ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2020, Vol. 12 ›› Issue (1): 54-57.doi: 10.3969/j.issn.1674-3865.2020.01.015

• 临床研究 • 上一篇    下一篇

运动康复训练对手足口病合并急性迟缓性瘫痪患儿下肢肌力及平衡功能的影响

周宁,宋春兰,景钰   

  1. 450000 郑州,郑州儿童医院重症监护室
  • 出版日期:2020-02-25 发布日期:2021-05-17
  • 通讯作者: 周宁,E-mail:znzzetyy@163.com
  • 作者简介:周宁(1986-),女,护师。研究方向:儿科急危重症护理

Effects of exercise rehabilitation training on lower limb muscle strength and balance function in children with handfootmouth disease complicated with acute flaccid paralysis

  • Online:2020-02-25 Published:2021-05-17

摘要: 目的 分析运动康复训练在手足口病合并急性迟缓性瘫痪患儿中的应用效果,并探讨对患儿下肢肌力及平衡功能的影响。 方法 选取2017年5月至2019年5月在我院入院诊治的手足口病合并急性迟缓性瘫痪患儿109例,根据入院时间先后分为对照组54例和观察组55例。对照组实施常规监测及治疗,定期予以翻身及按摩等;观察组在此基础上增加运动康复训练。治疗结束后对比两组患儿下肢肌力、平衡功能等。 结果 治疗后观察组患儿下肢臀大肌、胫前肌、腓肠肌肌力在4级及以上所占百分比均高于对照组,差异有统计学意义(P<0.05)。治疗后两组患儿下肢FuglMeyer运动量表(FMA)评分、Berg平衡量表(BBS)评分均较治疗前升高,但观察组优于对照组,差异有统计学意义(P<0.05)。观察组总有效率为92.73%(51/55),高于对照组77.78%(42/54),差异有统计学意义(P<0.05)。 结论 运动康复训练可提高手足口病合并急性迟缓性瘫痪患儿下肢肌力,改善下肢运动及平衡能力,效果确切。

关键词: 手足口病, 急性迟缓性瘫痪, 康复, 肌力

Abstract: Objective To analyze the effect of exercise rehabilitation training on children with handfootmouth disease complicated with acute flaccid paralysis,and to explore its effects on lower limb muscle strength and balance function Methods A total of 109 children with handfootmouth disease and acute flaccid paralysis were enrolled in our hospital The patients were divided into two groups according to the time of admission Among them,54 patients in the control group were routinely monitored and treated,being regularly turned over and massaged In the rehabilitation group,55 patients were given exercise rehabilitation training on this basis At the end of treatment,the muscle strength and balance function of the lower limbs of the two groups were compared Results After treatment,the proportion of patients whose lower extremity gluteus maximus,tibialis anterior and gastrocnemius muscles were grade 4 and above was higher in observation group than in control group(P<0.05) The lower limb FuglMeyer exercise scale(FMA) score and the Berg balance scale(BBS) score were higher after treatment,with the observation group being higher than the control group(P<0.05) The total effective rate of the observation group was 92.73%(51/55),which was higher than that of the control group(77.78%,42/54)(P<0.05) Conclusion Exercise rehabilitation training can improve the lower limb muscle strength of children with handfootmouth disease and acute flaccid paralysis,and improve the lower limb movement and balance ability

Key words: Handfootmouth disease, Acute flaccid paralysis, Rehabilitation, Muscle strength