目的  分析对肺癌化学治疗（化疗）患者采取个性化营养干预联合分级步行运动方案的应用价值。方法   将郑州大学附属郑州中心医院2023年7月—2024年7月符合标准的198例肺癌化疗患者作为研究对象，通过随机数字表法分为观察组和对照组各99例。对照组仅采用个性化营养干预方案，观察组则联合分级步行运动方案，两组患者均在同一时间内入组并接受持续干预3个月。对两组干预前后癌因性疲乏［Piper疲乏修订量表（PFS-R）］、营养状况、睡眠质量［匹茨堡睡眠质量指数（PSQI）］、生活质量［生活质量评估量表（SF-36）］水平予以比较。结果  相较于对照组，干预后观察组PFS-R、PSQI评分较低，白蛋白、前白蛋白、血红蛋白、铁转蛋白水平和SF-36评分较高（P＜0.05）。结论  对肺癌化疗患者采取个性化营养干预联合分级步行运动方案，有利于促进其癌因性疲乏的减轻和营养状态、睡眠质量及生活质量水平的提高。

       Objective  To analyze the effects of personalized nutritional intervention combined with graded walking exercise treatment on cancer-related fatigue and quality of life in lung cancer patients during chemotherapy．Methods  A total of 198 lung cancer patients undergoing chemotherapy who met the criteria in our hospital from July 2023 to July 2024 were selected as the research subjects．They were divided into an observation group and a control group，with 99 cases in each group，by the random number table method．The control group only received individualized nutritional intervention，while the observation group received graded walking exercise additionally．Both groups of patients were enrolled at the same time and received continuous intervention for three months．Cancer-related fatigue（Piper’s Fatigue Scale-Revised［PFS-R］），nutritional status，sleep quality（Pittsburgh Sleep Quality Index［PSQI］），and quality of life（Quality of Life Scale［SF-36］） before and after the intervention were compared between the two groups．Results  Compared with the control group，the observation group had lower PFS-R and PSQI scores and higher albumin，prealbumin，hemoglobin，transferrin levels and SF-36 scores after the intervention（P＜0.05）．Conclusions  Adopting personalized nutritional intervention combined with graded walking exercise for lung cancer patients during chemotherapy is beneficial to promote the reduction of cancer-caused fatigue and the improvement of their nutritional status，sleep quality and quality of life．

目的 将悬吊运动+感觉统合训练联合应用在脑瘫患儿的治疗当中,探讨该治疗方式对患儿运动功能(站立、步行)的影响。方法 将2021年3月—2022年3月作为时间区间,于该区间内摘选78例脑瘫患儿,将其随机分为A组和B组(n=39)。A组予以常规的运动训练,B组予以悬吊运动+感觉统合训练,对比分析2组患儿的粗大运动功能(站立、行走与跑跳能力)、平衡控制功能与步态参数。结果 2组患儿在治疗前的运动功能评分、平衡控制功能评分方面基本相同,经过治疗后,B组在站立、行走、跑跳方面的功能评分高于A组,在步态参数方面高于A组(P＜0.05)。治疗之前的2组患儿在步态方面的各项参数大致相同,治疗后的B组在步长和步行速度方面出现了增长,步行宽度有了一定的减小(P＜0.05)。结论 将悬吊运动+感觉统合训练联合应用在脑瘫患儿的治疗当中,不仅可以帮助患儿改善站立、步行以及跑跳的功能,同时也能强化患儿躯体的平衡控制功能,促进康复训练效果的有效提升,值得在临床上推广与应用。

目的 分析基于微信平台步行运动训练对慢性充血性心力衰竭(CHF)患者心脏康复水平的影响。方法 本次研究对象来源于梅州市中医医院一内科2020年11月—2021年12月住院的90例CHF患者,根据随机数字表法分组(每组n=45),对比组给予常规药物治疗,观察组在对比组基础上给予基于微信平台步行运动训练治疗,对比两组临床疗效、心脏功能指标、血清NT-proBNP、D-D、6分钟步行距离、日常生活能力评分、明尼苏达心力衰竭生活质量调查表(MLHFQ)评分。结果 观察组临床总有效率(95.56%)高于对比组(66.67%),观察组治疗后左心室舒张末期内径、左心室收缩末期内径均低于对比组,观察组治疗后左室射血分数高于对比组,观察组治疗后血清NT-proBNP、D-D均低于对比组,观察组治疗后6分钟步行距离、日常生活能力评分均高于对比组,观察组治疗后MLHFQ评分低于对比组,P＜0.05(差异均具有统计学意义)。结论 基于微信平台步行运动训练可有效改善CHF患者心功能,抑制NT-proBNP、D-D高表达,提高日常生活能力、生存质量。

