【摘要】：目的本課題旨在觀察祛風(fēng)牽正推拿法配合康復(fù)訓(xùn)練治療腦癱患兒斜視的臨床療效,為腦癱患兒斜視的治療提供一種新的治療方法。方法將60例腦癱且伴有斜視癥狀的患兒,隨機(jī)分為研究組和對(duì)照組各30例。兩組均進(jìn)行常規(guī)的康復(fù)治療,研究組在康復(fù)治療的基礎(chǔ)上配合祛風(fēng)牽正推拿法的治療。兩組分別于治療前和治療4個(gè)月后行眼球運(yùn)動(dòng)、斜視度、代償頭位的檢查,觀察治療4個(gè)月后兩組患兒斜視改善的臨床療效。結(jié)果(1)治療后兩組患兒斜視的改善情況,研究組總有效率為90%,對(duì)照組總有效率為76.7%,兩組療效對(duì)比,差異具有統(tǒng)計(jì)學(xué)意義,研究組療效優(yōu)于對(duì)照組(P0.05)。(2)研究組、對(duì)照組眼球運(yùn)動(dòng)障礙級(jí)別治療前、后自身比較,級(jí)別均降低,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);治療后研究組與對(duì)照組眼球運(yùn)動(dòng)障礙級(jí)別組間比較,有統(tǒng)計(jì)學(xué)差異(P0.05),研究組優(yōu)于對(duì)照組。(3)研究組、對(duì)照組斜視度治療前、后自身比較均得到改善,差異具有統(tǒng)計(jì)學(xué)意義(P0.05);治療后研究組與對(duì)照組斜視度組間比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),研究組優(yōu)于對(duì)照組。(4)研究組、對(duì)照組代償頭位治療前、后自身比較均得到改善,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),治療后研究組與對(duì)照組代償頭位比較,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),研究組優(yōu)于對(duì)照組。結(jié)論(1)祛風(fēng)牽正推拿法配合康復(fù)治療、康復(fù)治療兩種方法對(duì)于腦癱患兒斜視的治療均有效;(2)祛風(fēng)牽正推拿法配合康復(fù)治療對(duì)腦癱患兒斜視治療的療效優(yōu)于單純康復(fù)治療,在改善患兒的斜視方面能發(fā)揮其獨(dú)特優(yōu)勢(shì),為小兒腦癱斜視的治療提供了新的治療方法;(3)治療的臨床效果與患兒的年齡關(guān)系密切,臨床提示盡早的發(fā)現(xiàn)、干預(yù)及治療,更有利于腦癱患兒斜視的康復(fù)。
[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.
【學(xué)位授予單位】：云南中醫(yī)學(xué)院
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R244.1

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