What Is a Polio Immunization?

The treatment of this disease should be dealt with from the comprehensive obstacles and needs of children, so that they receive comprehensive rehabilitation treatment, that is, children should receive rehabilitation care and treatment not only physically but also mentally and socially, so that they are just like healthy people Live, study and work. Comprehensive rehabilitation generally includes medical rehabilitation, educational rehabilitation, vocational rehabilitation and social rehabilitation.

Sequelae of polio

Polio sequelae is a serious disabling disease that results in life-long disability of the limbs. Affecting the child's life, growth and maturity, not only caused the child's physical deformity, but also caused serious obstacles for children to take care of themselves, learn and enter the society, which affected the children's physical and mental aspects.

Overview of Polio Sequelae

Polio sequela rehabilitation training

The main purpose of rehabilitation training is to restore or compensate the lost motor function of patients with pediatric sequelae, thereby improving the daily activities of the upper limbs and the functions of standing and walking of the lower limbs, striving to achieve self-care and return to society as soon as possible. Regular training

Walking rehabilitation device-indications: severe polio sequelae The training content mainly includes strengthening muscle training, expanding joint range of motion training, making and using orthotics. And limb function recovery training after surgery

Rehabilitation training is best carried out under the guidance of a doctor. In general, the following should be noted:

(1) Master the appropriate training scale, quantity and method. Insufficient training volume has no obvious effect; and excessive training can cause limb damage, such as: muscle strain, joint swelling, fracture and dislocation, etc. Therefore, we must master this scale and the amount of training should be appropriate.

(2) Training should be done step by step and not be rushed. The number of activities is from small to large, the range of joint motion is from small to large, and the force used is from light to heavy. A gradual increase in the amount of training may receive good results.

(3) No training should cause significant pain. Sometimes pain can occur during training, but after the activity is stopped, the pain should disappear. If severe pain occurs during training and does not disappear after a break, it is often a sign of injury. Stop training.

If the pain is severe after training, or even lower limb edema appears, indicating excessive exercise, it should also be

Alternating advancer-indication: sequelae of polio Stop training temporarily.

(4) Training should not feel tired. If you feel tired, you should rest for 5-10 minutes before training to avoid injury caused by overwork.

It is generally believed that poliomyelitis leaves sequelae two years after the onset of the disease, the condition no longer progresses, but it is not easy to improve, and the child maintains a relatively stable disability and will not relapse. However, in recent years, many medical experts have put forward different views through practice: they pointed out that some people who have had polio have "healed", and the disease can still recur after 30 to 40 years of illness, and new polio-like diseases appear. The symptoms are called post-polio syndrome. The patient presented with extreme fatigue, gradual aggravation of limb weakness, muscle and joint pain, and paralysis and atrophy of the limbs. This situation reminds us that patients who have had polio are now stable. If the above symptoms occur, they should go to the hospital immediately, and must not be taken lightly.

TCM interpretation of polio sequelae

Sequelae of polio, the disease name of western medicine. It belongs to the scope of traditional Chinese medicine card and card. It is mostly caused by the channeling of the meridians in the rheumatic fever, which is different from the normal warming of the lungs or the heat and dampness of the stomach. Early clinical manifestations are similar to colds, such as fever, vomiting, and diarrhea. In the early stage of paralysis, there were many facial redness, red throat, sweating, muscle pain in the whole body, and tremor in the limbs. Expelling Tongli dampness and heat, Qufeng Tongluo. If the virus is deep, drowsiness, coma, choking, strong or shortness of breath, dysphagia can be seen. Expelling sedation or dyspnea. The disease enters the paralysis period. Paralysis can occur in various parts of the body, and is common in the extremities, especially in the lower extremities. Expelling spleen and clearing collaterals, reconciling qi and blood, adding and subtracting solitary parasitic soup. If the face is paralyzed, use Zhengzheng San to add or subtract or acupuncture the cheek car, the floor warehouse, and Hegu. If this period fails to recover, muscle atrophy, joint deformation, etc. can be caused by the long-term, that is, the sequelae of polio, the liver and kidney should be nourished, Wentongluomai, Huqian Wan, Huoluo Dan or Jingang Wan etc. And actively cooperate with acupuncture and massage treatment, paralysis of the upper limbs take scapular, scapular, curved pool, Dazhui; paralysis of the lower limbs take Zusanli, Jiexi, ring jump, Fengshi, Yanglingquan; paralysis of the abdomen, take the midbrain, beam Door, Qihai; cervical muscle paralysis, take Tianzhu, Tianding, Tianrong.

Traditional Chinese Medicine Syndrome of Polio Sequelae

The symptoms and performance characteristics are as follows.

1. Stomach and lungs of the culprit are seen in the early stage of the disease, fever, cough, sore throat, sweating, general malaise, appetite and less food, nausea and vomiting, abdominal pain and diarrhea, red tongue, thin white fur, and pulse count.

2. Evil channeling meridians are seen in the early stage of paralysis, fever and sweat, irritability or drowsiness, limb pain, a few due to evil channeling heart and liver, may appear dizzy slang, convulsions, red tongue, greasy tongue, pulse count.

3. Qi deficiency and blood stasis are seen in the paralysis period, the remaining fever virus is not exhausted, and the limb is flaccid paralysis, or accompanied by oropharyngeal cough, respiratory muscle paralysis, pale tongue coating, and pulse count.

4. Liver and Kidney Deficiency The recovery period or sequelae of this disease, long-term paralysis, loose muscle atrophy, limb thinness and warmth, and even various deformities.

