综合康复护理在小儿先天性肌性斜颈护理中的应用效果分析  

Effect of Comprehensive Rehabilitation Nursing on Nursing of Congenital Muscular Torticollis in Children

作　　者：张俊霞[1] ZHANG Jun-xia(Imaging Center,New District Hospital of The First Affiliated Hospital of Henan University of Science and Tech-nology,Luoyang,Henan,471000,China)

机构地区：[1]河南科技大学第一附属医院新区医院影像中心,河南洛阳471000

出　　处：《黑龙江医学》2023年第8期963-965,共3页Heilongjiang Medical Journal

摘　　要：目的:探讨综合康复护理在小儿先天性肌性斜颈(CMT)护理中的应用效果。方法:选取2020年1月—2021年6月河南科技大学第一附属医院新区医院收治的64例CMT患儿作为研究对象,采用随机数表法分为研究组与对照组,每组各32例。对照组患儿予以推拿干预,研究组患儿在此基础上予以综合康复护理,均干预3个月。比较两组患儿干预前及干预后的各项临床症状评分、颈部患侧活动度、肿块厚度及双侧胸锁乳突肌(SCM)长度。结果:干预后,两组患儿的各项临床症状评分均较干预前显著降低,差异有统计学意义(t=14.585、20.676、20.769、15.278,P<0.05;t=9.772、14.963、13.072、9.072,P<0.05);且研究组患儿显著低于对照组同期,差异有统计学意义(t=-10.325、-9.297、-11.265、-11.125,P<0.05)。干预后,两组患儿的肿块厚度及SCM值均较干预前显著降低,差异有统计学意义(t=12.287、8.524,P<0.05;t=7.768、6.728,P<0.05);且研究组患儿显著低于对照组同期,差异有统计学意义(t=-10.281、-4.228,P<0.05)。干预后,两组患儿的颈部患侧旋转及侧屈活动度均较干预前明显增大,差异有统计学意义(t=-16.224、-10.771,P<0.05;t=-14.279、-5.758,P<0.05),且研究组患儿显著大于对照组同期,差异有统计学意义(t=6.189、5.865,P<0.05)。结论:综合康复护理可有效减轻先天性肌性斜颈患儿的临床症状,缩小肿块厚度及双侧胸锁乳突肌长度,改善患儿的患侧旋转及侧屈活动度。Objective:To investigate the effectiveness of comprehensive rehabilitation care in the care of pediatric congenital myotonic neck(CMT).Methods:A total of 64 children with CMT admitted to the hospital from January 2020 to June 2021 were se⁃lected for the study,and were divided into a study group and a control group using the random number table method,with 32 cases in each group.The study group was given comprehensive rehabilitation care on this basis,and the control group was given massage intervention,both for 3 months.The clinical symptom scores,the mobility of the affected side of the neck,the thickness of the mass and the length of the bilateral sternocleidomastoid muscle(SCM)were compared between the two groups of children before and after the intervention.Results:After the intervention,all clinical symptom scores of children in both groups were significantly lower than before the intervention,and the differences were statistically significant(t=14.585,20.676,20.769,15.278,P<0.05;t=9.772,14.963,13.072,9.072,P<0.05).The study group was significantly lower than the control group during the same period,with statistically significant differences(t=-10.325,-9.297,-11.265,-11.125,P<0.05).After the intervention,the mass thickness and SCM values of children in both groups were significantly lower than before the intervention,and the difference was statistically significant(t=12.287,8.524,P<0.05;t=7.768,6.728,P<0.05),and the study group was significantly lower than the control group during the same period,and the difference was statistically significant(t=-10.281,-4.228,P<0.05).After the intervention,the ro⁃tation and lateral flexion mobility of the affected side of the neck were significantly greater in both groups than before the interven⁃tion,and the difference was statistically significant(t=-16.224,-10.771,P<0.05;t=-14.279,-5.758,P<0.05),and the children in the study group were significantly greater than those in the control group during the same period,and the difference was statisti⁃cally significant(t

关 键 词：小儿先天性肌性斜颈 综合康复护理 应用效果 

分 类 号：R493[医药卫生—康复医学]