按摩联合电刺激法治疗痉挛型脑瘫患儿的效果及护理

目的探讨头面部与四肢按摩联合电刺激法对痉挛型脑瘫患儿的治疗效果及护理。方法将42例痉挛型脑瘫患儿按随机数字法分为对照组19例和治疗组23例，对照组给予常规康复训练及药物治疗；治疗组在常规康复训练基础上使用头面部与四肢按摩联合电刺激法治疗，同时给予规范的康复护理指导。两组患儿采用发育筛查测验法（DST）测试其智力指数（MT）、发育商（DQ）及粗大运动功能试验量表（GMFM）的评估，比较两组患儿的治疗效果。结果治疗组患儿治疗后MT、DQ和GMFM评分分别为（79．28±2．20）、（73．44±1．21）、（36．25±4．66）分高于治疗前（71．24±2．22）、（65．07±2．54）、（23．14±4．41）分，两者比较差异有统计学意义（t分别为-13．57，～17．96，0．82；P〈0．01）；同时，与对照组治疗后评分（72．14±2．09）、（68．24±1．98）、（28．65±4．85）分相比，差异有统计学意义（t分别为8．04，7．85，3．84；P〈0．01）；对照组患儿治疗后MT、DQ评分较治疗前增加，但差异无统计学意义（P〉0．05）。治疗组总有效率为69．67％高于对照组总有效率36．84％，两组比较差异有统计学意义（X^2=4．497，P〈0．05）。结论头面部与四肢按摩联合电刺激法对痉挛性脑瘫患儿有较好的疗效，值得推广运用。

Nursing and effect of massage jointing electrical stimulation method on the therapy for spastic cerebral palsy children

Objective To explore the nursing and effect of massage on head,facial and limbs jointing electrical stimulation method on the therapy for spastic cerebral palsy children. Methods The table of random number was used and forty-two spastic cerebral palsy children were divided into control group（ n = 19 cases）and treatment group（n =23 cases）, conventional rehabilitation training and medical therapy were adopted in control group, on this basic, massage on head,facial and limbs jointing electrical stimulation method and rehabilitation nursing care guilligences were adopted in treatment group. Development screening test method （DST） was used to tested Intelligence index （MT） and Development business （ DQ）, Gross motor function test scale （GMFM） was also used, then effects of therapy was compared . Results The score of MT, DQ and GMFMin treatment group after received therapy respectively was （79.28 ± 2.20）, （73.44 ± 1.21 ）, （36.25 ± 4.66）, respectively, higher than that （ 71.24 ± 2.22）, （ 65.07 ± 2.54）, （ 23.14 ± 4.41 ） before therapy, and the difference was statistically significant（t = -13.57, -17.96,8. 82, respectively;P 〈 0. 01 ）, then compared with scores in control group received therapy that was（72.14 ± 2.09 ）, （68.24 ± 1.98 ）, （28.65 ± 4.85 ）, the difference was statistically significant（t =8. 04,7. 85,3. 84,respectively;P 〈0. 01 ）. There was no significant difference on the MT,DQ score in control group before and after received therapy （ P 〉 0. 05 ）. The effective rate of therapy in treatment group was 69.67% higher than that of control group 36.84%, and the difference was statistically significant （X^2 =4.497 ,P 〈 0. 05 ）. Conclusions The therapy method of massage on head, facial and limbs jointing electrical stimulation is an effective treatment for spastic cerebral palsy children and worthy of clinical use.