论文部分内容阅读
目的:研究分析脑瘫儿童进行肌内效贴(KT)结合运动治疗的临床效果和不良反应情况。方法:将2015年7月至2016年9月信宜市人民医院收治的40例脑瘫儿童按照粗大运动功能分级(GMFCS)级别、年龄和性别等分级并配对后随机纳入对照组(只进行常规运动治疗)和观察组(常规运动治疗和KT治疗并用)中,每组20例,观察记录所有患儿在治疗后的临床效果,并且观察不良反应情况。结果:两组患儿治疗情况与治疗前相比,在肌张力、坐位平衡(SAS)和GMFCS等方面均有显著改善,差异具有统计学意义(P<0.05);但在SAS等方面,观察组治疗效果明显优于对照组,组间比较,差异具有统计学意义(P<0.05),在GMFCS方面比较,差异无统计学意义(P>0.05)。观察组患儿治疗过程中有1例出现过敏反应,停药后症状缓解;对照组患儿有1例出现恶心、呕吐身体不适等身体不适,停止治疗后症状缓解,两组患儿的不良反应发生率比较,差异无统计学意义(P>0.05)结论:进行KT结合运动疗法在肌张力和SAS方面对脑瘫儿童有较好的疗效,具有较高临床价值。
Objective: To study the clinical effects and adverse reactions of children with cerebral palsy undergoing intramuscular injection (KT) combined with exercise therapy. Methods: 40 children with cerebral palsy admitted from Xinyi Municipal People’s Hospital from July 2015 to September 2016 were randomly divided into control group (GMFCS grade, age and sex) Treatment) and observation group (conventional exercise therapy and KT treatment), 20 cases in each group. Observe and record the clinical effect of all the children after treatment, and observe the adverse reactions. Results: Compared with pretreatment, the treatment of both groups had significant improvement in muscle tone, sitting balance (SAS) and GMFCS, the difference was statistically significant (P <0.05); but in SAS and other aspects, The effect of treatment group was better than that of control group. The difference between the two groups was statistically significant (P <0.05). There was no significant difference in GMFCS between the two groups (P> 0.05). In the observation group, 1 patient had anaphylactic reaction during the course of treatment, and the symptom was relieved after the drug was discontinued. One patient in the control group had nausea, vomiting and other physical discomfort, and the symptoms were relieved after stopping treatment. The adverse reactions in both groups (P> 0.05) .Conclusion: KT combined exercise therapy has good curative effect on children with cerebral palsy in terms of muscle tone and SAS, and has high clinical value.