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目的探讨综合康复训练对痉挛型双瘫患儿双下肢痉挛程度的影响。方法选择2015年4月—2017年4月在商丘市妇幼保健院儿童脑康科收治的痉挛型双瘫患儿患者30例,随机分为观察组与对照组,15例。对照组予家庭康复训练,观察组予综合康复训练,应用Ashworth双下肢痉挛评分(改良)、踝关节活动度检查评价表(ROM)和粗大运动功能量(GMFM)分别对治疗前和治疗后3个月两组患儿进行评分。结果治疗前两组患儿Ashworth、GMFM和ROM评分对比,差异无统计学意义(P>0.05);治疗3个月后观察组患儿Ashworth评分显著低于对照组,GMFM和ROM评分显著高于对照组,差异有统计学意义(P<0.05)。结论综合康复训练可以有效缓解痉挛型双瘫患儿双下肢痉挛程度,促进患儿身体康复。
Objective To investigate the effect of comprehensive rehabilitation training on spasticity of both lower extremities in children with spastic diplegia. Methods From April 2015 to April 2017, 30 children with spastic bipolar disorder admitted to Children’s Hospital of Shangqiu MCH were randomly divided into observation group and control group, 15 cases. The control group was given family rehabilitation training, and the observation group was given comprehensive rehabilitation training. Ashworth double limbs spasticity score (improved), ankle movement evaluation table (ROM) and gross motor function (GMFM) Months two children were scored. Results There was no significant difference in Ashworth, GMFM and ROM scores between the two groups before treatment (P> 0.05). Ashworth score in observation group was significantly lower than that in control group after 3 months of treatment, and GMFM and ROM scores were significantly higher than those in control group Control group, the difference was statistically significant (P <0.05). Conclusion Comprehensive rehabilitation training can effectively relieve the spasticity of both lower extremities in children with spastic diplegia and promote their physical rehabilitation.