Objective To analyze the effect of walking training through Wechat on cardiac rehabilitation of chronic congestive heart failure (CHF) patients. Methods A total of 90 patients with CHF hospitalized in the First Internal Medicine Department of Meizhou Traditional Chinese Medicine Hospital from November 2020 to December 2021 were enrolled in this study. They were divided into two groups according to the random number table method (45 patients in each group).The control group was given routine drug treatment,and the observation group was given walking training through Wechat on the basis of control group. The clinical efficacy,cardiac function indexes,serum NT-proBNP,D-D levels,6-minute walking distance,ability of daily life (ADL) score and Minnesota Living with Heart Failure Questionnaire (MLHFQ) score were compared between two groups. Results The total clinical effective rate of the observation group (95.56%) was higher than that of the control group (66.67%),the LVEDd and LVESd of the observation group were lower than those of the control group after treatment,the LVEF of the observation group was higher than that of the control group after treatment,the serum NT-proBNP and D-D levels of the observation group were lower than those of the control group after treatment,the 6-minute walking distance and ADL score of the observation group were higher than those of the control group after treatment,and the MLHFQ score of the observation group was lower than that of the control group after treatment,P<0.05 (the difference was statistically significant).Conclusions Walking training by Wechat could effectively improve the cardiac function of CHF patients,inhibit the high expression of NT proBNP and D-D,and improve the ability of daily living and quality of life.

       目的   探讨节律性听觉刺激对偏瘫患者步行功能的改善效果。方法   选择2022年1月—2023年12月河南中医药大学第五临床医学院收治的81例偏瘫患者，使用随机数表法将患者分为两组，对照组41例采取常规康复训练，观察组40例在常规康复训练基础上实施节律性听觉刺激，比较两组康复效果、Fugl-Meyer功能改善评定量表（FMA）、Berg平衡量表（BBS）、日常生活自理能力（ADL）、Holden步行能力、“起立-行走”计时测试（TUGT）、步态特征。结果   观察组总有效率为95.00%，高于对照组的75.61%（χ ² =6.032，P=0.014）。干预后，观察组FMA评分、BBS评分、ADL评分比对照组更高（t=5.564、4.377、4.949，P＜0.001）。干预后，观察组Holden步行能力评分比对照组更高，TUGT比对照组更低（t=3.953、5.184，P＜0.001）。干预后，观察组步长、步频、步速高于对照组（t=5.417、5.514、7.140，P＜0.001）。结论   偏瘫患者康复训练中实施节律性听觉刺激可提高康复效果，促使肌力改善，恢复正常的上下肢活动功能，提高患者的平衡能力和步行能力。

       Objective  To explore the effect of  rhythmic auditory stimulation on the improvement of walking function in patients with hemiplegia．Methods  A total of 81 patients with hemiplegia admitted to the hospital from January 2022 to December 2023 were selected for the study，and were divided into two groups by random number table method．The control group（41 cases）received routine rehabilitation training，and the observation group（40 cases）received  rhythmic auditory stimulation on the basis of routine rehabilitation training．The rehabilitation effects，Fugl-Meyer Assessment（FMA），Berg Balance Scale（BBS），Ability of Daily Living（ADL），Holden walking ability，Timed Up and Go Test（TUGT），and gait characteristics were compared between the two groups．Results  The total effective rate of 95.00% in the observation group was significantly higher than 75.61% in the control group（χ ² =6.032，P=0.014）．After treatment，FMA scores，BBS scores and ADL scores in the observation group were significantly higher than those in the control group（t=5.564，4.377，4.949，P＜0.001）．After treatment，the observation group had a higher Holden walking ability score and a lower TUGT score than the control group（t=3.953，5.184，P＜0.001）．After treatment，the step length，step frequency and step speed in observation group were significantly higher than those in control group（t=5.417，5.514，7.140，P＜0.001）．Conclusions  The implementation of rhythmic auditory stimulation in rehabilitation training of hemiplegia patients can improve the rehabilitation effect，promote the improvement of muscle strength，restore normal activities of upper and lower extremity，improve balance ability and walking ability，which is worth promoting．