河北医科大学学报

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早期康复对新生儿分娩性臂丛神经损伤的疗效观察

  

  1. 河北省儿童医院骨二科,河北 石家庄 050031
  • 出版日期:2016-01-25 发布日期:2016-04-27
  • 作者简介:刘素哲( 1966- ),女,河北石家庄人,河北省儿童医 院副主任护师,医学学士,从事临床护理学研究。

Earlyrehabilitationnursingofneonatalobstetricbrachialplexusinjury

  1. ( Department Ⅱ ofOrthopaedics , theChildrenHospitalofHebeiProvince , Shijiazhuang 050031 , China
  • Online:2016-01-25 Published:2016-04-27

摘要: 目的 探讨新生儿分娩性臂丛神经损伤后早期康复及护理方法。方法 选择新生儿分娩性臂丛神经
损伤患儿 56 例,早期行探查松解术,术后随机分为对照组与康复组各 28 例。对照组进行常规治疗,包括神经营养
药物、家中自行功能锻炼;康复组在常规治疗的基础上实施低频神经肌肉电刺激以及规范化运动功能训练等综合
护理措施,根据臂丛神经功能综合评价试用标准评价疗效,比较 2 组患肢功能恢复的优良率。结果 康复组功能恢
复为优 13 例,良 9 例,可 4 例,差 2 例;对照组功能恢复为优 5 例,良 8 例,可 8 例,差 7 例。康复组疗效优于对照
组,预后优良率明显高于对照组( P <0.
05 )。结论 实施低频神经肌肉电刺激结合规范化运动功能训练等综合护理
措施可显著提高新生儿分娩性臂丛神经损伤治疗的优良率,明显改善患儿的功能活动及预后,减轻家属焦虑情绪,
值得在临床中推广应用。

关键词: 臂丛神经病, 经皮神经电刺激, 婴儿, 新生, 康复护理

Abstract: ] Objective Toexploreearlyrehabilitationnursinginneonatalobstetricbrachial
plexusinjury.Methods Fifty-six children with neonatalobstetric brachialplexusinjury
experiencedearlystageexplorationlysis , andlater , theywererandomlydividedintocontrol
groupandrehabilitationgroup , 28 patientsinagroup.Thechildrenincontrolgroup got
conventionaltreatment , includingneurotrophicdrugs , selffunctionaltrainingathome ; The
childreninrehabilitationgroupwereimplementedwithlow-frequencyneuromuscularelectrical
stimulationandnormalizationofmotorfunctiontraining , comprehensivecaremeasuresonthe
basisofconventionaltreatment.Accordingtothebrachialplexusfunctionevaluationcriteria ,
thetwogroupsofchildren wereevaluatedinlimbfunctionrecovery.Results Rehabilitation
grouphadfunctionalrecoveryexcellencein13cases , goodin9cases , effect4cases , andpoorin
2cases ; thecontrolgroupshowedexcellencein5cases , goodin8cases , effectin8cases , and
poorin7cases.Theefficacyofrehabilitationgroupwasbetterthanthatofcontrolgroup , the
prognosisinexcellenceandgoodgradeweresignificantlyhigherthanthatofcontrolgroup ( P <
0. 05 ) .Conclusion Implementationoflow-frequencyelectricalstimulationofneuromuscular
trainingcombinedwithstandardized motorfunctionintegratedcaremeasurescansignificantly
improveneonatalobstetricbrachialplexusinjuryandraisetreatmentgoodrate , enhancethe
functionalactivity and prognosisin children , reducefamily anxiety , which worth clinical
application.