神经生理学疗法在痉挛型脑瘫患儿静脉输液中的应用  

Application of Neurophysiological Therapy in the Intravenous Transfusion in Children Patients with Spastic Cerebral Palsy

作　　者：刘一苇[1] 梁莉丹[1] 余淑素[1] 陈翔[1] 

机构地区：[1]温州医学院附属第二医院康复科,浙江温州325026

出　　处：《护理学报》2010年第4期56-58,共3页Journal of Nursing（China）

摘　　要：目的探讨将神经生理学疗法(neurophysiological therapy,NPT)中的Bobath技术引入到脑瘫患儿的静脉输液操作护理中的效果。方法将128例确诊为脑瘫的患儿随机分成观察组和对照组,观察组68例,对照组60例。对照组按常规流程进行操作,观察组在原有流程基础上引入NPT疗法的康复理念,先行按摩、拍打、刺激后,再行静脉穿刺。结果观察组患儿重复穿刺率及患儿家长满意度方面均优于对照组(P<0.05),差异有统计学意义。结论将NPT中的Bobath技术引入到脑瘫患儿的静脉输液操作护理中可使患儿有更多的时间维持正确的运动模式,从而达到配合强化巩固康复治疗训练效果的目的,且该方法的使用在确保穿刺成功率、减少重复穿刺率以及提高家长满意度等方面较常规的方法都有显著的效果,值得提倡和推广。Objective To explore the effects of introducing the Bobath Technique in Neurophysiology Therapy（NPT） into the nursing operation of intravenous transfusion of children patients with cerebral palsy.Methods 128 cases diagnosed with cerebral palsy were randomly divided into observation group and control group,with 68 cases in observation group and 60 in control group.The control group was operated according to the conventional procedures,while the observation group was introduced with the rehabilitation concept of NPT,i.e.,giving venipuncture after massaging,flapping and stimulating.Results The observation group had a better effect in repuncture rate of children’s injection and parents’ satisfaction than those of control group（P0.05）,the differences statistically significant.Conclusion The introduction of Bobath Technique of NPT into the nursing operation of intravenous transfusion for children with cerebral palsy can ensure children with more time to maintain the correct posture in sport mode,which has reached the goal of strengthening the consolidation of training under the rehabilitation therapy.This method has a more significant effect than conventional methods in ensuring the successful puncture,reducing repuncture rate,and increasing parents ’ satisfaction,etc.,which should be advocated and promoted.

关 键 词：神经生理学疗法 痉挛型脑性瘫痪 静脉输液 

分 类 号：R473.72[医药卫生—护理学]