脑电仿生电治疗小儿痉挛型脑瘫的效果分析
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摘要
目的:探讨脑电仿生电治疗小儿痉挛型脑瘫的疗效。方法:对在本院治疗的50例小儿痉挛型脑瘫患者进行分组治疗,其中26例患儿作为对照组采用运动疗法治疗,24例患儿为观察组采用运动治疗的同时结合脑电仿生电治疗,于治疗前及治疗后3、6个月,对两组患儿进行Wee FIM,GMFM,FMFM评分,比较组间差异。结果:治疗后3、6个月两组的Wee FIM,GMFM评分与治疗前比较差异均有统计学意义(P<0.05);治疗后3、6个月,观察组Wee FIM,GMFM评分均高于对照组(P<0.05);治疗后6个月两组FMFM评分比较差异有统计学意义(P<0.05)。结论:采用脑电仿生电治疗结合传统运动疗法治疗小儿痉挛型脑瘫具有较好的治疗效果。
Objective:To investigate the effect of brain electrical bionic electric treatment for children with spastic cerebral palsy.Method:50 cases of spastic cerebral palsy were treated in our hospital.26 cases were treated with exercise therapy,24 cases were treated with exercise therapy combined with brain electrical bionic electric treatment,3 and 6 months after treatment Wee FIM,GMFMY,FMFM score were compared between the two groups.Result:Compared with before treatment,3 and 6 months after treatment,Wee FIM, GMFMY score of two groups were significantly different(P<0.05),Wee FIM,GMFMY score of the observation group were higher than the control group(P<0.05),and 6 months after treatment,the FMFM score of two groups had significantly different( P<0.05).Conclusion:The effect of exercise therapy combined with brain electrical bionic electric treatment for children with spastic cerebral palsy is good.
Objective:To investigate the effect of brain electrical bionic electric treatment for children with spastic cerebral palsy.Method:50 cases of spastic cerebral palsy were treated in our hospital.26 cases were treated with exercise therapy,24 cases were treated with exercise therapy combined with brain electrical bionic electric treatment,3 and 6 months after treatment Wee FIM,GMFMY,FMFM score were compared between the two groups.Result:Compared with before treatment,3 and 6 months after treatment,Wee FIM, GMFMY score of two groups were significantly different(P<0.05),Wee FIM,GMFMY score of the observation group were higher than the control group(P<0.05),and 6 months after treatment,the FMFM score of two groups had significantly different( P<0.05).Conclusion:The effect of exercise therapy combined with brain electrical bionic electric treatment for children with spastic cerebral palsy is good.
引文
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[13]Shank L K,Kaufman J,Leffard S,et al.Inspection time and ADHD symptoms in children with cerebral palsy[J].Rehabil Psychol,2010,55(2):188-193.
[14]李司南,童光磊,张敏,等.电刺激小脑顶核对痉挛型脑瘫患儿移动功能的影响[J].中医药临床杂志,2012,24(6):513-514.
[15]冯俊燕,贾飞勇,姜慧轶,等.超低频经颅磁刺激对痉挛型脑瘫患儿运动功能的影响[J].中国当代儿科杂志,2013,15(3):187-190.
[16]Davis R.Cerebellar stimulation for cerebral palsy spasticity,function,and seizures[J].Archives of Medical Research,2000,31(3):290-299.
[17]沈惠强.脑循环功能治疗仪的作用机理及临床效果[J].生物医药工程学进展杂志,2009,30(4):245-246.
[18]何正慧,林俊,汪捷峰,等.头部交变电磁场联合低频电刺激治疗痉挛型脑瘫的疗效观察[J].中华物理医学与康复杂志,2014,36(10):799-801.
[2]Marie T,Berg M D.Prevention of cerebral palsy:which infants will benefit from therapeutic hypothermia[J].The Journal of Pediatrics,2015,167(1):8-10.
[3]刘华章,肖农.脑瘫患儿肌痉挛药物治疗现状[J].中国医学创新,2012,9(15):158-159.
[4]夏剑萍,汪立平.康复治疗小儿脑瘫的临床疗效分析[J].中国医学创新,2014,11(34):155-156.
[5]陈秀洁,李树春.小儿脑性瘫痪的定义,分型和诊断条件[J].中华物理医学与康复杂志,2007,29(5):309.
[6]Boudesijn J K,Sheila L,Bernadette L,et al.The effectiveness of the Bobath concept instroke rehabilitation:what is the evidence[J].Stroke,2009,40(4):89.
[7]朱默,史惟.儿童功能独立检查量表的研究及应用[J].中国儿童保健杂志,2006,14(5):500-502.
[8]史惟,李惠,杨红,等.小于3岁痉挛性瘫痪儿童粗大运动与精细运动发育的相关性研究[J].中华物理医学与康复杂志.2007,29(2):107-110.
[9]史惟,李惠,杨红,等.脑瘫患儿精细运动功能测试量表的单维性和信度研究[J].中国循证儿科杂志,2008,3(2):110-118.
[10]Wu Y W,Backstrand K H,Zhao S.Declining diagnosis of birth asphyxia in California:1991-2000[J].Pediatrics,2004,114(6):1584-1590.
[11]梁蔚筠,何雪萍,徐雅.Bobath疗法治疗小儿脑瘫的临床观察[J].中国医学创新,2011,8(16):125-126.
[12]蒋德禹,唐亮,张凤玲,等.脑性瘫痪患儿体外反搏治疗前后脑底动脉血液动力学改变的探讨[J].现代康复,2000,4(9):1312-1314.
[13]Shank L K,Kaufman J,Leffard S,et al.Inspection time and ADHD symptoms in children with cerebral palsy[J].Rehabil Psychol,2010,55(2):188-193.
[14]李司南,童光磊,张敏,等.电刺激小脑顶核对痉挛型脑瘫患儿移动功能的影响[J].中医药临床杂志,2012,24(6):513-514.
[15]冯俊燕,贾飞勇,姜慧轶,等.超低频经颅磁刺激对痉挛型脑瘫患儿运动功能的影响[J].中国当代儿科杂志,2013,15(3):187-190.
[16]Davis R.Cerebellar stimulation for cerebral palsy spasticity,function,and seizures[J].Archives of Medical Research,2000,31(3):290-299.
[17]沈惠强.脑循环功能治疗仪的作用机理及临床效果[J].生物医药工程学进展杂志,2009,30(4):245-246.
[18]何正慧,林俊,汪捷峰,等.头部交变电磁场联合低频电刺激治疗痉挛型脑瘫的疗效观察[J].中华物理医学与康复杂志,2014,36(10):799-801.