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目的观察应用PH-A型平衡功能检测训练系统对脑卒中偏瘫患者进行平衡功能训练的疗效。方法将108例脑卒中偏瘫患者分为治疗组(68例)和对照组(40例)。对照组给予常规药物治疗和物理因子治疗,治疗组在常规治疗的基础上同时应用PH-A型平衡功能检测训练系统对患者进行平衡功能训练,2组患者在治疗前、后分别应用该系统检测和Berg平衡功能评定表(BBS)进行评定。平衡检测分别在坐位、双足站立位(睁眼和闭眼状态下)进行,取摆幅指数、重心分布区域、摆动的轨迹长、外周面积4个指标进行分析。结果2组患者治疗后BBS评定和平衡检测均有明显改善,其中治疗组的坐位分布区域好转,但无统计学意义(P>0.05),BBS评定和平衡检测站立位各指标均有显著好转(P<0.001);治疗后2组比较差异有统计学意义(P<0.05~P<0.01),治疗组临床疗效明显优于对照组。结论运用PH-A型平衡功能检测训练系统对偏瘫患者进行平衡功能训练,可以显著提高患者的站立平衡功能。
Objective To observe the effect of PH-A balance function test training system on stroke patients with hemiplegia balance function training. Methods 108 stroke patients with hemiplegia were divided into treatment group (68 cases) and control group (40 cases). The patients in the control group were given conventional medical therapy and physical therapy. The patients in the treatment group were also trained on the basis of routine treatment with the balance training of PH-A balance function test system. The two groups were tested before and after treatment And the Berg Balance Function Rating Table (BBS). The balance test was carried out in the sitting position and the two-legged standing position (eyes open and closed eyes) respectively. The indexes of the swing amplitude, the center of gravity distribution, the length of the swinging track and the peripheral area were analyzed. Results The BBS evaluation and balance test in both groups were significantly improved after treatment. The distribution of sitting position in the treatment group improved, but there was no statistical significance (P> 0.05). The indexes of BBS assessment and balance stand were significantly improved P <0.001). The difference between the two groups after treatment was statistically significant (P <0.05 ~ P <0.01). The clinical curative effect of the treatment group was obviously better than that of the control group. Conclusion PH-A balance function test training system for patients with hemiplegia balance training can significantly improve the patient’s balance function.