文章摘要
孙宁,黄富表,叶婷,赵合欢.滚筒作业活动对高位脊髓损伤患者体位性低血压的疗效影响[J].中国康复,2021,36(12):725-728
滚筒作业活动对高位脊髓损伤患者体位性低血压的疗效影响
Effect of roller operation on postural hypotension in patients with high spinal cord injury
  
DOI:
中文关键词: 滚筒作业  体位性低血压  脊髓损伤
英文关键词: roller operation  orthostatic hypotension  spinal cord injury
基金项目:中央级公益性科研院所基本科研业务费专项资金项目(2019CZ-11)
作者单位
孙宁 1.中国康复研究中心北京博爱医院作业疗法科北京 1000682.首都医科大学康复医学院北京 100068 
黄富表 1.中国康复研究中心北京博爱医院作业疗法科北京 1000682.首都医科大学康复医学院北京 100068 
叶婷 1.中国康复研究中心北京博爱医院作业疗法科北京 1000682.首都医科大学康复医学院北京 100068 
赵合欢 1.中国康复研究中心北京博爱医院脊柱脊髓神经功能重建科北京 1000682.首都医科大学康复医学院北京 100068 
摘要点击次数: 3106
全文下载次数: 2376
中文摘要:
  目的:观察滚筒作业活动对改善高位脊髓损伤患者的体位性低血压的临床效果。方法:40例脊髓损伤患者按随机分组原则分为对照组和观察组各20例,2组患者均进行起立床、气压、针灸及物理治疗和作业治疗等康复治疗方法,观察组在此基础上每天进行辅助下的20 min的滚筒作业活动,每周5次,持续6周。记录2组患者在治疗前后晨起卧床时的血压值及站起立床到最高角度时站床角度值和此时血压值,并记录2组患者轮椅端坐位下体位性低血压不适感消失的时间和不适感消失的情况。结果:治疗6周后,2组患者晨起卧床时的收缩压和舒张压均明显高于治疗前(均P<0.01)。2组患者站起立床最高角度的收缩压均明显高于治疗前(均P<0.01),观察组的舒张压明显高于治疗前(P<0.01),且观察组收缩压和舒张压均明显高于对照组(均P<0.05)。2组患者站起立床到最高角度值均明显高于治疗前(均P<0.01),且观察组站起立床到最高角度值明显高于对照组(P<0.01)。观察组不适感消失的情况明显优于对照组(P=0.011),体位性低血压不适感消失时间明显少于对照组(P=0.001)。结论:滚筒作业活动可以改善高位脊髓损伤患者体位性低血压现象:提高体位性低血压的血压值和改善体位性低血压的不适感。
英文摘要:
  Objective: To observe the clinical effect of roller operation on postural hypotension in patients with high spinal cord injury. Methods: Totally, 40 patients with spinal cord injury were randomly divided into control group and treatment group, 20 in each group. Two groups of patients with spinal cord injury at the same time were given standing up the bed, air pressure, operation treatment such as acupuncture and physical therapy and rehabilitation treatment methods. The treatment group was subjected to 20 min of roller activities, 5 times a week for 6 weeks. The blood pressure of patients in both groups before and after treatment when they got up in bed in the morning, the angle value of standing up to the highest angle of bed and the blood pressure value at this time were recorded, and the time when the discomfort of wheelchair orthostatic hypotension of patients in both groups disappeared was recorded and the absence of discomfort was also recorded. Results: After 6 weeks of treatment, the systolic and diastolic blood pressure of patients in both groups was significantly higher than that before treatment (both P<0.01). The systolic blood pressure at the highest angle of standing up was significantly higher in both groups than before treatment (both P<0.01), and the diastolic blood pressure in the treatment group was significantly higher than that in the control group (both P<0.01). The highest angle values of standing up in both groups were significantly higher than those before treatment (both P<0.01), and those in treatment group were significantly higher than those in control group (P<0.05). The disappearance of discomfort in the treatment group was significantly better than that in the control group (P=0.011), and the disappearance time of discomfort in orthostatic hypotension group was significantly shorter than that in the control group (P=0.001). Conclusion: Roller operation can improve the phe-nomenon of postural hypotension in patients with high spinal cord injury, increase the blood pressure and improve the discomfort of postural hypotension.
查看全文   下载PDF阅读器  HTML全文
关闭
本刊微信二维码