空气压力波联合下肢主动及被动运动康复对脑卒中偏瘫患者的影响

Effect of Air Pressure Wave Combined with Active and Passive Lower Limb Exercise Rehabilitation on Stroke Patients with Hemiplegia

目的:探讨空气压力波联合下肢主、被动运动康复对脑卒中偏瘫患者的影响。方法:选择2023年4—10月上海市金山区众仁老年护理医院收治的60例脑卒中偏瘫患者为研究对象,按随机数字表法将其分为对照组和研究组,各30例。两组均采用药物治疗及常规训练,对照组联合下肢主、被动运动康复,研究组在对照组基础上采用空气压力波联合治疗。比较两组患肢健肢腿围周径差、下肢肌力和并发症发生情况。结果:干预1、2、4周后,研究组患肢健肢腿围周径差均小于对照组,差异均有统计学意义(P<0.05)。干预4周后,研究组下肢肌力优于对照组,差异有统计学意义(P<0.05)。研究组并发症发生率6.67%低于对照组的30.00%,差异有统计学意义(P<0.05)。结论:空气压力波联合下肢主被动运动康复可有效提高脑卒中偏瘫患者的下肢肌力,减小患肢健肢腿围周径差,降低并发症发生率。

Objective:To investigate the effect of air pressure wave combined with active and passive lower limb exercise rehabilitation on stroke patients with hemiplegia.Methods:A total of 60 patients with hemiplegia from April to October 2023 in Shanghai Jinshan District Zhongren Geriatric Nursing Hospital were selected as the study objects,and were divided into a control group and a study group according to random number table method,with 30 cases in each group.The two groups were treated with drug therapy and routine training,the control group was treated with active and passive exercise rehabilitation of lower limbs,and the study group was treated with air pressure wave combined therapy on the basis of the control group.The difference of leg circumference diameter,lower limb muscle strength and occrrence of complications were compared between the two groups.Results:After 1,2 and 4 weeks of intervention,the leg circumference diameter difference of the affected limbs in the study group was smaller than those of the control group,and the differences were statistically significant(P<0.05).Four weeks after intervention,the lower limb muscle strength of the study group was better than that of the control group,and the difference was statistically significant(P<0.05).The incidence of complications in the study group was 6.67%,lower than 30.00%in the control group,the difference was statistically significant(P<0.05).Conclusion:Air pressure wave combined with lower limb active and passive exercise rehabilitation can effectively improve the lower limb muscle strength of stroke patients with hemiplegia,reduce the leg circumference difference of healthy limbs,and reduce the incidence of complications.