改良潘塞缇疗法联合常规康复疗法治疗痉挛型脑瘫尖足患儿的效果  

Effects of modified Ponseti therapy combined with conventional rehabilitation therapy in treatment of children with spastic cerebral palsy with pointed feet

作　　者：谭玲惠 李游 范桃林 TAN Linghui;LI You;FAN Taolin(Children’s Rehabilitation Department of Xiangya Boai Rehabilitation Hospital,Changsha 410151 Hunan,China)

机构地区：[1]湘雅博爱康复医院儿童康复治疗部,湖南长沙410151

出　　处：《中国民康医学》2025年第3期95-97,共3页Medical Journal of Chinese People’s Health

基　　金：湘雅博爱康复医院科研课题基金项目(2024YJ009)。

摘　　要：目的:观察改良潘塞缇疗法联合常规康复疗法治疗痉挛型脑瘫(SCP)尖足患儿的效果。方法:回顾性分析2022年3月至2023年12月该院收治的71例SCP尖足患儿的临床资料,根据治疗方法不同将其分为对照组(n=36)和观察组(n=35)。对照组采用常规康复疗法治疗,观察组在对照组基础上联合改良潘塞缇疗法治疗。比较两组临床疗效,以及治疗前后粗大运动功能[粗大运动功能评估量表(GMFM)]、痉挛程度[改良Ashworth痉挛评定量表(MAS)]、平衡功能[儿童平衡量表(PBS)]评分。结果:观察组治疗总有效率为94.29%(33/35),高于对照组的69.44%(25/36),差异有统计学意义(P<0.05);治疗后,两组D、E区等GMFM评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);治疗后,两组MAS评分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05);治疗后,两组PBS评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论:改良潘塞缇疗法联合常规康复疗法治疗SCP尖足患儿可提高治疗总有效率和粗大运动功能、平衡功能评分,降低痉挛程度评分,效果优于单纯常规康复疗法治疗。Objective:To observe effects of modified Ponseti therapy combined with conventional rehabilitation therapy on children with spastic cerebral palsy(SCP).Methods:The clinical data of 71 children with SCP in this hospital from March 2022 to December 2023 were retrospectively analyzed.According to different treatment methods,they were divided into control group(n=36)and observation group(n=35).The control group was treated with conventional rehabilitation therapy,while the observation group was treated with modified Ponseti therapy on the basis of that of the control group.The clinical efficacy,the gross motor function[gross motor function measure(GMFM)],the spasm degree[modified Ashworth spasm scale(MAS)]and the balance function[pediatric balance scale(PBS)]scores before and after the treatment were compared between the two groups.Results:The total effective rate of the observation group was 94.29%(33/35),which was higher than 69.44%(25/36)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the GMFM scores of D and E areas in the two groups were higher than those before the treatment,those in the observation group were higher than those in the control group,and the differences were statistically significant(P<0.05).After the treatment,the MAS scores of the two groups were lower than those before the treatment,that in the observation group was lower than that in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the PBS scores of the two groups were higher than those before the treatment,that in the observation group was higher than that in the control group,and the differences were statistically significant(P<0.05).Conclusions:Modified Ponseti therapy combined with routine rehabilitation therapy can improve the total effective rate,the gross motor function and balance function scores,and reduce the spasm degree in the children with SCP with pointed feet.Moreover,it is superior to single conventional rehabilitation the

关 键 词：改良潘塞缇疗法 康复疗法 痉挛型脑瘫 尖足 粗大运动功能 平衡功能 痉挛程度 

分 类 号：R725[医药卫生—儿科]