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站位促通训练在痉挛型脑性瘫痪患儿康复中的应用

作者:赵彦敏

所属单位:河南省漯河市临颍县妇幼保健院儿三科 (河南 漯河 462000)

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摘要

目的 探析站位促通训练在痉挛型脑性瘫痪患儿康复中的应用,旨在为今后治疗痉挛型CP患儿提供借鉴。方法 选取 我院2016年1月-2017年6月期间收治的痉挛型CP患儿60例为研究对象,采用随机数字表法分为两组,各30例。常规 组予以常规康复训练,研究组予以站位促通训练,并观察两组患儿康复效果及下肢三关节活动度。结果 研究组总 有效率(93.34%)明显高于常规组(73.33%)(P<0.05),研究组下肢三关节活动度明显优于常规组(P<0.05)。结论 站位促通训练应用于痉挛型CP患儿的康复效果明显,不仅有效提高肌力,还能增强关节控制能力,值得临床应用与 推广。

Objective To investigate the application of promoting standing training in the rehabilitation of children with spastic cerebral palsy, in order to provide the reference for treatment of children with spastic cerebral palsy. Methods 60 cases with spastic cerebral palsy in our hospital from Jan. 2016 to Jun. 2017 were selected as the study objects, they were randomly divided into two groups,there were 30 cases in each group. the control group was given routine rehabilitation training, the observation group was given promoting standing training, observe the rehabilitation effect and the activity of lower limb three joints of the two groups. Results Total effective rate of the observation group (93.34%) was significantly higher than that of the control group (73.33%) (P<0.05), the activity of lower limb three joints of the observation group was significantly better than that of the control group (P<0.05). Conclusion Promoting standing training in the rehabilitation of children with spastic cerebral palsy has significant clinical effect, it can not only improve myodynamia, but also strengthen the joint control ability, it is worthy of clinical application and promotion.

【关键词】站位促通训练;痉挛型;脑性瘫痪;康复

【中图分类号】R742.3

【文献标识码】A

【DOI】10.3969/j.issn.1009-3257.2019.02.032

前言

脑性瘫痪(Cerebral palsy,CP,简称脑瘫)是 儿科最常见的致残性神经运动疾病之一。据相关研 究显示,我国CP的发病率大约为1.8‰~4‰[1],并呈 逐年递增的趋势发展,其中痉挛型CP占总脑瘫数的 60%~70%。痉挛型CP患儿主要累及锥体系统,而致肌 张力增高,临床上常表现为异常姿势、运动功能障碍 及关节挛缩畸形等症状,严重影响患儿生存质量。因 此对痉挛型CP患儿给予积极有效的早期干预治疗,减 轻中枢神经的损伤,对预防和治疗肌肉及神经继发性 损伤至关重要。目前,临床治疗痉挛型CP尚缺乏特效 疗法,本研究采用站位促通训练治疗痉挛型CP患儿, 取得明显效果,结果报道如下。