目的 探讨早期卧位踏车训练在下肢重度烧伤患者功能康复中的临床效果。方法 2016年10月至2017年12月,下肢重度烧伤患者30例分为对照组和观察组,各15例。对照组采用常规综合康复,观察组此基础上增加早期卧位踏车训练。入院时和住院治疗6周后,采用焦虑自评量表(SAS)、抑郁自评量表(SDS)、疼痛数字评分法(NRS)、Berg平衡量表(BBS)和6分钟步行测试进行评定。结果 治疗后,两组SAS、SDS、NRS评分均明显降低(t > 3.636, P < 0.01),观察组低于对照组( t > 2.319, P < 0.05);观察组BBS评分和6分钟步行距离高于对照组( t > 2.541, P < 0.05)。 结论 早期卧位踏车训练对下肢重度烧伤患者功能恢复有一定促进作用。

Objective To explore the clinical effect of bench treadmill training on functional recovery for patients with severely burnt on lower limbs.Methods From October, 2016 to December, 2017, 30 patients with severe lower limb burn were divided into control group (n = 15) and observation group (n = 15). The control group accepted routine comprehensive rehabilitation, while the observation group accepted the bench treadmill training in addition. They were assessed with the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), Numerical Rating scale (NRS) of pain, Berg Balance Scale (BBS) and 6-minute walking test (6MWT) before and after six weeks of treatement.Results The scores of SAS, SDS and NRS decreased in both groups (t > 3.636, P < 0.01), and they were less in the observation group than in the control group ( t > 2.319, P < 0.05). The score of BBS and distance of 6MWT increased in the observation group compared with those in the control group ( t > 2.541, P < 0.05). Conclusion Early training with bench treadmill may promote the functional recovery for patients with severe lower limbs burns.