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目的观察中药水疗联合康复护理训练治疗痉挛型脑瘫患儿尖足的临床疗效。方法将60例患儿随机分为对照组和治疗组,各30例。对照组给予中药水疗,治疗组在对照组治疗方法的基础上进行康复护理训练,主要包括Bobath法训练、姿势矫正训练、经皮神经电刺激训练、中医针刺或电针治疗等。2组均治疗2月后统计2组的临床疗效,观察患儿肌肉张力和足背屈角评分的变化情况。结果对照组总有效率为76.67%,治疗组为93.33%,2组比较差异有高度统计意义(P<0.01)。与同组治疗前比较,治疗后2组患儿的肌肉张力和足背屈角评分均降低,差异均有统计意义(P<0.05);治疗后治疗组肌肉张力和足背屈角评分降低幅度大于对照组(P<0.05)。结论中药水疗联合康复护理训练能显著提高痉挛型脑瘫患儿尖足的临床疗效,改善患儿足部运动功能,缓解跟腱肌肉紧张,值得临床推广。
Objective To observe the curative effect of Chinese medicine spa combined with rehabilitation nursing training on spina bifida children with spina bifida. Methods Sixty children were randomly divided into control group and treatment group, with 30 cases in each group. The control group received traditional Chinese medicine and hydrotherapy. The treatment group received rehabilitation nursing training based on the control group, including Bobath training, posture correction training, traumatic nerve stimulation training, traditional Chinese medicine acupuncture or electroacupuncture. After 2 months of treatment, the clinical curative effect of the two groups were statistically analyzed. The changes of muscular tension and dorsiflexion score were observed. Results The total effective rate was 76.67% in the control group and 93.33% in the treatment group. There was a statistically significant difference between the two groups (P <0.01). Compared with the same group before treatment, the scores of muscular tension and dorsiflexion of both groups were decreased after treatment, the difference was statistically significant (P <0.05); after treatment, the muscle tension and dorsiflexion score decreased Greater than the control group (P <0.05). Conclusion The combination therapy of traditional Chinese medicine and hydrotherapy and rehabilitation nursing can significantly improve the clinical curative effect of spina bifida children with spastic cerebral palsy, improve foot motor function and relieve muscle tension of Achilles tendon, which is worthy of clinical promotion.