摘要
目的研究初期卧姿功率自行车锻炼对吉兰-巴雷综合症患者下肢肌肉力量和活动能力的促进作用。方法选取2020年1月至2023年12月间在河南省直第三人民医院接受康复治疗的104例吉兰-巴雷综合症患者,运用随机数字法,将患者均分为两组(对照组和观察组),每组各52例。对照组接受常规早期康复护理,观察组在此基础上加入卧姿功率自行车锻炼。评估两组患者在治疗前后下肢肌肉力量等级、日常生活活动能力[改良Barthel指数(MBI)评分]、平衡能力[Berg平衡量表(BBS)评分]、步行能力(10 m步行时间、6 min步行距离)和生活质量[健康调查简表(SF-36)]。结果治疗后,两组患者的下肢肌肉力量分级、MBI评分、BBS评分、6 min步行距离、SF-36评分均有显著提高,10 m步行时间显著缩短,差异均有统计学意义(P<0.05),且观察组患者下肢肌肉力量、MBI评分、BBS评分、6 min步行距离、SF-36评分均显著优于对照组,10 m步行时间少于对照组,差异均有统计学意义(P<0.05)。结论在吉兰-巴雷综合症患者的早期康复阶段结合基础康复训练与卧姿功率自行车锻炼,能显著增强下肢肌肉力量,改善步行能力,提高患者的生活质量。
Objective To investigate the promoting effects of early supine stationary bicycle exercise on lower limb muscle strength and mobility in patients with Guillain-BarréSyndrome.Methods A total of 104 patients with Guillain-BarréSyndrome who received rehabilitation treatment at The Third People’s Hospital of Henan Province from January 2020 to December 2023 were selected.Patients were randomly divided into two groups(control group and observation group),with 52 cases in each group.The control group received conventional early rehabilitation care,while the observation group received supine power cycling exercise in addition to standard care.The assessment included lower limb muscle strength grading,activities of daily living[Modified Barthel Index(MBI)scores],balance ability[Berg Balance Scale(BBS)scores],walking ability(10-meter walking time and 6-minute walking distance),and quality of life[Short Form Health Survey(SF-36)]before and after treatment.Results After treatment,both groups showed significant improvements in lower limb muscle strength grading,MBI scores,BBS scores,6-minute walking distance,and SF-36 scores.The 10-meter walking time was significantly reduced,with all differences being statistically significant(P<0.05).Moreover,the observation group demonstrated significantly better lower limb muscle strength,MBI scores,BBS scores,6-minute walking distance,and SF-36 scores than the control group,and had a shorter 10-meter walking time compared to the control group,with statistically significant differences(P<0.05).Conclusion Combining basic rehabilitation training with supine power cycling exercise during the early rehabilitation phase for patients with Guillain-BarréSyndrome can significantly enhance lower limb muscle strength,improve walking ability,and increase the quality of life for these patients.
作者
杨菊芬
YANG Jufen(Department of Rehabilitation,The Third People’s Hospital of Henan Province,Zhengzhou Henan 450000,China)
出处
《临床研究》
2024年第12期49-52,共4页
Clinical Research