ICF-CY框架下的综合干预在先天性肌性斜颈患儿中的应用效果  

Application Effect of Comprehensive Intervention under ICF-CY Framework in Children with Congenital Muscular Torti⁃collis

作　　者：郭家塨 李银兰 苏燕军 GUO Jiagong;LI Yinlan;SU Yanjun(Department of Children's Neurorehabilitation,Xiamen Maternal and Child Health Hospital(Women and Children's Hospital Affiliated to Xiamen University),Xiamen,Fujian,361003,China)

机构地区：[1]厦门市妇幼保健院(厦门大学附属妇女儿童医院)儿童神经康复科,福建厦门361003

出　　处：《中外医疗》2025年第1期6-10,共5页China & Foreign Medical Treatment

基　　金：厦门市医疗卫生指导性项目(3502Z20224ZD1229)。

摘　　要：目的探讨在《国际功能、残疾和健康分类(儿童和青少年版)》(International Classification of Function-ing,Disability and Health-Children and Youth Version,ICF-CY)框架下的综合干预在先天性肌性斜颈患儿中的应用效果。方法前瞻性随机选取2023年1至12月厦门市妇幼保健院收治的80例先天性肌性斜颈患儿作为研究对象,按照不同治疗方法分为对照组与观察组。对照组40例患儿,运用传统的推拿手法,观察组40例患儿,在此基础上采用基于ICF-CY理论的综合康复治疗。比较两组患儿的颈部被动关节活动度、运动发育情况及临床疗效。结果治疗后,观察组的颈部被动侧屈活动度、颈部被动旋转活动度及Alberta婴儿运动量表评分分别为(46.88±3.70)°、(66.50±7.53)°、(27.85±8.54)分,高于对照组的(42.38±6.70)°、(61.13±10.22)°、(22.48±7.39)分,差异均有统计学意义(t=3.719,2.678,3.012;P均<0.05)。观察组治疗总有效率为95.00%(38/40),高于对照组的75.00%(30/40),差异有统计学意义(χ^(2)=6.275,P<0.05)。结论ICF-CY框架下的综合干预能够改善先天性肌性斜颈患儿的颈部活动度,促进运动发育。Objective To explore the application effect of comprehensive intervention under the framework of Interna-tional Classification of Functioning,Disability and Health-Children and Youth Version(ICF-CY)in children with congenital muscular torticollis.Methods A total of 80 children with congenital muscular torticollis admitted to Xiamen Maternal and Child Health Hospital From January to December 2023 were prospectively and randomly selected as the research objects.They were divided into a control group and an observation group according to different treatment methods.For the 40 children in the control group,traditional tuina(Chinese massage)techniques were applied.For the 40 children in the observation group,comprehensive rehabilitation treatment based on the ICF-CY theory was ad-opted on this basis.The neck passive joint mobility,motor development and clinical efficacy were compared between the two groups.Results After treatment,the scores of neck passive lateral flexion activity,neck passive rotation activ-ity and Alberta Infant Motor Scale in the observation group were(46.88±3.70)°,(66.50±7.53)°and(27.85±8.54)points,respectively,which were higher than(42.38±6.70)°,(61.13±10.22)°and(22.48±7.39)points in the control group,and the differences were statistically significant(t=3.719,2.678,3.012;all P<0.05).The total effective rate of treatment in the observation group was 95.00%(38/40),which was higher than 75.00%(30/40)in the control group,and the difference was statistically significant(χ^(2)=6.275,P<0.05).Conclusion The comprehensive intervention under the ICF-CY framework can improve the neck mobility of children with congenital muscular torticollis and promote mo-tor development.

关 键 词：先天性肌性斜颈 国际功能、残疾和健康分类(儿童和青少年版) 推拿 综合康复 

分 类 号：R49[医药卫生—康复医学]