肌内效贴联合家庭训练干预在肌性斜颈患儿中的应用效果

Application effect of intramuscular plaster combined with family training intervention in children with muscular torticollis

目的 探讨肌内效贴联合家庭训练干预在肌性斜颈患儿中的应用效果。方法 选择2018年1月—2019年12月本院儿童保健科收治的100例肌性斜颈患儿作为研究对象,按入院编号奇偶数分为对照组和观察组两组,每组各50例。对照组患儿采用肌内效贴干预;观察组患儿在对照组基础上采用家庭训练干预。比较两组患儿胸锁乳突肌厚度、颈部被动旋转度、侧屈活动度、包块厚度、挛缩长度和运动程度(AIMS)评分;同时比较两组患儿家长健康认知掌握情况、对疾病不确定感和应对方式。结果 干预后,观察组患儿的胸锁乳突肌厚度低于对照组,颈部被动旋转度、侧屈活动度高于对照组,差异具有统计学意义(P<0.05);干预后,观察组患儿的包块厚度、挛缩长度低于对照组,差异具有统计学意义(P<0.05);干预后,观察组患儿运动程度AIMS评分高于对照组,差异具有统计学意义(P<0.05);干预后,观察组患儿家长健康认知掌握情况高于对照组,差异具有统计学意义(P<0.05);干预后,观察组患儿家长对疾病的不明确性、缺乏清晰、缺乏信息及不可预测性低于对照组,差异具有统计学意义(P<0.05);干预后,观察组患儿家长应对方式高于对照组,差异具有统计学意义(P<0.05)。结论 肌内效贴联合家庭训练干预在婴儿肌性斜颈中的应用,有助于提高家长的健康认知态度,改善肌性斜颈,临床意义重大,值得应用。

Objective To investigate the application effect of intramuscular plaster combined with family training intervention in children with muscular torticollis.Methods From January 2018 to December 2019,100 children with muscular torticollis admitted to the child healthcare department of Sanshui Maternity and Child Health Hospital in Foshan city were selected as the research objects.They were divided into the observation group and the control group according to odd or even of the admission number,with 50 cases in each group.The children in control group was treated with intramuscular plaster;The children in the observation group received family training intervention on the basis of the control group.The thickness of sternocleidomastoid muscle,neck passive rotation,lateral flexion range of motion,mass thickness,contractures length and degree of movement(AIMS)score were compared between the two groups.At the same time,the mastery of health cognition,disease uncertainty and coping style of parents of children in the two groups were compared.Results After intervention,the thickness of sternocleidomastoid muscle in the observation group was lower than that in the control group,the degree of passive rotation and lateral flexion activity of the neck were higher than those in the control group,the differences were statistically significant(P<0.05).After intervention,the thickness of the mass and the length of contracture in the observation group were lower than those in the control group,the differences were statistically significant(P<0.05).The score of Alberta Infant Exercise Scale(AIMS)in the observation group was higher than that in the control group after intervention,the difference was statistically significant(P<0.05).After the intervention,the mastery of health cognition of parents of children in the observation group was higher than that in the control group,and the difference was statistically significant(P<0.05).After the intervention,the ambiguity,lack of clarity,lack of information and unpredictability of illness among parents of the children in the observation group were lower than the control group,the differences were statistically significant(P<0.05).After intervention,the coping styles of parents in the observation group were higher than those in the control group,and the difference was statistically significant(P<0.05).Conclusions The application of intramuscular plaster combined with family training intervention in infant muscular torticollis is helpful to improve parents'health cognitive attitude and improve muscular torticollis.It is of great clinical significance and is worthy of application.