体外反搏对颅脑外伤术后早期上肢功能恢复的影响

目的:探讨体外反搏对颅脑外伤术后患儿早期上肢功能恢复的影响。方法:选择2016年1月～2018年1月在上海市儿童医院康复科就诊的36例颅脑外伤术后患儿,将其随机分成观察组和对照组,每组18例患者。对照组患儿给予常规作业治疗,治疗组患儿在对照组的基础上增加体外反搏治疗。治疗3个月后,比较两组患儿治疗前后精细运动能力(FMFM)和改良Barthel指数评分。结果:经3个月治疗后,两组患儿精细功能和日常生活活动能力均较治疗前有所提高,观察组和对照组FMFM评分和Barthel指数明显高于治疗前,且观察组明显FMFM评分和Barthel指数优于对照组(142.43±18.65 vs. 136.48±15.67;81.19±10.60 vs.74.52±12.93),差异均有统计学意义(P0.05)。结论:联合体外反搏能更好地改善颅脑外术后早期的上肢功能。

Effect of External Counterpulsation on the Recovery of upper Extremity Function in the Early Stage after Craniocerebral Trauma

ABSTRACT Objective: To investigate the effect of external counterpulsation on the early upper limb function recovery in children with craniocerebral trauma. Methods: Thirty-six children with brain trauma who were treated in the Rehabilitation Division of Shanghai Children''s Hospital between January 2016 and January 2018 were selected. They were randomly divided into the observation group and the control group, with 18 patients in each group. Patients in the control group were given routine operations, and patients in the treat- ment group were treated with external counterpulsation therapy on the basis of control group. After 3 months of treatment, the fine motor ability(FMFM) and modified Barthel index scores were compared between the two groups before and after treatment. Results: After 3 months of treatment, the fine function and activities of daily living of both groups were improved compared with those before treatment. The FMFM score and Barthel index of both groups were significantly higher than those before treatment, which were superior in the treatment group to those of the control group (142.43±18.65 vs. 136.48±15.67; 81.19±10.60 vs. 74.52±12.93)(P<0.05). Conclusion: Combined external counterpulsation can improve the early upper limb function after cranial and extracranial surgery.