Abstract:Objective To explore the application effect of new ann mat combined with passive exercise therapy in cerebral palsy children. Methods Clinical data of 113 cerebral palsy children from March 2017 to March 2018 in Rehabilitation Department of Shenyang Children′s Hospital were analyzed, which were divided into two groups according to different intervening measure. In the control group (53 cases), routine systematic observation was applied, and nutrition and disease prevention were given. The observation group (60 cases) were treated with new ann mat combined with passive exercise therapy. The developmental quotient (DQ) score, gross motor function measure (GMFM) score and life quality score of children in the two groups were observed, before intervention and 12 months after birth, and the clinical efficacy of children in the two groups were observed. Results The DQ, GMFM, life quality score before intervention of children in two groups had no statistically significant difference (P > 0.05); 12 months after birth, the DQ, GMFM and life quality score in two groups were higher than those before intervention, and those scores of the observation group were higher than those in control group, the differences had statistical significance (P < 0.05). Conclusion The application of new ann mat combined with passive exercise therapy in cerebral palsy children can improve the development level of children, gross motor function and life quality, and the clinical treatment effect.
王春雨1 王春南1▲ 李洁2 林年年3. 纽安垫结合被动操疗法在脑瘫患儿中的应用[J]. 中国医药导报, 2018, 15(30): 75-79.
WANG Chunyu1 WANG Chunnan1▲ LI Jie2 LIN Niannian3. Application of new ann mat combined with passive exercise therapy in cerebral palsy children. 中国医药导报, 2018, 15(30): 75-79.
[1] 高广佩,陈京立.被动操促进早产儿骨代谢的临床应用[J].中国儿童保健杂志,2016,24(2):163-165.
[2] Willoughby KL,Dodd KJ,Shields N. A systematic review of the effectiveness of treadmill training for children with cerebral palsy [J]. Disabil Rehabil,2009,31(24):1971-1979.
[3] Boyd RN. Functional progressive resistance training improves muscle strength but not walking ability in children with cerebral palsy [J]. J Physiother,2015,58(3):197.
[4] 张芬,楚娜娜.综合康复干预联合家庭康复锻炼在改善痉挛型脑瘫患儿活动功能中的应用[J].护理实践与研究,2018,15(4):154-156.
[5] Dodd H,Holty L,Rameckers EE,et al. Changes in endurance and walking ability through functional physical training in children with cerebral palsy [J]. Pediatr Phys Ther,2009,21(1):31-37.
[6] 耿子轩.抗阻训练在成年脑瘫患者步态功能康复中的应用[J].中国老年学杂志,2017,37(10):2522-2523.
[7] 华健,郑慕时.0-6岁发育筛查测验的编制[J].中华儿科杂志,1992,30(2):84.
[8] Slawek J,Klimont L. Functional improvement in cerebral palsy patients treated with botulinum toxin A injections preliminary results [J]. Eur J Neurol,2003,10(3):313-317.
[9] 卢奕云,田琪,郝元涛.儿童生存质量测定量表PedsQL4.0中文版的信度和效度分析[J].中山大学学报:医学科学版,2008,29(3):328-331.
[10] 唐久来,秦炯,邹丽萍,等.中国脑性瘫痪康复指南(2015):第一部分[J].中国康复医学杂志,2015,30(7):747-754.
[11] Thomason P,Selber P,Graham HK. Single event multilevel surgery in children with bilateral spastic cerebral palsy:a 5 year prospective cohort study [J]. Gait Posture,2013,37(1):23-28.
[12] 汪晓翠.针刺联合康复训练治疗小儿脑瘫的疗效观察及对脑血流的影响[J].中医儿科杂志,2017,13(4):74-81.
[13] Heyrman L,Desloovere K,Molenaers G,et al. Clinical characteristics of impaired trunk control in children with spastic cerebral palsy [J]. Res Dev Disabil,2013,34(1):327-334.
[14] 李水琴.针刺联合康复训练治疗小儿脑瘫的临床疗效分析[J].中西医结合心脑血管病杂志,2015,13(2):185-187.
[15] Hollegaard MV,Skogstrand K,Thorsen P,et al. Joint analysis of SNPs and proteins identifies regulatory IL18 gene variations decreasing the chance of spastic cerebral palsy [J]. Hum Mutat,2013,34(1):143-148.
[16] 周旷,黎治荣.循经穴位按摩+针刺联合康复训练治疗小儿脑瘫随机平行对照研究[J].实用中医内科杂志,2017, 31(11):63-65.
[17] 王桂贤,苏振军.综合康复疗法联合神经节苷脂治疗小儿痉挛型脑瘫的效果评价[J].中国实用神经疾病杂志,2017,20(11):78-80.
[18] 王茜.基于日常生活活动能力量表评估的护理优化方法对脑性瘫痪患儿康复的影响[J].中国中西医结合儿科学,2016,8(6):635-637.
[19] 张欣.康复训练和护理干预在小儿脑瘫中的应用效果观察[J].中国实用神经疾病杂志,2015,18(9):133-134.
[20] 李卉梅,王和强,赖新波,等.康复护理延伸训练对步行痉挛型脑瘫患儿三维步态时空和表面肌电的影响[J].护士进修杂志,2017,32(24):2211-2215.
[21] Haberfehlner H,Maas H,Harlaar J,et al. Assessment of net knee moment-angle characteristics by instrumented hand-held dyna-mometry in children with spastic cerebral palsy and typically developing children [J]. J Neuroeng Rehabil,2015,15(12):67.
[22] Kerkum YL,Harlaar J,Buizer AI,et al. An individual approach for optimizing ankle-foot orthoses to improve mobility in children with spastic cerebral palsy walking with excessive knee flexion [J]. Gait Posture,2016(46):104-111.
[23] 梁伟燕,吴满红,罗鑫刚,等.头针结合康复训练治疗痉挛型脑瘫患儿疗效观察[J].海南医学,2017,28(12):12-13.
[24] 李桂英.康复训练结合健脾补肾调督针刺法治疗痉挛型脑瘫患儿43例临床观察[J].中医儿科杂志,2018,14(2):72-75.
[25] 邢璐璐,张妍.引导式教育护理在脑瘫患儿康复中的应用效果[J].中国当代医药,2018,25(6):173-175.