| 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. |
