早期康复对缺血性脑卒中患者步态分析中时间、距离参数的影响

Effect of Early Rehabilitation on Time and Distance Parameters in Gait Analysis of Ischemic Stroke Patients

摘要: 目的：探讨康复介入时机对脑卒中患者步态分析中时间、距离参数的影响，强调早期介入康复对缺血性脑卒中患者步行功能恢复的重要性。方法：采用回顾性研究方法，将符合纳入排除标准的的80例缺血性脑卒中患者分为四组，A组17例(卒中病情稳定后前7天介入康复)，B组20例(卒中病情稳定后8~14天介入康复)、C组22例(卒中病情稳定后15~30天介入康复)、D组21例(卒中病情稳定后30~60天介入康复)。四组接受同样的综合康复治疗措施，30 min/次，每日2次，每周5次。治疗3个月后通过秒表和足印法对脑卒中患者的时间、距离参数分别进行测量评定。结果：3个月后，A组和B、C、D组的时间参数、距离参数均有显著性差异(p < 0.05)，且A组的时间、距离参数较对照组有所改善。结论：早期介入康复对患者步态分析中时间、距离参数有积极影响作用，因此建议缺血性脑卒中患者病情稳定后应及早介入综合康复治疗。

Abstract: Objective: To explore the effect of rehabilitation intervention timing on the walking time and distance parameters of stroke patients, and to emphasize the importance of early intervention rehabilitation on the recovery of walking function of patients with ischemic stroke. Methods: Eighty patients with ischemic stroke who met the exclusion criteria were divided into four groups, 17 cases in group A (interventional rehabilitation within 7 days before stroke stabilization), 20 cases in group B (interventional rehabilitation from 8 to 14 days after stroke stabilization), 22 cases in group C (interventional rehabilitation from 15 to 30 days after stroke stabilization), 21 cases in group D (interventional rehabilitation 30 to 60 days after the stroke became stable). The four groups received the same comprehensive rehabilitation treatment measures, 30 min/time, 2 times a day, 5 times a week. After 3 months of treatment, the time and distance parameters of stroke patients were measured and evaluated by stopwatch and footprint method. Results: After 3 months, the time and distance parameters of group A and B, C, and D had significant differences (p < 0.05), and the time and distance parameters of group A improved compared with the control group. Conclusion: Early interventional rehabilitation has a positive effect on the time and distance parameters of patients during walking. Therefore, it is recommended that patients with ischemic stroke should receive comprehensive interventional therapy as soon as possible after the condition is stable.