摘要
目的:回顾性分析临床病历资料以了解静态踝足矫形器在脑卒中患者中的应用情况,为踝足矫形器的合理应用提供依据。方法:对2002年1月—2004年12月脑卒中住院患者的病历资料进行回顾性分析,将病程1—3个月的脑卒中患者按是否使用静踝足矫形器(AFO)分为观察组(穿戴AFO,41例)和对照组(未穿戴AFO,118例)。结果:①两组患者入院时的一般资料无明显差异,出院时两组患者下肢Brunnstrom分级均较入院时升高,但两组间无显著差异,出院时两组Barthel指数均较入院时明显提高,但观察组较对照组增加更显著(P<0.05);②观察组出院时独立步行患者的比例(65.8%)显著高于对照组(43.2%),不能步行的比例由入院时的56.2%降低到出院时的4.9%,而对照组出院时不能步行的比例仍高达22.1%,显著高于观察组。出院时10m-坐-站-走时间测定,观察组所需时间明显低于对照组(P<0.05)。观察组下肢Brunnstrom 3级以上者均可恢复不同程度的步行能力,而对照组下肢Brunnstrom 3级以上者不能步行的比例达17.8%;③观察组住院天数明显短于对照组,医疗费用也低于对照组。结论:静态踝足矫形器早期应用有助于提高步行能力和日常生活能力,同时缩短康复时程和住院周期,降低医疗费用。
Objective： To explore the application of static ankle-foot orthosis （AFO） through retrospective analysis of clinical data of patients with stroke, and provide guidance for effective use of AFO. Method： Clinical data of inpatients with stroke from January, 2002 to December, 2004 were analyzed retrospectively. Based on with or without wearing AFO, 159 patients were divided into control group （without AFO） and observation groups （with AFO）. Result： （1）The general data had no difference at admission between two groups. Brunnstrom Grade of lower extremities at discharge elevated significantly in two groups than that at admission, but had no obvious difference between two groups at admission or at discharge （P〉0.05）. The scores of Barthel Index of observation groups increased significantly than that of control group at discharge （P〈0.05）. （2） The percent of patients in observation group who can walk independently was 65.8%, higher than 43.2% in control group. The ratio of patients who was unable to walk decreased from 56.2% at admission to 4.9% at discharge, but there were 22.1% patients without ability of walking at discharge in control group. Time that ten meter sit-stand-walk needs was shorter in observation group than that in control group at discharge（P〈0.05） .In observation group, all patients with Brunnstrom more than grade 3 had recovered walking of different extent of independence, but there still were 17.8% patients had not recovered in control group. （3）The course of hospitalization of observation group was shorter than control group, and the expenses were less than control group also. Conclusion： Static ankle-foot orthosis can help to improve abilities of walking and ADL if used in earlier period of stroke, and shorten the course of rehabilitation and hospitalization, furthermore to decrease the cost of hospitalization.
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2007年第2期125-128,共4页
Chinese Journal of Rehabilitation Medicine
关键词
静态踝足矫形器
脑卒中
步行功能
回顾性分析
static ankle-foot orthosis
stroke
ability of walking
retrospective analysis
