蜡疗联合推拿治疗脑损伤患儿疗效观察及对肌肉痉挛和运动发育的影响  

Clinical curative effects of wax therapy combined with massage on brain injury in children and its effects on muscle spasm and motor development of patients

作　　者：王栩[1] 杨花芳[1] 于丽 李静满[1] 岳雷 郑玉恒[1] WANG Xu;YANG Huafang;YU Li(Department of Rehabilitation and Physiotherapy,Hebei Provincial Children＇s Hospital,Hebei,Shijiazhuang 050031,China)

机构地区：[1]河北省儿童医院康复理疗科,石家庄市050031 [2]河北医科大学第四医院

出　　处：《河北医药》2018年第20期3134-3136,3140,共4页Hebei Medical Journal

基　　金：河北省卫生和计划生育委员会科技成果推广课题(编号:20160425)

摘　　要：目的探讨蜡疗联合推拿治疗脑损伤患儿临床疗效及对患儿肌肉痉挛和运动发育的影响。方法选择2015年3月至2017年6月收治的脑损伤患儿94例,按照随机表法分为观察组与对照组,每组47例。对照组患儿采用推拿治疗,观察组患儿在对照组基础上结合蜡疗治疗,2组疗程均为8周。结果观察组治疗总有效率(97. 87%)高于对照组(82. 98%)(P <0. 05)。观察组肌张力恢复、反射恢复及意识恢复时间快于对照组(P <0. 05)。2组治疗后NBNA评分增加(观察组:t=17. 0202,对照组:t=8. 4122,P <0. 05);观察组治疗后NBNA评分高于对照组(t=7. 6860,P <0. 05)。2组治疗后足跖屈角度降低而粗大运动功能评分增加(观察组:t=46. 4535、12. 0452,对照组:t=19. 5448、8. 7317,P <0. 05);观察组治疗后足跖屈角度低于对照组而粗大运动功能评分高于对照组(t=25. 7285、5. 0708,P <0. 05)。2组治疗后肌肉痉挛评分降低(观察组:t=30. 9218,对照组:t=20. 2514,P <0. 05);观察组治疗后肌肉痉挛评分低于对照组(t=21. 2867,P <0. 05)。观察组患儿运动发育基本正常明显多于对照组(P <0. 05)。结论蜡疗联合推拿治疗脑损伤患儿临床疗效显著,且可明显改善患儿儿肌肉痉挛和运动发育,具有重要临床研究价值。Objective To explore the clinical curative effect of wax therapy combined with massage on brain injury in children and its effects on muscle spasm and motor development of patients. Methods Ninety-four children with brain injury who were admitted and treated in our hospital from March 2015 to June 2017 were randomly divided into observation group and control group, with 47 cases in each group. The children in the control group were treated with massage, while those in the observation group were additionally treated with wax therapy on the basis of the control group,with a treatment course of 8 weeks for both groups. Results The total effective rate in observation group was 97.87%,which was significantly higher than that （82.98%） in control group （ P 〈0.05）.The time of muscle tension recovery, reflex recovery and consciousness recovery in observation group was significantly shorter than that in control group （ P 〈0.05）. The NBNA scores were increased after treatment in both groups （observation group： t =17.0202, control group： t =8.4122, P 〈0.05）, which in observation group were significantly higher than those in control group （ P 〈0.05）. After treatment, plantar flexion angle was decreased and the gross motor function score was increased （observation group： t =46.4535, 12.0452, control group： t =19.5448, 8.7317, P 〈0.05）,and the plantar flexion angle in observation group was lower and the gross motor function score was higher than that in control group （ t =25.7285, 5.0708, P 〈0.05）. The muscle spasm scores were decreased in both groups after treatment （observation group： t =30.9218, control group： t =20.2514, P 〈0.05）, which in observation group were significantly lower than those in control group （ P 〈0.05）. The number of children with basically normal motor development in observation group was more than that in control group （ P 〈0.05）. Conclusion The clinical curative effects of wax therapy combined with massage are remarkable for child

关 键 词：蜡疗 推拿 脑损伤 疗效 肌肉痉挛 运动发育 

分 类 号：R726.511.5[医药卫生—儿科]