康复训练治疗手足口病合并急性迟缓性麻痹  

Rehabilitation therapy on patients with hand-foot-mouth disease complicating actue flaccid paralysis

作　　者：李英琴[1] 王冬萌[1] 

机构地区：[1]保定市儿童医院内四科,河北保定071000

出　　处：《新乡医学院学报》2011年第4期503-505,共3页Journal of Xinxiang Medical University

摘　　要：目的观察康复训练对手足口病合并急性迟缓性麻痹患儿肢体恢复情况的影响。方法将46例手足口病合并急性迟缓性麻痹患儿根据是否进行专业康复治疗分为2组。康复治疗组31例,每天定时由康复护师进行患肢康复治疗;未康复治疗组15例,指导家长每天不定时对患儿患肢进行主动及被动运动训练。2组共治疗3个月,观察患肢肌力恢复情况。结果康复治疗组上肢恢复8例,未恢复7例,恢复率为53.33%;下肢恢复14例,未恢复2例,恢复率87.50%,下肢瘫痪恢复率高于上肢,差别有统计学意义(P<0.05)。治疗1、3个月、随访3个月时,康复治疗组恢复率均高于未康复治疗组,差别有统计学意义(P<0.05)。结论手足口病合并急性迟缓性麻痹后及时有效的康复训练指导能减少残疾。Objective To study the influence of rehabilitation therapy to the lamb function of the patients who had hand-foot-mouth disease（HFMD） complicating acute flaccid paralysis（AFP）.Methods Forty-six cases were divided into two groups according whether receiving rehabilitation therapy or not.Patients in therapy group were given rehabilitation therapy by rehabilitative physician.Patients in non-therapy group were given active and passive phantom limb movement training by their parents not regularly every day.All patients in two groups were treated for three months.Recovery rate of myodynamia was recorded.Results In the therapy group,epipodite recovery 8 cases,fail to recovery 7 cases,the recovery rate of epipodite was 53.33%,lower limb recovery 14 cases,fail to recovery 2 cases,the recovery rate of lower limb was 87.50%,the recovery rate of lower limb was higher than that of epipodite（P0.05）.The recovery rate in therapy group was higher than that in non-therapy group after treating for one months,three months（P0.05）.All patients were followed up for three months,the results showed that the recovery rate in therapy group was higher than that in non-therapy group（P0.05）.Conclusion The children with HFMD complicating AFP should be given the effective rehabilitation therapy and instructing to reduce the deformity.

关 键 词：康复 手足口病 急性迟缓性麻痹 

分 类 号：R511[医药卫生—内科学]