首页|头部低频电刺激疗法与游戏疗法联合应用于脑瘫患儿康复治疗中的临床价值探析

头部低频电刺激疗法与游戏疗法联合应用于脑瘫患儿康复治疗中的临床价值探析

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目的 探究头部低频电刺激疗法与游戏疗法联合应用于脑瘫患儿康复治疗中的临床价值.方法 选择2022年1月—2023年7月该院收治的80例脑瘫患儿为研究对象,按随机数字表法将其分为对照组和观察组.两组患儿均接受常规治疗方式,对照组(n=40)给予常规治疗联合游戏疗法,观察组(n=40)在对照组基础上联合头部低频电刺激疗法.对比两组患儿的神经学指标、粗大运动功能和脑血流灌注.结果 治疗后,观察组粗大运动功能测试量表-88评分为(220.69±21.45)分,高于对照组的(180.57±20.15)分,神经元特异性烯醇酶和内皮素-1分别为(7.69±2.02)μg/L、(41.04±10.27)pg/mL,均低于对照组的(10.68±3.05)μg/L、(58.45±15.26)pg/mL,组间差异有统计学意义(P<0.05);治疗后,观察组收缩期峰值血流速度为(87.65±6.41)cm·s,平均血流速度为(80.52±5.10)cm·s,均慢于对照组的(95.64±7.03)cm·s、(95.37±6.51)cm·s,搏动指数为(0.57±0.02),低于对照组的(0.69±0.05),组间差异有统计学意义(P<0.05).结论 头部低频电刺激疗法联合游戏疗法应用于脑瘫患儿的康复治疗中,有助于患儿脑血流灌注的改善,并可提高其粗大运动功能,调节神经学指标,值得推广.
Clinical Value Analysis of the Combined Application of Head Low-Frequency Electrical Stimulation Therapy and Game Therapy in the Rehabilitation Treatment of Children with Cerebral Palsy
Objective To explore the clinical value of head low-frequency electrical stimulation therapy combined with game therapy in the rehabilitation of children with cerebral palsy.Methods Selecting 80 children with cerebral palsy admitted to the hospital from January 2022 to July 2023 as the research subjects,divided into a control group and an observation group using a random number table method.The children in both groups received conventional treatment,The control group(n=40)was given conventional treatment combined with play therapy,the observation group(n=40)combined with head low-frequency head electrical stimulation therapy on the basis of the control group.Comparison of neurological indicators,gross motor function,and cerebral blood flow perfusion between two groups of pediatric patients.Results After treatment,the Gross Motor Function Measure-88 gross motor function test score of the observation group was(220.69±21.45),which was higher than(180.57±20.15)points of the control group,neuron specific enolase and endothelin-1 were(7.69±2.02)μg/L,respectively,(41.04±10.27)pg/mL,lower than the control group's(10.68±3.05)μg/L,(58.45±15.26)pg/mL,the differences between groups were statistically significant(P<0.05);after treatment,the peak systolic blood flow velocity of the observation group was(87.65±6.41)cm·s,the average blood flow velocity was(80.52±5.10)cm·s,which was faster than the control group's(95.64±7.03)cm·s,(95.37±6.51)cm·s,and the pulsatile index was(0.57±0.02),lower than(0.69±0.05)of the control groups respectively,the differences between groups were statistically significant(P<0.05).Conclusion The application of Head low-frequency electrical stimulation therapy combined with game therapy in the rehabilitation of children with cerebral palsy is helpful to improve cerebral blood perfusion,improve gross motor function and adjust neurological indexes,which is worth popularizing.

Children with cerebral palsyHead low-frequency electrical stimulation therapyGame therapyRehabilitation treatmentGross motor function

李培培、杨玉梅

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聊城市东昌府区妇幼保健院嘉明院区儿童康复科,山东聊城 252000

聊城市人民医院儿科,山东聊城 252000

小儿脑瘫 头部低频电刺激疗法 游戏疗法 康复治疗 粗大运动功能

2024

反射疗法与康复医学

反射疗法与康复医学

ISSN:
年,卷(期):2024.5(3)
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