康复护理对脑性瘫痪患儿膝反张的影响  

Effect of rehabilitation nursing on the knee hyperextension in children with cerebral palsy

作　　者：张莉 马礼丹 苟毅 赵泽宇 

机构地区：[1]四川省八一康复中心脑瘫康复科,四川成都611135 [2]四川省八一康复中心麻醉科,四川成都611135

出　　处：《中国医药导报》2015年第35期119-122,共4页China Medical Herald

基　　金：四川省卫生厅科研课题(130250)

摘　　要：目的探讨康复护理对脑性瘫痪患儿膝反张的影响。方法选择2012年8月～2015年2月四川省八一康复中心脑瘫康复科收治的156例以膝反张为主要表现的脑瘫患儿为研究对象，其中，男100例，女56例，年龄2～8岁，体重9—28kg。采用随机数字表法将其分为观察组和对照组，每组78例。两组均采用肢体综合训练、推拿按摩及物理疗法等治疗方法，对照组采用儿科护理常规进行护理，观察组采用一系列康复护理措施进行护理。治疗3个月后观察两组患儿肌力、肌张力以及膝反张的改善程度。结果治疗3个月后，观察组肌力较对照组明显升高（P〈0．05），肌张力和膝过伸程度较对照组明显下降（P〈0．05）。两组患儿膝反张均有改善，观察组膝反张改善程度较对照组有明显提高（P〈0．01）。结论脑瘫患儿在治疗的基础上配合使用适当的康复护理措施，增强了患儿核心肌群的肌力，有效地改善了膝关节的控制能力，提高了膝反张治疗的效果。Objective To investigate the effect of rehabilitation nursing on the knee hyperextension in children with cerebral palsy. Methods 156 children with cerebral palsy for knee hyperextension as the main clinical symptoms in Sichuan 81 Rehabilitation Center from August 2012 to February 2015 were enrolled in the study, including 100 cases of male and 56 cases of female, aged 2 to 8 years old, weighing 9-28 kg. They were randomly divided into observation group and control group by random number table, 78 cases in each group. The treatment methods such as physical training, massage and physical therapy were used in the two groups. The routine nursing care was used in the control group, and a series of rehabilitation nursing measures were carried out in the observation group. The myodynamia, muscular tension and improvement degrees of knee hyperextension were evaluated in two groups after three months treatment. Results After 3 months treatment, the myodynamia of the observation group was significantly higher than that of the control group （P 〈 0.05）, and the muscle tension and the degree of knee extension were significantly lower than those in the control group （P 〈 0.05）. The degrees of knee hyperextension were improved in both two groups, which in the observation group increased significantly than that of the control group （P 〈 0.01）. Conclusion The treatment combined with appropriate rehabilitation nursing measures in children with cerebral palsy can enhance the core muscle strength, effectively improve the control ability of the knee joint and improve treatment effect of knee hyperextension.

关 键 词：脑性瘫痪 膝反张 康复护理 

分 类 号：R473[医药卫生—护理学]