摘要
目的探讨重心移动式截瘫步行矫形器(ahernative gait orthosis,AGO)结合护理干预在胸腰段脊髓损伤(spinal cord injury,SCI)患者中的应用价值.方法选择2019年1月—2020年12月该院收治的胸腰段SCI患者82例为研究对象,按随机数字表法分为两组,每组41例.对照组采用常规护理干预,观察组在对照组基础上采用AGO进行步行训练,均干预12周.对比分析两组的膀胱功能、最大摄氧量(maximal oxygen consumption,VO_(2max))、膈肌厚度及膈肌移动度、日常生活活动能力及生活质量.结果在膀胱功能方面,观察组干预后的排尿次数多于对照组,单次排尿量、膀胱容量高于对照组,残余尿量少于对照组,组间差异有统计学意义(P<0.05).干预后,观察组的VO_(2max)、膈肌厚度及膈肌移动度均优于对照组,组间差异有统计学意义(P<0.05).观察组干预后的日常生活活动能力评分及生活质量评分均高于对照组,组间差异有统计学意义(P<0.05).结论AGO结合护理干预能够有效促进胸腰段SCI患者的膀胱功能恢复,增强其膈肌运动度,恢复心肺功能,提高日常生活活动能力,改善生活质量,值得临床推广应用.
Objective To investigate the clinical value of nursing intervention combined with ahernative gait orthosis(AGO)in patients with thoracolumbar spinal cord injury(SCI).Methods A total of 82 patients with thoracolumbar SCI treated in the hospital from January 2019 to December 2020 were selected as the study subjects,and they were divided into two groups according to random number table method,with 41 patients in each group.The control group received routine nursing intervention,and the observation group received walking training with AGO on the basis of the control group.Both groups were treated for 12 weeks.The bladder function,maximal oxygen consumption(VO_(2max)),diaphragmatic muscle thickness,diaphragmatic muscle mobility,daily living ability and life quality of the two groups were compared and analyzed.Results In terms of bladder function,the frequency of urination in the observation group was more than in the control group,single urination volume and bladder volume in the observation group were higher than those in the control group,while the residual urine volume was less than that in the control group,the differences between the groups were statistically significant(P<0.05).After intervention,the VO_(2max),diaphragm thickness and diaphragm mobility of the observation group were better than those of the control group,and the differences between the groups were statistically significant(P<0.05).The scores of daily living activities and quality of life in the observation group were higher than those in the control group after intervention,and the differences between the groups were statistically significant(P<0.05).Conclusion AGO combined with nursing intervention can effectively promote the recovery of bladder function in patients with thoracolumbar SCI,enhance the movement of diaphragm,restore cardiopulmonary function,improve the ability of daily living activities,and improve the quality of life,which is worthy of clinical application.
作者
牛桂霞
李文锦
NIU Guixia;LI Wenjin(The Second Department of Rehabilitation Medicine,Jinan People's Hospital,Jinan Shandong,250000,China)
出处
《反射疗法与康复医学》
2021年第16期144-147,共4页
Reflexology And Rehabilitation Medicine