Sequelae of Polio Symptoms of Poliola

The disability of the sequelae of polio is mainly manifested as muscle paralysis and limb paralysis.

(1) Hip contracture flexion or instability, and even hip dislocation. Flexion deformities of the knee joint, inward or outward bending of the lower leg are all symptoms of sequelae of polio.

(2) Weakness of limb muscles, limb deformation, difficulty in movement of upper and lower limbs, joint instability, bilateral limbs of unequal length, etc.

(3) Symptoms of poliomyelitis are also manifested in the feet, and various deformities of the feet can also occur, such as the heel can not fall or the toes do not fall when walking, or it may be walking with the instep of the foot inside out.

In addition, deformities can occur in other parts of the body, such as deformities of the upper limbs, bending deformities of the spine, and tilting deformities of the pelvis.

Polio sequelae precautions for patients with polio sequelae

Treatment of sequelae of polio column

Rehabilitation training is best carried out under the guidance of a doctor. In general, the following should be noted:

1. Training should be done step by step and not be rushed. The number of activities is from small to large, the range of joint motion is from small to large, and the force used is from light to heavy. A gradual increase in the amount of training may receive good results.

2. No training should cause significant pain. Sometimes pain can occur during training, but after the activity is stopped, the pain should disappear. If severe pain occurs during training and does not disappear after a break, it is often a signal of operation. Stop training. If the pain is severe after training, and even lower limb edema appears, indicating excessive exercise, you should temporarily stop training.

3. Training should not feel tired. If you feel tired, you should rest for 5-10 minutes before training to avoid injury caused by overwork.

4. Master the appropriate training scale, quantity and method. Insufficient training volume has no obvious effect; and excessive training can cause limb damage, such as: muscle strain, joint swelling, fracture and dislocation, etc. Therefore, we must master this scale and the amount of training should be appropriate.

Diagnosis of Polio Sequelae

Key points for diagnosis

1. A history of acute polio.

2, age is more common in children 6 months-3 years old.

3. The degree is first and then light.

4. Only the motor function is lost, and the sensory and urination functions are normal.

5. Paralysis is mostly asymmetric, segmental, non-cluster, and quadriceps is most affected.

Symptoms and duration of polio sequelae: divided into 3 stages.

1. Acute phase: From the beginning of infection to limb paralysis, after the incubation period, it is a systemic reaction period with short-term fever and similar cold symptoms. The body temperature returns to normal in about 2-5 days, and limb paralysis occurs suddenly.

2. Recovery period: Systemic symptoms disappear and the degree of limb paralysis gradually decreases.

3, sequelae: the muscle paralysis of the corresponding innervation, due to posture, weight and other imbalances, there are various deformities and dysfunction.

A considerable part of people with physical disabilities in our country are left over from polio, called 'polio sequelae.' According to the 1987 census, there are about 1.83 million people with sequelae of polio in China. Since 1988 After the nationwide implementation of a rehabilitation program for the treatment of poliomyelitis sequelae, by the end of 1995, there were 500,000 people with polio sequelae who had undergone orthopedic surgery and improved their functions. Among them, Guangdong Province is in the "eighth five-year plan" During this period, more than 20,000 cases of "infantile anesthesia" were completed.

With the progress of planned immunization, the incidence of polio has been greatly reduced, and the number of patients with sequelae of polio has also decreased year by year. Nevertheless, there are still a large number of patients with pediatric sequelae that need to be corrected and recovered. Therefore, during the "Ninth Five-Year Plan" period, it is still a major task to continue to treat and restore physical disabilities such as sequelae of polio.

Stages of Polio Sequelae

Polio can be classified as paralyzed or non-paralyzed based on the presence or absence of muscle paralysis. The non-paralyzed type completely disappears after the acute phase, leaving no sequelae. Paralytic polio generally goes through the following three stages of development.

(L) Acute period: from contact infection to limb paralysis, with an average of 17 days. It is divided into 7 days incubation period, 5 days before paralysis, and 5 days paralysis. After the incubation period, a systemic reaction period, short-term fever, symptoms similar to colds, body temperature returned to normal in about 2-5 days, and limb paralysis suddenly occurred.

(2) Recovery period: After the acute phase, the body temperature is normal, general symptoms disappear, muscle paralysis no longer develops and begins to recover. This recovery is faster in the first 3-6 months, and gradually slows down after 6 months. After entering the sequelae period.

(3) Sequelae period: the recovery of nerve and muscle function has stopped, but the secondary pathological changes caused by polio will continue to develop, and the correspondingly innervated muscle paralysis may occur due to imbalances such as posture and weight bearing, and various deformities and disfunction. If it is not controlled and effective rehabilitation is performed, the deformity will become more obvious and worse.

Acupoint laser irradiation therapy for polio sequelae

(A) acupoint

Main points: Shoulder Yu, Quchi, Waiguan, Hegu, Tongguan, Futu, Liangqiu, Zusanli, Xiajuxu, Jiexi, Xuehai, Yinlingquan, Dachangyu, Zhibian, Ring Jump, Cheng Fu, Taixi, absolutely bone.

Acupoints: foot inversion plus Zhengyang and Qiu market; foot eversion plus Sanyinjiao and Shangqiu.

(II) Governing Law

The main acupuncture point is based on the syndrome and the acupoint is added. Take 4 to 6 holes each time and irradiate them with a He-Ne laser treatment machine with a wavelength of 6328 angstroms, an output power of 5 to 7 mW, a power density of 9600 mW / cm2, and a fiber core diameter of <200 m. . Once a day, 12 times is a course of treatment. The treatment interval was 1 week. 3 courses of treatment are for a period of 3 months.