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目的研究痉挛型脑瘫患儿下肢矫形术后带石膏托的临床护理。方法选择2016年1-12月,于广州市社会福利院康复医院及广东三九脑科医院确诊为痉挛型脑瘫并行下肢矫形术的患儿60例。以数字法随机分成观察组和对照组各30例。观察组给予综合康复护理,对照组采用常规护理,对比两组患儿治疗疗效,以及治疗前和治疗3个月后患儿Ashworth评分、ROM、GMFM-88中D区和E区评分。结果观察组显效率为40.00%(12/30),总有效率为96.67%(29/30),均显著高于对照组的16.67%(5/30)和80.00%(24/30),差异均有统计学意义(P<0.05)。治疗3个月后,观察组Ashworth评分显著低于对照组,观察组ROM显著高于对照组,观察组GMFM-88 D区和E区评分均显著高于对照组,差异均有统计学意义(P<0.05)。结论综合护理对痉挛型脑瘫患儿下肢矫形术后改善效果显著,能有效提高患儿术后生存质量,值得临床推广。
Objective To study the clinical nursing of patients with spastic cerebral palsy after orthopedic surgery. Methods From January to December in 2016, 60 children with spastic cerebral palsy who underwent orthopedic surgery were diagnosed in Guangzhou Social Welfare Hospital Rehabilitation Hospital and Guangdong 39 Brain Hospital. The digital method were randomly divided into observation group and control group of 30 cases. The observation group was given comprehensive rehabilitation nursing. The control group was treated with routine nursing care. The curative effect of the two groups was compared with the scores of Ashworth score, ROM, GMFM-88 D and E score before and 3 months after treatment. Results The effective rate of the observation group was 40.00% (12/30) and the total effective rate was 96.67% (29/30), which were significantly higher than those of the control group (16.67% (5/30) and 80.00% (24/30) All were statistically significant (P <0.05). After 3 months of treatment, the Ashworth score in the observation group was significantly lower than that in the control group, ROM in the observation group was significantly higher than that in the control group, and the scores in the GMFM-88 D and E areas of the observation group were significantly higher than those in the control group P <0.05). Conclusion Comprehensive nursing of children with spastic cerebral palsy improve the effect of lower extremity surgery significantly, can effectively improve the quality of life of children with postoperative deserved clinical promotion.