运动疗法在改善急性脊髓炎患者生活能力和肌力中的效果观察(1)
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[摘要] 目的 探讨运动疗法在改善急性脊髓炎患者生活能力和肌力中的效果。 方法 选取2006年12月~2011年5月于本院进行治疗的58例急性脊髓炎患者为研究对象，将其随机分为对照组和观察组，各29例，对照组采用常规的治疗康复方案进行治疗，观察组在对照组的基础上加用运动疗法，后将两组患者治疗前及治疗后4周的Barthel指数、双下肢肌力及SCL-90评分进行统计及比较。 结果 观察组治疗后4周的Barthel指数、双下肢肌力及SCL-90评分均优于对照组(均P < 0.05)。 结论 运动疗法在改善急性脊髓炎患者生活能力和肌力中的效果较佳，对于改善患者的生存质量有着积极的作用。
[关键词] 运动疗法；急性脊髓炎；生活能力；肌力
[中图分类号] R744.3 [文献标识码] A [文章编号] 1673-7210(2012)02(a)-0038-03
Observation on the effect of exercise therapy in improving living ability and muscle strength of patients with acute myelitis
MA Teng MA Baoshan
Department of Neurology, the First Hospital of Yongnian County, Hebei Province, Yongnian 057150, China
[Abstract] Objective To study the effect of exercise therapy in improving living ability and muscle strength of patients with acute myelitis. Methods 58 patients with acute myelitis in our hospital from December 2006 to May 2011 were selected as research object, and they were randomly divided into control group and observation group with 29 cases in each group, the control group was treated with routine treatment and recovery method, the observation group was treated with exercise therapy based on the control group, then the Barthel index, muscle strength of both lower limbs and SCL-90 score of two groups before and after the treatment of 4 weeks were analyzed and compared. Results The Barthel index, muscle strength of both lower limbs and SCL-90 score of observation group after the treatment of 4 weeks were better than those of control group (all P < 0.05). Conclusion The effect of exercise therapy in improving living ability and muscle strength of patients with acute myelitis is better, and it plays an active role in improving quality of life of patients.
[Key words] Exercise therapy; Acute myelitis; Living ability; Muscle strength
脊髓炎是感染或毒素侵及脊髓所致的疾病，本病常累及几个髓节段的灰白质及其周围的脊膜，并以胸髓最易受侵而产生横贯性脊髓损害症状，发展后可引起四肢瘫痪和呼吸肌麻痹，其对患者的生活能力和肌力等均有非常不良的影响[1-2]。本文中笔者就运动疗法在改善急性脊髓炎患者生活能力和肌力中的效果进行观察，现将结果报道如下：
1 资料与方法
1.1 一般资料
选取2006年12月~2011年5月于本院进行治疗的58例急性脊髓炎患者为研究对象，将其随机分为对照组和观察组各29例。对照组男18例，女11例，年龄17~56岁，平均(43.8±4.2)岁，病变部位胸2~4，病程27.5~43.0 d，平均病程(33 ......
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