动踝防旋防足下垂支具预防脑卒中偏瘫患者足下垂的效果观察.docVIP

动踝防旋防足下垂支具预防脑卒中偏瘫患者足下垂的效果观察 　　[摘要] 目的 探讨分析脑卒中偏瘫患者穿动踝防旋防足下垂短腿支具对预防足下垂的临床效果。方法 选择临床40例脑卒中偏瘫患者，年龄35～65岁，患肢肌力≤2级，随机分成实验组和常规组，实验组从入院的第1天开始穿动踝防旋防足下垂短腿支具，常规组使用足底放置方枕的方法，比较两组患者在住院2周后足下垂的发生率及下肢功能的康复情况。结果 足下垂的典型症状下肢伸肌痉挛发生率实验组为15%， 常规组为60%；踝关节足跖屈的发生率实验组为15%，常规组为50%；踝关节不能背屈的发生率实验组为10%，常规组为40%；踝关节背屈功能减弱的发生率实验组为20%，常规组为75%；足内翻的发生率实验组为40%，常规组为65%；两组进行统计学分析，差异有统计学意义（P0.01）。结论 对脑卒中偏瘫患者早期使用动踝防旋防足下垂短腿支具可有效预防足下垂，保护患肢功能，促进患肢康复。 　　[关键词] 脑卒中；动踝防旋防足下垂短腿支具；足下垂 　　[中图分类号] R4 [文献标识码] A [文章编号] 1674-0742（2013）07（c）-0007-02 　　Dynamic Ankle Foot Orthosis Anti-rotation and Prevention of Cerebral Apoplexy Patients Foot Drooping Effect Observation 　　HUANG Chunlian LI Ping LI Danju 　　Guangdong Province Dongguan city Donghua Hospital Department of internal medicine， Dongguan 523110，China 　　[Abstract] Objective Observation and analysis of stroke patients with hemiplegia wear ankle against the screw to prevent foot drop short legs support the clinical effect of preventing foot drop. Methods Choose clinical 40 cases of cerebral apoplexy hemiplegia patients， aged 35 to 65 years old， limb myodynamia ≤ 2 levels， randomly divided into experimental group and routine group， patients from the hospital on the first day began to wear dynamic ankle against spin foot drop， with a short legs， regular group using a foot placed Square pillow method， comparing two groups in the incidence of foot drop during hospitalization and lower limb function recovery. Results Foot drop the typical symptoms of lower extremity incidence of extensor muscle spasms in the experimental group was 15%， regular group is 60%； The incidence of ankle plantar flexion experimental group was 15%， regular group is 50%； Cant ankle dorsiflexion of the experimental group was 10%， regular group is 40%； The incidence of ankle dorsiflexion weakened the experimental group was 20%， regular group is 75%； Strephenopodia rate in experimental group was 40%， regular group is 65%； Both groups were analyzed statistically， the values of P0.01， there ar