摘要
目的探讨超激光物理因子治疗小儿跟腱延长术后脑性瘫痪(脑瘫)患儿的镇痛效果。方法 60例痉挛型脑瘫患儿,均接受跟腱延长术,随机分为实验组(32例)和对照组(28例)。实验组患儿采用常规治疗和超短波镇痛治疗,对照组患儿在实验组基础上采用超激光物理因子治疗。比较两组患儿视觉模拟评分法(VAS)评分、踝关节活动度(ROM)和粗大运动功能评估量表(GMFM)评分。结果治疗后1 d,两组患儿的VAS评分比较差异无统计学意义(P>0.05)。治疗后3、6、9、12、15 d,对照组患儿的VAS评分均明显低于实验组,差异均有统计学意义(P<0.05)。治疗前,两组患儿的GMFM评分中站立和走/跑/跳评分比较,差异均无统计学意义(P>0.05);治疗后,两组患儿的GMFM评分中站立和走/跑/跳评分均显著高于治疗前,且对照组高于实验组,差异均具有统计学意义(P<0.05)。治疗前,两组患儿的ROM比较,差异无统计学意义(P>0.05)。治疗后,两组患儿的ROM水平均高于治疗前,且对照组患儿的ROM(55.12±3.17)°显著高于实验组的(44.15±2.15)°,差异具有统计学意义(P<0.05)。结论跟腱延长术后脑瘫患儿在常规疗法和超短波治疗仪治疗基础上给予超激光物理因子治疗,具有显著的镇痛效果,能有效缓解患儿的疼痛症状,提高患儿的运动功能。
Objective To discuss the analgesic effect of ultralaser physical factors on children with cerebral palsy after Achilles tendon lengthening. Methods A total of 60 children with cerebral palsy after Achilles tendon lengthening were randomly divided into experimental group (32 cases) and (28 cases). The experimental group was treated with routine treatment and ultrashort wave analgesia, and the control group was treated with ultralaser physical factors on the basis of the experimental group. Comparison were made on visual analogue scale (VAS), ankle range of motion (ROM) and gross motor function measure (GMFM) scores between the two groups. Results After 1 d of treatment, both groups had no statistically significant difference in VAS score (P>0.05). After 3, 6, 9, 12 and 15 d of treatment, the control group had obviously lower VAS score than the experimental group, and their difference was statistically significant (P<0.05). Before treatment, both groups had no statistically significant difference in standing and walking/running/jumping scores of GMFM scores (P>0.05). After treatment, both groups had significantly higher standing and walking/running/jumping scores of GMFM scores, and the control group was higher than the experimental group. Their difference was statistically significant (P<0.05). Before treatment, both groups had no statistically significant difference in ROM (P>0.05). After treatment, both groups had higher ROM than that before treatment, and the control group had significantly higher ROM as (55」2 ± 3.17)° than (44.15 ± 2.15)° in experimental group. Their difference was statistically significant (P<0.05). Conclusion For children with cerebral palsy after Achilles tendon lengthening, ultralaser physical factors on the basis of conventional therapy and ultrashort wave therapy has significant analgesic effect, and can effectively alleviate the pain symptoms of children and improve their motor function.
作者
岳建立
YUE Jian-li(Shandong Jining Jiaxiang County Hospital of Traditional Chinese Medicine, lining 272400, China)
出处
《中国实用医药》
2019年第16期9-11,共3页
China Practical Medicine
关键词
脑性瘫痪
跟腱延长术
超激光物理因子
镇痛
Cerebral palsy
Achilles tendon lengthening
Ultralaser physical factors
Analgesic
