康复护理训练辅助治疗痉挛型脑瘫患儿45例临床观察  

Clinical study of rehabilitation nursing training on 45 children with spastic cerebral palsy

作　　者：张雪梅 

机构地区：[1]金华市第二医院内科,浙江金华321000

出　　处：《中医儿科杂志》2015年第5期72-74,共3页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察康复护理训练对45例痉挛型脑瘫患儿的临床疗效。方法 90例痉挛型脑瘫患儿随机分成2组,对照组给予A型肉毒素针剂注射,4 U/kg,观察组在对照组基础上给予康复护理训练,治疗后观察2组患儿的肌张力,肘、膝关节伸展度及踝关节活动度的变化。结果 2组治疗后各级肌张力均较治疗前显著改善(P<0.05),且观察组改善程度优于对照组(P<0.05);治疗后2组患儿的关节伸张度均高于治疗前(P<0.05),且观察组的关节伸张度明显优于对照组(P<0.05);治疗后2组足背屈曲角角度均低于治疗前,差异有统计意义(P<0.05),且观察组足背屈曲角角度低于对照组(P<0.05)。结论康复训练能降低脑瘫患儿的肌张力,改善患儿肘、膝关节的伸张度和踝关节活动度。Objective To observe and analyze the clinical influence of rehabilitation nursing training on chil- dren with spastic cerebral palsy. Methods 90 cases of children with cerebral palsy were randomly divided into 2 groups. The control group received injections of botulinum toxin type A, 4 U/kg. The observation group, based on the above treatment, were given rehabilitation nursing training. Changes of children＇ s muscular tension and the el- bow, knee and ankle extension in two groups were observed after the treatment. Results After the treatment, chil- dren＇ s muscular tension in two groups improved significantly than that before the treatment （ P〈0.05 ） , and the ob- servation group was remarkably prior to the control group （P〈0.05）. After the treatment, children＇ s joint elonga- tion in two groups improved significantly than that before the treatment （ P〈0.05 ） , and the observation group was remarkably prior to the control group （P〈0.05）. After the treatment, children＇ s dorsal flexion angle in two groups were lower than that before the treatment, and the difference was statistically significant （P〈0.05）. The dorsal flexion angle of observation group was lower than that of the control group （P〈0.05）. Conclusion The rehabilita- tion can reduce muscle tension of children with cerebral palsy and improve children elbow, ankle and elongation of the knee.

关 键 词：脑瘫患儿 痉挛型 康复护理干预 肢体运动功能 

分 类 号：R255.6[医药卫生—中医内科学]