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目的:研究水疗在痉挛型双瘫患儿早期综合康复中的临床作用。方法:选择60例痉挛型双瘫患儿为研究对象,将其随机分成实验组和对照组,每组各30例。对照组患者采用运动疗法(PT)、作业疗法(OT)、言语疗法(ST)、生物电治疗(ET)、针灸推拿等传统康复治疗,实验组除采用传统康复治疗外,还需进行水疗。分别于治疗前后评测两组患儿的恢复情况,采用Barthel指数积分法和Fugl-Meyer运动能力积分法评定其肢体运动功能和日常生活能力改善情况,比较两组的康复治疗效果。结果:经过治疗,两组患儿的Barthel指数和Fugl-Meyer评分均有一定程度的改善,且实验组改善程度显著优于对照组,差异具有统计学意义(P<0.05)。结论:在传统康复训练的基础上给予痉挛型双瘫患儿水疗可明显改善其肢体运动功能,提高其生活自理能力,优于单纯康复治疗,值得临床推广应用。
Objective: To study the clinical effect of hydrotherapy in early comprehensive rehabilitation of children with spastic diplegia. Methods: Sixty children with spastic diplegia were selected as study subjects and randomly divided into experimental group and control group, with 30 cases in each group. Patients in the control group were treated with traditional rehabilitation including exercise therapy (OT), speech therapy (ST), bioelectrical therapy (ET), and acupuncture and massage. The experimental group needed to be treated with traditional rehabilitation therapy. The recovery of both groups was evaluated before and after treatment. Barthel index integration method and Fugl-Meyer motor ability integration method were used to evaluate the improvement of limb motor function and daily living ability. The rehabilitation treatment effect was compared between the two groups. Results: After treatment, the Barthel index and Fugl-Meyer score of both groups improved to a certain degree, and the improvement in the experimental group was significantly better than that in the control group, the difference was statistically significant (P <0.05). Conclusion: Based on the traditional rehabilitation training, spasmodic children with diplegia therapy can significantly improve limbs motor function and improve their ability to take care of themselves. It is superior to simple rehabilitation therapy and is worthy of clinical application.