肌内效贴对新生儿上干型分娩性臂丛神经损伤的疗效分析

Efficacy of Kinesio taping in the treatment of neonatal upper-stem obstetric brachial plexus palsy

目的:评价肌内效贴治疗新生儿上干型分娩性臂丛神经损伤的临床疗效,为其临床治疗提供部分参考依据。方法:新生儿上干型分娩性臂丛神经损伤的患儿22例,随机分为肌贴组和对照组各11例,对照组进行常规康复治疗,肌贴组在常规康复治疗的基础上增加并全程接受肌内效贴治疗。2组分别在治疗前后测试臂丛功能综合评价、粗大运动功能测试A区(GMFM-A)评分以及神经肌电图检测腋神经、肌皮神经、正中神经的复合动作电位波幅值。结果:2组患儿在治疗3个月后,测试结果均优于治疗前测试结果(P<0.05)。治疗3个月后,肌贴组患儿臂丛功能综合评价、GMFM-A得分优于对照组(P<0.05)。肌贴组的肌电图检查显示腋神经、肌皮神经、正中神经的复合肌肉动作电位波幅明显高于对照组(P<0.05)。结论:肌内效贴对新生儿上干型分娩性臂丛神经损伤的上肢功能的恢复有良好的效果,有一定的临床借鉴意义。

Objective:To evaluate the clinical efficacy of Kinesio taping(KT)in the treatment of neonatal upper-stem obstetric brachial plexus palsy,and to provide part of the reference for its clinical treatment.Methods:A clinical study was carried out on 22 neonates with upper trunk of obstetric brachial plexus palsy who were admitted to the Rehabilitation Center of our hospital in the past five years.The children who were given the conventional rehabilitation treatment and the KT throughout the course served as the KT group,and those who received the conventional rehabilitation treatment only as the control group.There were 11 cases in the KT group and 11 cases in the control group.The two groups were treated for 3 months.The children in two groups were tested at the first visit and after 3 months of treatment:comprehensive evaluation of brachial plexus function,gross motor function test area A(GMFM-A)score,and neuroelectromyography to detect compound movements of axillary nerve,musculocutaneous nerve,and median nerve,potential wave amplitude.The results were compared between the two groups.Results:The test results of the two groups after three months of treatment were better than those at the first visit(P<0.05).After 3 months of treatment,the comprehensive evaluation of brachial plexus function and GMFM-A score in the KT group was better than that in the control group(P<0.05).The EMG examination of the KT group showed that the amplitude of the compound muscle action potential of the axillary nerve,musculocutaneous nerve,and median nerve was significantly higher than that of the control group(P<0.05),and the differences were statistically significant.Conclusion:KT has a good effect on the recovery of upper limb function of neonates with upper trunk of obstetric brachial plexus palsy,which may exert certain clinical reference significance.