| 医学训练疗法结合理疗等对职业性慢性正己烷中毒患者下肢运动功能的影响 |
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| 作者姓名： | 高杰 司徒洁 周宇燕 胡波 陈胜雄 刘文荣 刘琪 |
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| 作者单位： | 深圳市职业病防治院职业康复科, 广东 深圳 518001,深圳市职业病防治院职业康复科, 广东 深圳 518001,深圳市职业病防治院职业康复科, 广东 深圳 518001,深圳市职业病防治院职业康复科, 广东 深圳 518001,深圳市职业病防治院职业康复科, 广东 深圳 518001,深圳市职业病防治院职业康复科, 广东 深圳 518001,深圳市职业病防治院职业康复科, 广东 深圳 518001 |
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| 基金项目： | 国家职业病临床重点专科建设项目（WY2011873）；深圳市重大职业病诊疗技术实验室建设项目（CXB201111250112A）；深圳市科技局科技计划项目（201203157）。 |
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| 摘 要： | 目的 探讨医学训练疗法（Medical Training Therapy，MTT）结合理疗等对职业性慢性正己烷中毒患者下肢运动功能的改善情况，并评价其效果。方法 对本院2012年1月～2013年12月24例职业性慢性正己烷中毒住院患者（观察组）进行以MTT为主结合低、中频理疗、电针疗法、手法推拿等手段的综合康复治疗，评价治疗前、治疗6周、3月及6月后患者下肢运动功能状况，与本院2009年10月～2011年9月未实施MTT为主康复治疗的44例住院病例（对照组）作回顾性对照研究。结果（1）治疗前两组病例各项指标组间差异无统计学意义（P>0.05）。（2）分别治疗6周后评估，除下肢伸膝肌力、踝关节背屈肌力呈不同程度减弱外（P<0.05），两组病例站立平衡能力评分、优势侧单腿站立时间、4 m步行时间、3 m折返起走时间及30 s坐起次数等指标与治疗前比较差异无统计学意义（P>0.05）。（3）治疗3个月及6个月后两组病例上述指标与治疗前比较，差异有统计学意义（P<0.05）。观察组上述指标在治疗3个月后、6个月后与对照组比较，差异有统计学意义（P<0.05）。结论 以MTT为主结合低、中频理疗、电针疗法、手法牵伸及推拿等措施的综合康复治疗可显著改善中后期职业性慢性正己烷中毒患者的下肢运动功能。
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| 关 键 词： | 职业性慢性正己烷中毒 医学训练疗法 下肢运动功能 康复评价 |
| 收稿时间： | 2015/4/20 0:00:00 |
Effects of Medical Training Therapy Combining Physical Therapy on Improving Lower Limb Motor Function of Occupational Chronic n-Hexane Poisoning Patients |
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| Authors: | GAO Jie SITU Jie ZHOU Yuyan HU Bo CHEN Shengxiong LIU Wenrong and LIU Qi |
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| Institution: | Department of Occupational Rehabilitation, Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518001, China,Department of Occupational Rehabilitation, Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518001, China,Department of Occupational Rehabilitation, Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518001, China,Department of Occupational Rehabilitation, Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518001, China,Department of Occupational Rehabilitation, Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518001, China,Department of Occupational Rehabilitation, Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518001, China and Department of Occupational Rehabilitation, Shenzhen Prevention and Treatment Center for Occupational Diseases, Shenzhen, Guangdong 518001, China |
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| Abstract: | Objective To study and evaluate the rehabilitation effectiveness of applying medical training therapy (MTT) combining physical therapy to improve the lower limb motor function of occupational chronic n-hexane poisoning (OCHP) patients. Methods 24 cases of OCHP patients collecting from January, 2012 to December, 2013 were treated with comprehensive rehabilitation therapy based on MTT with low frequency impulse electrotherapy, computerized modulated medium frequency therapy, electroacupuncture, and massage. Their motor functions of lower limbs were evaluated before the treatment and after 6 weeks, 3 months and 6 months treatment. 44 cases of OCHP patients (control group) who are not treated with rehabilitation therapy collected from December, 2009 to September, 2011 were as a retrospectivecontrol study. Results (1) The indicators of two groups before treatment were not statistically significant (P>0.05). (2) After 6 weeks of treatment, the knee extension and ankle dorsiflexion force were reduced in different degrees (P<0.05). The indicators of standing balance ability, time of standing-up on superiority leg, 4-meter walking time and 3-meter up-and-down walking time, the times of stand- to-up in 30 seconds were not improved obviously (P>0.05). (3) After 3 and 6 months treatment, the above indicators were improved obviously than thoese before treatment (P<0.05), the indicators of observation group were superior to thoese of control group (P<0.05). Conclusion The multiply rehabilitation treatment for OCHP based on MTT with low-intermediate-frequency impulse electrotherapy, computerized modulated medium frequency therapy, electroacupuncture, manual stretching and massage can significantly improve the lower limb motor function of occupational chronic n-Hexane poisoning patients in middle and later periods. |
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| Keywords: | occupational chronic n-hexane poisoning medical training therapy motor function of lower limbs rehabilitation evaluation |
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