摘要
Abstract
Objective:To evaluate the clinical efficacy of selective posterior rhizotomy of spinal nerve combined with biofeedback comprehensive therapy in children with spastic cerebral palsy.Method:A total of 101 children with spastic cerebral palsy who were admitted to Xiang'an Branch,the First Affiliated Hospital of Xiamen University and Tsinghua University Yuquan Hospital from February 2021 to February 2024 were selected.They were randomly divided into two groups by random number table method.The control group(55 cases)treated with selective posterior rhizotomy of spinal nerve,and the observation group(46 cases)treated combined with biofeedback comprehensive therapy.The muscle tone,motor function,serum indicators,and complications between the two groups were compared.Result:Before treatment,there were no statistically significant differences in the scores of the modified Ashworth spasm assessment scale(MAS),coarse motor function assessment scale(CMFM-88),fine motor function assessment scale(FMFM),and serum indicators between the two groups(P>0.05).After treatment,compared to the control group,the observation group had lower MAS,higher CMFM-88 score and FMFM score,and the differences were statistically significant(P<0.05).After treatment,the serum levels of nerve growth factor(NGF)and endothelin(ET)in the observation group were higher,and the differences were statistically significant(P<0.05).There was no statistically significant difference in the total incidence of complications between the two groups(P>0.05).Conclusion:Selective posterior rhizotomy of spinal nerve combined with biofeedback comprehensive therapy is effective for children with spastic cerebral palsy,which has positive significance for improving muscle tension and motor function of children,and is conducive to improving the overall prognosis,and the treatment is safe and reliable.关键词
选择性脊神经后根切断术/生物反馈综合治疗/痉挛性脑瘫/临床疗效/肌张力Key words
Selective posterior rhizotomy of spinal nerve/Biofeedback comprehensive therapy/Spastic cerebral palsy/Clinical efficacy/Muscular tension
