first ten postoperative days and after one month. Results In experimental group, the envelope area and trace length decreased by （0.348±0.79804） cm^2 and （0.9267±2.43265） cm, meanwhile, the control group decreased by （1.1912±0.348） cm^2 and （5.6067±7.51907） cm. There were remarkable differences in the envelope area （P=0.03〈0.05） and trace length（P=0.02〈0.05） analyzed by SPSS18.0 statistics software between two groups. Conclusion Early balance training is effective for patients of fingers reconstructed by toe transfer.