康复训练联合高压氧治疗手足口病所致弛缓性麻痹的疗效研究

目的探讨康复训练联合高压氧治疗手足口病所致弛缓性麻痹的疗效。方法将70例手足口病所致弛缓性麻痹患儿随机分为治疗组和对照组,每组各35例。对照组予隔离、抗感染、营养支持、护脑、鼠神经生长因子穴位注射等常规治疗,治疗组在对照组基础上加用康复训练及高压氧。通过徒手肌力评定、日常生活活动能力(ADL)评定和FMA运动功能评分评定疗效。结果治疗组肌力恢复程度好于对照组,BI指数评分、FMA评分均高于对照组,差异有统计学意义(P0.05)。结论康复训练联合高压氧治疗手足口病所致弛缓性麻痹可明显提高麻痹肢体的肌力,提高患儿BI指数评分及FMA评分,减轻致瘫致残比例,提高患儿日常生活能力,其总体效果优于常规治疗。

Clinical efficacy of rehabilitation training combined with hyperbaric oxygen therapy in treatment of flaccid paralysis caused by hand, foot and mouth disease

Objective To investigate the clinical efficacy of rehabilitation training combined with hyperbaric oxygen therapy in the treatment of flaccid paralysis caused by hand, foot and mouth disease.Methods Seventy children with flaccid paralysis caused by hand, foot and mouth disease were randomly divided into treatment group (n=35) and control group (n=35). The control group was given conventional treatment including isolation, anti-infection, nutritional support, brain protection, and acupoint injection of mouse nerve growth factor, while the treatment group was given additional rehabilitation training and hyperbaric oxygen therapy based on the conventional treatment. The efficacy of the two groups was evaluated by manual muscle strength test, activities of daily living and Fugl-Meyer assessment (FMA).Results Compared with the control group, the treatment group had significantly better recovery of muscle strength and significantly higher BI index and FMA score (P<0.05). Conclusions Rehabilitation training combined with hyperbaric oxygen therapy in the treatment of flaccid paralysis caused by hand, foot and mouth disease can significantly increase the muscle strength of the paralyzed limb, increase BI index and FMA score, reduce the probability of paralysis and disability, and improve the activities of daily living for the children. Its overall efficacy is better than conventional treatment.