天津医药

天津医药 ›› 2015, Vol. 43 ›› Issue (8): 902-904.doi: 10.11958/j.issn.0253-9896.2015.08.020

• 应用研究 • 上一篇    下一篇

脑循环功能治疗仪联合电动起立床对小脑梗死后平衡障碍的疗效

王晓菊，李雪萍   

  1. 南京医科大学附属南京医院（南京市第一医院）康复医学科
  • 收稿日期:2014-12-22 修回日期:2015-03-30 出版日期:2015-08-15 发布日期:2015-08-15
  • 通讯作者: 李雪萍 E-mail:274717005@qq.com
  • 作者简介:王晓菊（1985），女，硕士，主要从事神经康复方面研究

The effects of therapeutic equipment that aim to improve cerebrovascular function combined with automatic standing bed on balance disorder following cerebellar infarction

WANG Xiaoju, LI Xueping   

  1. Department of Rehabilitation, Affiliated Nanjing Hospital (Nanjing First Hospital), Nanjing Medical University, Nanjing 210006, China
  • Received:2014-12-22 Revised:2015-03-30 Published:2015-08-15 Online:2015-08-15

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摘要： 目的探讨脑循环功能治疗仪联合电动起立床对小脑梗死后平衡障碍的疗效。方法采用随机数字表法将50 例小脑梗死患者分为治疗组及对照组，2 组患者均给予常规药物治疗和康复训练（均包括电动起立床训练），治疗组在此基础上辅以脑循环功能治疗。于治疗前及治疗4 周后分别采用Fugl-Meyer 平衡功能量表（FM-B）及 Barthel 指数（BI）评分对患者平衡能力和日常生活活动能力进行评定。结果治疗前治疗组与对照组FM-B 评分、 BI 评分差异无统计学意义（P > 0.05），治疗后与治疗前比较2 组均有改善（P < 0.05），治疗组优于对照组（P < 0.05）。治疗组总显效率高于对照组（P < 0.05）。治疗过程中未见明显不良反应。结论小脑梗死后平衡障碍患者在常规康复治疗基础上辅以脑循环功能治疗仪联合电动起立床训练，可提高平衡能力和日常生活能力。

关键词: 脑梗死, 小脑, 康复, 小脑梗死, 平衡障碍, 脑循环功能治疗仪, 电动起立床

Abstract: Objective To investigate the effects of therapeutic equipment that aimed to improve cerebrovascular func⁃ tion combined with electric standing bed on balance disorder following cerebellar infarction. Methods Fifty patients with balance disorder after cerebellar infarction were randomized into study and control groups. Agreed routine rehabilitation ther⁃ apy including automatic standing bed and medication were given to both groups. In addition, therapeutic equipment that aim to improve cerebrovascular function were delivered to patients in study group. The effects were assessed using Fugl-Meyer balance function scale and Barthel index (BI) before and after 4 weeks of treatment. Results Study group and control group did not present difference between FM-B grade and BI before treatment (P > 0.05). Both FM-B and BI were improved after treatment (P < 0.05), but it improved more in study group than in control group (P < 0.05). The total efficiency in treatment group is higher than that in control group (P < 0.05). In the process of treatment, no obvious adverse reactions was observed. Conclusion The therapeutic equitment that aim to improve cerebrovascular function combined with automatic standing bed can improve balance disorder and daily activity after cerebellar infarction.

Key words: brain infarction, cerebellum, rehabilitation, cerebellar infarction, balance disorder, cerebrovascular function treatment, electric standing bed