首页> 中文期刊> 《中国医药科学》 >松解腹肌对缓解痉挛性脑瘫患儿下肢肌肉痉挛的治疗体会

松解腹肌对缓解痉挛性脑瘫患儿下肢肌肉痉挛的治疗体会

         

摘要

Objective To observe the clinical curative effect of loosening abdominal muscles on relieving lower limb muscles spasticity of children with spastic cerebral palsy and to provide new treatment thoughts and references. Methods 60 children who were in in accordance with the inclusion criteria were randomly allocated to the treatment group and the control group, with 30 in each. At the basis of rehabilitation training, the treatment group was received loosening abdominal muscles method while the control group was received routine massage. The treatment was 6 times a week and four weeks was one course, lasting for 3 courses. Degrees of lower limb muscles spasticity before and after treatment of children were evaluated. Results In treatment group, there were 8 cases with marked effect and 21 cases with effectiveness. The total effective rate was 96.7%. In the control group, there were 2 cases with marked effect and 25 cases with effectiveness. The total effective rate was 90.0%. Differences in curative effects of two groups had statistical significance by examination of x2, which showed that curative effect of the treatment group was significantly better than that of the control group. Conclusion Loosening abdominal muscles to relieve lower limb muscles spasticity of children with spastic cerebral palsy has more significant strength and accurate curative effect, worthy of further clinical promotion and application.%目的:观察腹肌松解法对缓解痉挛性脑瘫患儿下肢肌肉痉挛的临床疗效,为临床治疗脑瘫提出新的治疗思路和参考。方法将符合纳入标准的60例患儿,随机分为治疗组和对照组,每组30例。两组在康复训练的基础上,治疗组采用腹肌松解法;对照组采用常规推拿法。每周治疗6次,4周为1个疗程,治疗3个疗程。对两组患儿治疗前后的下肢肌肉痉挛程度进行评定。结果治疗组30例,显效8例,有效21例,总有效率为96.7%;对照组30例,显效2例,有效25例,总有效率为90.0%,经x2检验,两组疗效差异有统计学意义(P<0.05),说明治疗组疗效明显优于对照组。结论腹肌松解法对缓解痉挛性脑瘫患儿下肢肌肉痉挛具有较明显的优势,且疗效确切,值得在临床上进一步推广应用。

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