痉挛型脑性瘫痪“尖足症状”疗效的相关因素研究

Relevant factors for curative effect of sharp foot symptom after spastic cerebral palsy

目的:探讨小儿痉挛型脑性瘫痪所致"尖足症状"治疗效果的相关因素。方法:124例小儿痉挛型脑性瘫痪"尖足症状"患儿随机分为治疗组83例和对照组41例,对照组采用Bobath法结合上田法治疗;治疗组除常规治疗外,加用穴位按摩、肌肉松解和蜡疗。采用表面肌电分析仪检测法、踝跖屈肌群肌张力评估法及足背屈角测定等评价两组患儿的治疗效果。结果;治疗组总疗效91.8%,对照组75.6%,两组对比差异有统计学意义(P<0.05);而且<1岁年龄组疗效明显优于≥1岁年龄组,差异有统计学意义(P<0.05)。结论:痉挛型脑瘫患儿尖足的康复治疗效果与年龄大小呈负相关,小年龄段疗效较佳。

Objective：To explore the relevant factors for curative effect of sharp foot symptom induced by infantile spastic cerebral palsy.Methods：A total of 124 children with sharp foot symptom after spastic cerebral palsy were randomly divided into treatment group（83 children） and control group（41 children）.Children in control group were treated with Bobath method combined with Shangtian method.Children in treatment group were treated with conventional therapy plus point massage,muscle relaxation therapy and kerotherapy.Surface myoelectricity analyzer was used to detect the children,the curative effects in the two groups were evaluated by ankle plantar flexor group tension assessment and acrotarsium flexion angle detection.Results：The total effective rates in treatment group and control group were 91.8% and 75.6%,respectively,there was statistically significant difference between the two groups（P0.05）.The curative effect of one-year-old group was statistically significantly better than that of ≥one-year-old group（P0.05）.Conclusion：There is a negative correlation between curative effect of rehabilitation of sharp foot symptom after spastic cerebral palsy and age in children,the younger the children is,the better the curative effect is.