AMIE方案治疗痉挛型脑瘫患儿运动功能障碍20例临床观察  

Clinical Observation on the Effect of AMIE Scheme for 20 Children Cases of Dyskinesia of Spastic Cerebral Palsy

作　　者：何竟[1] 董小丽[2] 段玉虎[3] 周红玲[2] 刘屹[1] 黄长琼[1] 赵雨[1] 陈名金[1] 

机构地区：[1]四川大学华西医院针灸科,成都市武侯区国学巷37号610041 [2]成都市第一人民医院 [3]四川省中医研究院附属医院

出　　处：《中医杂志》2008年第3期231-233,共3页Journal of Traditional Chinese Medicine

基　　金：四川省中医管理局诊疗项目(2003A32)

摘　　要：目的观察AMIE方案治疗痉挛型脑瘫患儿运动功能障碍的临床疗效。方法采用随机、对照的试验方法,将40例痉挛型脑瘫患儿随机分为治疗组20例,施行AMIE方案;对照组20例,施行Bobath训练法治疗,均治疗60次。以治疗前后运动功能评分评价其临床疗效,并且随访12个月,了解患儿独立行走情况。结果两组治疗前后运动功能评分差异均有统计学意义(P<0.01),但两组之间比较差异无统计学意义。治疗组治疗后12个月可以独立行走例数明显多于对照组(P<0.05)。结论AMIE方案治疗痉挛型脑瘫患儿运动功能障碍有效,近期疗效等同于Bobath训练法,远期疗效优于Bobath训练法。Objective To observe the effect of AMIE scheme for dyskinesia of spastic cerebral palsy. Methods The 40 children cases of dyskinesia of spastic cerebral palsy were randomized into the treatment group and the control group with 20 in each. The treatment group was treated by AMIE scheme and the control group was treated by Bobath training. Both groups were treated 60 times. The scores of movement functions before and after treatment were applied to evaluate the effect and 12-month follow-up was done to know the condition of independant walking. Results Compared with before treatment, the difference in the scores of movement func- tions of both groups was significant （P〈0.01）,but there was no significant difference in the scores between groups. The follow-up showed that in the treatment group the cases who could walk independently were much more than those in the control group, the dif- ference was significant （P〈0.05）. Conclusion The AMIE scheme was effective for dyskinesia of spastic cerebral palsy; the shortterm result was the same as that of Bobath training and the long-term result was better than that of Bobath training.

关 键 词：脑瘫 针灸疗法 痉挛型 运动功能 

分 类 号：R742.3[医药卫生—神经病学与精神病学]