CAJ | 학술논문

目的观察肉毒素注射后石膏固定小儿脑性瘫痪尖足的临床效果. 方法选取陕西中医学院附属西安中医脑病医院住院伴有尖足的脑瘫患儿52例,随机分为两组. 实验组患儿在进行综合康复治疗的基础上进行肉毒素注射后配合石膏固定,对照组在进行综合康复治疗的基础上进行佩戴支具矫正,比较两组患儿治疗前后(治疗3个月)尖足的改善情况. 结果治疗组双下肢肌张力较对照组降低(t=4.231,P<0.05);治疗组治疗后足背屈角较对照组改善(t=3.324,P<0.05);治疗组肢体粗大运动评定的D、E评分改善程度均高于对照组(t值分别为4.312和3.294,均P<0.05. 结论 A型肉毒素注射后石膏固定配合康复治疗可以有效降低患儿小腿三头肌的肌张力,改善尖足,有助于提高运动功能,缩短治疗时间.
목적 관찰육독소주사후석고고정소인뇌성탄탄첨족적림상효과. 방법 선취협서중의학원부속서안중의뇌병의원주원반유첨족적뇌탄환인52례,수궤분위량조. 실험조환인재진행종합강복치료적기출상진행육독소주사후배합석고고정,대조조재진행종합강복치료적기출상진행패대지구교정,비교량조환인치료전후(치료3개월)첨족적개선정황. 결과 치료조쌍하지기장력교대조조강저(t=4.231,P<0.05);치료조치료후족배굴각교대조조개선(t=3.324,P<0.05);치료조지체조대운동평정적D、E평분개선정도균고우대조조(t치분별위4.312화3.294,균P<0.05. 결론 A형육독소주사후석고고정배합강복치료가이유효강저환인소퇴삼두기적기장력,개선첨족,유조우제고운동공능,축단치료시간.
Objective To observe the clinical effect of plaster fixation after type A botulinum toxin injection on children with cerebral palsy (CP) complicated with sharp foot.Methods Fifty-two children with CP complicated with sharp foot visiting Xi'an TCM Brain Disease Hospital Affiliated to Shaanxi University of TCM were selected and randomly divided into two groups.In experimental group plaster fixation was given after type A botulinum toxin injection based on comprehensive rehabilitation, while control group accepted orthosis correction on the basis of comprehensive rehabilitation.The improvement of sharp foot was compared between two groups before and after treatment (3 months).Results In the experimental group, the lower limbs muscle tension was lower than in the control group (t=4.231,P<0.05), and dorsiflexion angle after treatment was improved (t=3.324,P<0.05).In the experimental group, improvement on D and E score was more significant than that in the control group (t value was 4.312 and 3.294, respectively, both P<0.05).Conclusion Plaster fixation after type A botulinum toxin injection based on rehabilitation therapy can effectively reduce triceps muscle tension in children and improve the manifestation of sharp foot, so that motor function is improved and treatment time is shortened.