综合护理对营养不良脑瘫患儿体质量和粗大运动功能康复的影响

Effects of comprehensive nursing on body mass and gross motor function rehabilitation of children with malnourished cerebral palsy

目的观察综合护理对营养不良脑瘫患儿体质量和粗大运动功能康复的影响。方法选取2018年6月至2019年6月广州中医药大学附属南海妇产儿童医院儿童康复科就诊的营养不良脑瘫患儿50例,按就诊先后顺序分为对照组和治疗组,各25例。对照组给予常规饮食护理,治疗组在对照组治疗方法的基础上联合推拿、药膳和艾灸进行综合护理。2组均3周为1个疗程,每个疗程间隔20 d,共治疗3个疗程。治疗前后分别统计体质量和粗大运动功能评估(Gross motor function measure,GMFM)评分。结果治疗前,2组体质量比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组体质量均较同组治疗前增加(P<0.05或P<0.01),且治疗组增加更显著(P<0.01)。治疗前,2组GMFM评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组GMFM评分均较同组治疗前增加(P<0.01),且治疗组增加更显著,差异有统计学意义(P<0.05)。进一步应用Pearson相关性分析得出相关系数>0.5(ρ=0.524,P<0.01),提示营养不良脑瘫患儿体质量与康复效果存在相关性。结论在常规饮食护理的基础上联合推拿、药膳和艾灸对营养不良脑瘫患儿进行综合护理,不仅可促进患儿的体质量增加,提高患儿运动功能,而且体质量增加与运动功能提高呈正相关。

Objective To observe the effects of comprehensive nursing on body mass and gross motor function rehabilitation of children with malnourished cerebral palsy.Methods From June 2018 to June 2019,50 cases of children with malnourished cerebral palsy consulted in children’s rehabilitation department of Nanhai,Maternity and Children’s Hospital Affiliated to Guangzhou University of Chinese Medicine were chosen and divided into control group and treatment group according to the consulting sequence,with 25 cases in each.The control group was given routine diet nursing,on this basis, the treatment group was combined with tuina, medicinal diet and moxibustion for comprehensive nursing.Three weeks constituted 1 course of treatment for both groups,the interval of each course was 20 days, totally 3 courses of treatment.We kept statistics about body mass and gross motor function measure(GMFM) score before and after treatment,respectively.Results Before treatment,the difference was not statistically significant in body mass between the 2 groups(P>0.05),and they were comparable.After treatment,the body mass of the 2 groups significantly increased compared with the same group before treatment(P<0.05 or P<0.01),moreover,the treatment group increased more significantly(P<0.01).Before treatment,the difference was not statistically significant in GMFM score between the 2 groups(P>0.05),and they were comparable.After treatment,GMFM score of the 2 groups increased compared with the same group before treatment(P<0.01),moreover,the treatment group increased more significantly,and the difference was statistically significant(P<0.05). Pearson correlation analysis was further applied,which showed that the correlation coefficient was more than 0.5(ρ=0.524, P<0.01),indicating that there was a correlation between the body mass and the rehabilitation effect of children with malnourished cerebral palsy.Conclusion On the basis of routine diet nursing,combined with tuina,medicinal diet and moxibustion,comprehensive nursing for children with malnourished cerebral palsy can not only promote the body mass of children,improve their motor function,but also have a positive correlation with the improvement of motor function.