高压氧综合治疗小儿病毒性脑炎后遗肢体运动障碍疗效观察  

Therapeutic effect of hyperbaric oxygen integrated therapy on dyskinesia remained from viral encephalitis in children

作　　者：陈亚兰[1] 周君[1] 邹友良[1] 刘红英[1] 

机构地区：[1]南华大学附属第一医院儿科康复中心,湖南省衡阳421101

出　　处：《中华航海医学与高气压医学杂志》2008年第1期25-27,共3页Chinese Journal of Nautical Medicine and Hyperbaric Medicine

摘　　要：目的观察高压氧联合药物、运动疗法、针灸疗法综合治疗小儿病毒性脑炎后遗肢体运动障碍的临床疗效。方法60例病毒性脑炎后遗肢体运动障碍患者分成2组，每组30例。对照组给予常规药物治疗、运动疗法治疗和针灸治疗，治疗组在对照组的基础上再加用高压氧治疗，每日1次，10次为1个疗程，共治疗3个疗程。以Vugl—meyer评分（FMA）、修订的Ashworth量表（MAS）和Barthel指数评定（BI）作指标，评定2组的治疗效果。结果治疗后2组FMA、BI都有提高（均为P〈0．01），治疗组总有效率为86．7％，对照组总有效率为73．3％，2组比较差异有统计学意义（P〈0．05）。结论高压氧综合治疗小儿病毒性脑炎后遗肢体运动障碍临床效果良好。Objective To investigate the effect of hyperbaric oxygenation combined with drugs, exercise and acupuncture therapy on dyskinesia remained from viral encephalitis in children. Methods Sixty children with dyskinesia remained from viral encephalitis were divided into treatment group （ n = 30） and control group （ n = 30）. The subjects in control group were treated with drugs, exercise and acupuncture therapy, while those in treatment group, besides above treatments, were treated with hyperbaric oxygen treatment once daily for 3 courses all together and one course was 10 days. The Fugl-meyer （FMA）, the Modified Ashworth Scale （MAS）, and the Barthel Index（BI） were used as the indexes to assess the therapeutic effects. Results After treatment, the scores of FMA and BI of both treatment and control groups increased. The total effetive rates of both treatment and control groups were 86.7% and 73.3% , respectively, and there was statisticly difference between both of them （ P 〈 0.05 ）. Conclusions The integrated therapy has a good clinical effect on dyskinesia remained from viral encephalitis in children.

关 键 词：病毒性脑炎 高压氧 运动障碍 综合治疗 

分 类 号：R686[医药卫生—骨科学]