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河北省脑瘫儿童康复技术指导中心

2019-05-07 09:45点击数() 加入收藏

河北省脑瘫儿童康复指导中心成立于1989年,是我省儿童康复专业指导机构。经过多年的临床实践和丰富经验的积累,铸造出一支在医教研康各个方面经验丰富的专业康复医疗队伍,成立了神经康复科。

目前医护人员35人,硕士研究生6人,高级职称3人。科室开放床位35张,主要开展了13种康复治疗项目,配备15种康复器械,主要设有康复科门诊、神经运动发育评估室、运动治疗室、作业治疗室、语言训练室、水疗室、汽疗室、电疗室、经颅磁室、多参数生物反馈室、表面肌电室、器械锻炼室、按摩室、针灸室、肌电生物反馈室。

神经康复科诊疗特色是对存在运动、智力发育落后有可能发展成脑瘫的1岁内高危婴儿进行早期、超早期评估、诊断和康复治疗,并对6岁内已诊断脑瘫的患儿,通过康复治疗改善功能进行救助。年门诊量8000余人,承接着省内外各地区脑损伤高危儿及脑瘫患儿的诊治工作。

近年来加入河北省残疾人精准康复家庭服务指导专家组、河北省康复医学会康复联盟组织,成为具有河北省儿童智力残疾评定资格单位。2018年河北省卫建委审批通过神经康复科成为河北省专科建设项目。主要收治患儿:

1、脑瘫高危儿:新生儿期后-1岁内的婴幼儿运动、语言、智力发育落后,新生儿科曾诊断缺氧缺血性脑病或脑损伤,经神经发育评估存在发育障碍,称为高危儿,将来极易发展成脑瘫。

2、脑瘫患儿:1-6岁仍存在运动、语言、智力发育障碍成为后遗症、经评估可确诊脑瘫的患儿。

3、先天性脑发育不良、代谢病、基因或染色体缺陷患儿,新康复理念是这部分患儿必须给予康复治疗,减轻残疾程度、改善功能、提高生活质量。                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                                            

4、由神经内科、脑外科、重症科收治的急性疾病,如:脑炎、脑梗塞、脑积水、面神经炎、脊髓炎、脑外伤、脑出血等,恢复期存在运动、智力、语言、吞咽等障碍,需要做康复治疗的患儿。

主要康复治疗项目

1、运动疗法(physical therapy,PT):运用bobath,rood,vojta等神经发育疗法,提高患儿肌肉力量及耐力,最终改善患儿的头控、翻身、坐、爬等粗大运动功能。

2、作业疗法(occupational therapy,OT): 主要训练精细运动,重点训练上肢和手的功能以提高患儿独立生活技能,并为以后的职业培训工作能力。

3、推拿疗法:采取推、拿、揉、按、拍、叩、捏、抹等为主的手法,以随症施术为主,整体按摩与局部按摩相结合,头颈部重在醒脑开窍提神,四肢躯干重在缓解肌张力,提高肌力,纠正异常姿势,上肢侧重松解肌群。

4、肌电生物反馈:将生物反馈技术与电刺激方法相结合,通过对无任何主动运动肌肉的电刺激引起微弱的肌电信号,或将患者有意识的肌肉收缩引发的肌电信号转化为放大了的反馈电流,再刺激肌肉收缩,使瘫痪肢体运动幅度加大。

5、电疗:提高机体抗氧化能力,减轻兴奋性氨基酸及凋亡前体蛋白而减轻细胞损害,保护神经系统功能,促进脑功能恢复,相应促进了患儿运动功能和认知能力的发育。

6、水疗:水疗能够改善全身血液循环,缓解病理性的肌肉痉挛和肌张力异常,对胸廓产生压力,使肺活量增加,从而促进胸廓的良好发育,改善肺功能,使脑瘫患儿脑损伤得到恢复,预防肢体挛缩变形,诱导正确姿势,纠正异常姿势。

7、经颅磁刺激( transcranial magnetic stimulation,TMS) 是一种利用脉冲磁场作用于中枢神经系统( 主要是大脑) ,改变皮层神经细胞的膜电位,使之产生感应电流,影响脑内代谢和神经电活动,从而引起一系列生理生化反应的磁刺激技术。

8、语言训练:儿童的语言障碍中,语言发育迟缓是发生率较高的障碍。语言训练不只是教患儿如何去“说”,还要训练患儿的理解能力、认知功能、操作性课题、社会交往能力和日常生活能力。

9、针灸治疗:针灸治疗以整体观念、辨证论治为基础,从经络脏腑以及经络腧穴入手,治以循经取穴、远道取穴、邻近取穴等。

10、引导式教育:是集康复治疗与教育于一体,以促进儿童的运动功康复为主,还促进儿童的语言、理解、感知能力和智力水平的全面发展的一种综合性教育措施。

中心服务电话:0311-85911117。


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