康复功能锻炼对职业性慢性正己烷中毒患者的影响

Effect of rehabilitation training on the muscle strength and ADL of the occupational chronic n-hexane poisoning patients

目的 探讨康复功能锻炼对职业性慢性正己烷中毒患者肌力与日常生活活动能力（ADL）的影响.方法 选择深圳市职业病防治院2008年1月-2014年12月收治的职业性慢性正己烷中毒患者作为研究对象,2008年1月-2010年12月43例为常规护理组;2011年1月-2014年12月42例为康复锻炼组,在常规护理的基础上进行全面的康复功能锻炼;对比两组患者治疗前、6个月后的肌力及ADL的情况.结果 治疗前两组患者四肢肌力与ADL比较差异无统计学意义（P＞0.05）.6个月后两组患者上肢肌力比较差异无统计学意义（Z=-0.574,P＞0.05）;下肢肌力两组比较差异有统计学意义（Z=-2.341,P＜0.05）;ADL评分分别为（79.65±23.30）,（88.93±17.93）分,组间比较差异有统计学意义（t=-2.053,P＜0.05）.结论 康复功能锻炼可明显改善职业性慢性正己烷中毒致周围神经损伤患者的肌力与ADL.

Objective To explore the effect of rehabilitation training on the muscle strength and the activities of daily living （ADL） of the occupational chronic n-hexane poisoning patients.Methods The occupational chronic n-hexane poisoning patientsin Shenzhen Prevention and Treatment Center for Occupational Diseases between January 2008 and December 2014 were included.A total of 43 patients of them between January 2008 and December2010 was routine nursing group,and 42 patients between January 2011 and December 2014 was rehabilitation training group received comprehensive rehabilitation training on the basis of routine nursing.The muscle strength and ADL of two groups were evaluated before treatment and 6 months after treatment.Results There was no significant difference between the two groups before treatment （P 〉 0.05）.After 6 months,there was no significant difference in muscle strength of upper limbs between two groups （Z =-0.574,P 〉 0.05）.The muscle strength of lower limbs in two groups was statistically significant （Z =-2.341,P〈0.05）.The score of ADL in two groups was （79.65 ± 23.30） and （88.93 ± 17.93）.The difference between two groups was statistically significant （t =-2.053,P 〈 0.05）.Conclusions The rehabilitation training can effectively improve the muscle strength and ADL of the occupational chronic n-hexane poisoning patients.