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目的观察并评价痉挛肌治疗仪配合功能训练治疗小儿痉挛型脑瘫的临床疗效。方法在家长知情同意情况下,将110例痉挛型脑瘫患儿随机分为2组,治疗组58例、对照组52例。治疗组采用痉挛肌治疗仪配合功能训练治疗,对照组只采用功能训练治疗。3个月为1疗程,两组均观察、治疗2个疗程,分别于治疗前后对2组患儿进行肌张力缓解情况和临床疗效的评定。结果经过2个疗程治疗后,治疗组肌张力评分为(1.49±1.07),较对照组(1.89±1.05)具有统计学意义(P<0.05);治疗组有效率为87.9%,较对照组71.0%具有统计学意义(χ2=4.82,P<0.05)。结论经临床实践,痉挛肌治疗仪可明显降低痉挛型脑瘫患儿的肌张力,提高临床疗效。
Objective To observe and evaluate the clinical efficacy of spastic muscle therapy instrument combined with functional training in the treatment of children with spastic cerebral palsy. Methods With the informed consent of parents, 110 children with spastic cerebral palsy were randomly divided into two groups: 58 cases in the treatment group and 52 cases in the control group. The treatment group was treated with spastic muscle treatment instrument and functional training, while the control group was treated with functional training only. 3 months for a course of treatment, two groups were observed and treated 2 courses, respectively, before and after treatment of two groups of children were relieved muscle tension and clinical evaluation. Results After 2 courses of treatment, the treatment group had a significant increase in muscle tone (1.49 ± 1.07) compared with that in the control group (1.89 ± 1.05) (P <0.05). The effective rate was 87.9% in the treatment group and 71.0% in the control group % Was statistically significant (χ2 = 4.82, P <0.05). Conclusion Clinical practice, spasm muscle treatment instrument can significantly reduce the spastic cerebral palsy in children with muscle tone and improve clinical efficacy.