肌内效贴联合康复训练对小儿脑瘫患儿运动功能的影响  

Effect of intramuscular plaster combined with rehabilitation training on motor function of children with cerebral palsy

作　　者：蒋莹[1] 徐艳[1] 谢文龙[1] 何凤翔[1] JIANG Ying;XU Yan;XIE Wen-Long(Department of Sport Medicine,Huzhou Central Hospital,Huzhou,Zhejiang 313000,China)

机构地区：[1]湖州市中心医院运动医学科,浙江湖州313000

出　　处：《中国妇幼保健》2020年第24期4742-4745,共4页Maternal and Child Health Care of China

基　　金：浙江省医药卫生科技计划资助项目(2018KY779)。

摘　　要：目的探讨肌内效贴联合康复训练对脑瘫患儿运动功能的影响。方法选取2016年3月-2019年3月湖州市中心医院收治的脑瘫患儿100例随机分成对照组与观察组各50例。对照组患儿单纯进行康复训练治疗,观察组患儿采用肌内效贴联合康复训练治疗,两组均干预6个月。利用《粗大运动功能测试(GMFM)》分别在治疗前、治疗3个月、6个月后评价两组各区的粗大运动功能,经《上肢运动功能评价量表(Fugl-Meyer)》评价两组上肢运动功能,根据《徒手肌力评定表(MMT)》评价两组肌力的变化。结果两组患儿治疗6个月后A、B、C、D、E区评分及总分显著高于治疗前,且观察组各区评分均显著高于对照组,差异均有统计学意义(P<0.05);两组患儿治疗3个月的各区评分比较差异无统计学意义(P>0.05)。两组患儿治疗3、6个月后Fugl-Meyer评分均高于治疗前,且观察组治疗6个月后评分显著高于对照组,差异均有统计学意义(P<0.05)。观察组患儿治疗总有效率为90.00%显著高于对照组患儿的74.00%,差异有统计学意义(P<0.05)。结论与单纯康复训练相比,在此基础上采用肌内效贴治疗能进一步提升患儿的运动功能,临床应用价值较高。Objective To explore the effect of intramuscular plaster combined with rehabilitation training on motor function of children with cerebral palsy.Methods From March 2016 to March 2019,100 children with cerebral palsy treated in Huzhou Central Hospital were randomly divided into control group and observation group,50 children in each group.The children in control group were given rehabilitation training,the children in observation group were given intramuscular patch combined with rehabilitation training,the children in the two groups were intervened for 6 months.Gross motor function measure(GMFM)was used to evaluate gross motor function before treatment,at3 and 6 months after treatment,Fugl-Meyer scale was used to evaluate upper limb motor function,MMT was used to evaluate the changes of muscle strength in the two groups.Results After 6 months of treatment,the scores of A,B,C,D,and E areas and total scores in the two groups were statistically significantly higher than those before treatment,the scores of each area in observation group were statistically significantly higher than those in control group(P<0.05).There was no statistically significant difference in the scores after 3 months of treatment between the two groups(P>0.05).After 3 and 6 months of treatment,Fugl-Meyer scores in the two groups were statistically significantly higher than those before treatment,Fugl-Meyer score after 6 months of treatment in observation group was statistically significantly higher than that in control group(P<0.05).The total effective rate in observation group was 90.00%,which was statistically significantly higher than that in control group(74.00%)(P<0.05).Conclusion Compared with simple rehabilitation training,intramuscular plaster combined with rehabilitation training can further improve motor function of children,the clinical application value is high.

关 键 词：小儿脑瘫 康复训练 肌内效贴 运动功能 徒手肌力 

分 类 号：R174[医药卫生—妇幼卫生保健]