祛风牵正推拿法治疗小儿脑瘫斜视的临床研究

发布时间：2019-04-03 06:13

【摘要】：目的本课题旨在观察祛风牵正推拿法配合康复训练治疗脑瘫患儿斜视的临床疗效,为脑瘫患儿斜视的治疗提供一种新的治疗方法。方法将60例脑瘫且伴有斜视症状的患儿,随机分为研究组和对照组各30例。两组均进行常规的康复治疗,研究组在康复治疗的基础上配合祛风牵正推拿法的治疗。两组分别于治疗前和治疗4个月后行眼球运动、斜视度、代偿头位的检查,观察治疗4个月后两组患儿斜视改善的临床疗效。结果(1)治疗后两组患儿斜视的改善情况,研究组总有效率为90%,对照组总有效率为76.7%,两组疗效对比,差异具有统计学意义,研究组疗效优于对照组(P0.05)。(2)研究组、对照组眼球运动障碍级别治疗前、后自身比较,级别均降低,差异具有统计学意义(P0.05);治疗后研究组与对照组眼球运动障碍级别组间比较,有统计学差异(P0.05),研究组优于对照组。(3)研究组、对照组斜视度治疗前、后自身比较均得到改善,差异具有统计学意义(P0.05);治疗后研究组与对照组斜视度组间比较,差异具有统计学意义(P0.05),研究组优于对照组。(4)研究组、对照组代偿头位治疗前、后自身比较均得到改善,差异具有统计学意义(P0.05),治疗后研究组与对照组代偿头位比较,差异具有统计学意义(P0.05),研究组优于对照组。结论(1)祛风牵正推拿法配合康复治疗、康复治疗两种方法对于脑瘫患儿斜视的治疗均有效;(2)祛风牵正推拿法配合康复治疗对脑瘫患儿斜视治疗的疗效优于单纯康复治疗,在改善患儿的斜视方面能发挥其独特优势,为小儿脑瘫斜视的治疗提供了新的治疗方法;(3)治疗的临床效果与患儿的年龄关系密切,临床提示尽早的发现、干预及治疗,更有利于脑瘫患儿斜视的康复。
[Abstract]:Objective to observe the clinical efficacy of wind-dispelling traction massage combined with rehabilitation training in the treatment of strabismus in children with cerebral palsy, and to provide a new method for the treatment of strabismus in children with cerebral palsy. Methods 60 children with cerebral palsy with strabismus were randomly divided into study group (n = 30) and control group (n = 30). Both groups were treated with routine rehabilitation therapy, and the study group combined with the therapy of dispelling wind traction and massage on the basis of rehabilitation treatment. Eyeball movement, strabismus and compensatory head position were examined before and 4 months after treatment in the two groups, and the clinical effects of strabismus improvement in the two groups were observed after 4 months of treatment. Results (1) after treatment, the total effective rate was 90% in the study group and 76.7% in the control group. The difference was statistically significant between the two groups in the improvement of strabismus, the total effective rate was 90% in the study group and 76.7% in the control group. The curative effect of the study group was better than that of the control group (P0.05). (2). Before and after the treatment, the level of eyeball movement disorder in the control group was lower than that of the control group (P0.05). After treatment, there was statistical difference between the study group and the control group (P0.05), the study group was superior to the control group. (3) the study group, the control group before and after the treatment of strabismus, the self-comparison was improved. The difference was statistically significant (P0.05); After treatment, the difference of strabismus between the study group and the control group was statistically significant (P0.05), and the study group was superior to the control group. (4) the study group and the control group improved before and after the treatment of compensatory head position. The difference was statistically significant (P0.05). After treatment, the study group and the control group compensated head position, the difference was statistically significant (P0.05), the study group was superior to the control group. Conclusion (1) both methods are effective in the treatment of strabismus in children with cerebral palsy. (2) the treatment of strabismus in children with cerebral palsy by dispelling wind, pulling and massage combined with rehabilitation is better than that of rehabilitation alone. It can play its unique advantage in improving children's strabismus, and provides a new treatment method for children with cerebral palsy strabismus; (3) the clinical effect of the treatment is closely related to the age of the children. It is suggested that early discovery, intervention and treatment are more beneficial to the rehabilitation of strabismus in children with cerebral palsy.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R244.1

【相似文献】