踝足矫形器对脑卒中后足下垂患者步行能力的影响

目的探索佩戴踝足矫形器对脑卒中后足下垂的影响。方法选取2015年4月至2018年12月踝关节主动背屈不能达到90°中立位的脑卒中患者20例作为研究对象。采用随机数字法分为观察组和对照组,每组各10例。2组患者均给予药物治疗和康复训练,观察组在此基础上佩戴踝足矫形器(AFO),每天不少于8h。于治疗前、治疗后分别采集三维步态数据,评估患者足下垂及步行功能改善情况。结果治疗前、后2组患者踝关节活动度比较差异均无统计学意义(P>0.05)。治疗后观察组踝关节活动度较治疗前明显改善,差异有统计学意义(P<0.01)。治疗前、后2组患者步行速度比较差异均无统计学意义(P>0.05)。治疗后2组患者步行速度均较治疗前显著提高,差异均有统计学意义(P<0.01)。观察组步行速度变化率高于对照组,差异有统计学意义(P<0.05)。结论足下垂患者佩戴AFO,能提高步行中踝关节活动度,改善步行功能。

Steady Path Ahead

TODAY, as China faces risk through upgrading the structure of its economy, the general consensus is that these risks are in the main manageable. More specifically, China＇s current debt level is under control and withdrawal of the quantitative easing monetary policy, or QE, by developed nations, is not likely to trigger a financial crisis in the country. Looking further, challenges of overcapacity are being resolved and the possibility of economic turbulence brought about by the real estate market bubble is slight.

为全球经济金融治理贡献中国力量

党的十八大以来,中国参与全球经济金融治理开启新篇章。通过日益深入参与二十国集团(G20)等多边治理日程,中国在危机救助和疫后复苏中切实发挥大国担当,在国际货币体系改革、绿色发展等重要议题方面积极贡献中国智慧。中国深入参与全球治理,不仅为国内经济发展创造了良好的外部环境,而且还通过参与制定和完善全球规则,为维护全球经济增长和金融稳定贡献了中国力量。

STEADY PATH AHEAD

As China faces risks through upgrading the structure of its economy, the general consensus is that these dsks are in the main manageable. More specifically, China＇s current debt level is under control and the U.S. tapering of quantitative easing （QE） is not likely to trigger a financial crisis in the country. Looking further ahead, the challenges of over- capacity are being addressed and the possibility of economic turbulence brought about by the real estate bubble is slight