康复机器人康复训练同步针刺运动疗法干预髋部骨折术后康复的疗效观察

Effect of rehabilitation robot rehabilitation training synchronizing acupuncture exercise therapy on postoperative rehabilitation with hip fracture

目的:比较下肢康复机器人康复训练同步针刺运动疗法与单纯针刺运动疗法对髋部骨折术后患者下肢功能及生活活动能力的影响。方法:将50例老年髋部骨折术后患者随机分为观察组和对照组,各25例。两组均选取患侧髋三针,健侧顶旁1线及顶颞前斜线给予常规针刺30 min后,保留头针,观察组予针刺运动疗法同步下肢康复机器人康复训练,对照组予针刺运动疗法。两组均每天治疗1次,7次为一疗程,共治疗4个疗程。比较两组治疗前后Harris评分、Barthel指数评分和股四头肌等速肌力指标[峰力矩(PT)、平均功率(AP)、屈肌峰力矩/伸肌峰力矩(F/E)]的变化。结果:治疗后,两组Harris评分、Barthel指数评分、PT、AP较治疗前升高(P<0.05),F/E较治疗前降低(P<0.05);观察组治疗后Harris评分、Barthel指数评分、PT、AP高于对照组(P<0.05),F/E低于对照组(P<0.05)。结论:下肢康复机器人康复训练同步针刺运动疗法能提高老年髋部骨折术后患者髋关节活动、股四头肌肌群功能,有效改善下肢功能障碍及日常生活能力。

Objective To compare the therapeutic effect between rehabilitation robot rehabilitation training synchronizing acupuncture exercise therapy and simple acupuncture exercise therapy on lower limb function and life activity ability for postoperative patients with hip fracture.Methods A total of 50 elderly postoperative patients with hip fracture were randomly divided into an observation group and a control group,25 cases in each group.Both groups were treated with acupuncture at hip three points of the affected side and lateral line 1 of vertex,anterior oblique parietotemporal line of the healthy side,hip three needles were retained for 30 min.The scalp acupuncture needles were continue retained,the observation group was given acupuncture exercise therapy to synchronize lower limb rehabilitation robot rehabilitation training,and the control group was given acupuncture exercise therapy.The two groups were treated once a day,7 times as a course of treatment,and totally 4 courses were required.The Harris score,Barthel index score and quadriceps femoris isokinetic muscle strength indexes[peak torque(PT),average power(AP),flexor peak torque/extensor peak torque(F/E)]were compared between the two groups before and after treatment.Results After treatment,the Harris score,Barthel index score,PT and AP were higher than those before treatment(P<0.05),and F/E was lower than that before treatment in the two groups(P<0.05).After treatment,the Harris score,Barthel index score,PT and AP in the observation group were higher than those in the control group(P<0.05),and the F/E in the observation group was lower than that in the control group(P<0.05).Conclusion Rehabilitation robot rehabilitation training of lower limbs synchronizing acupuncture exercise therapy could enhance the hip joint activity function and quadriceps muscle group function of elderly postoperative patients with hip fracture,and effectively improve the lower limb function and life activity ability.