中药蜡疗配合作业疗法治疗痉挛型脑瘫上肢功能障碍88例  

Observation on Therapeutic Effect of TCM Wax Therapy Combined with Occupational Therapy for 88 Cases of Cerebral Palsy Children with Upper Limb Functional Disturbance

作　　者：孔勉[1] 董小丽[1] 余志华[1] 伍蓉梅[1] 

机构地区：[1]成都市中西医结合医院儿童康复中心,四川成都610017

出　　处：《辽宁中医杂志》2012年第8期1535-1537,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：成都市卫生局青年基金课题(0701)

摘　　要：目的:观察中药蜡疗配合作业疗法对痉挛型脑瘫上肢功能障碍的治疗效果。方法:将158例有上肢功能障碍的痉挛型脑瘫患儿随机分为治疗组和对照组,治疗组88例,对照组70例。两组均进行常规作业疗法,对照组于作业治疗前进行45min普通蜡疗;治疗组于作业治疗前进行45min中药蜡疗,治疗均为每日1次,3个月后进行疗效评价。结果:两组患儿经过3个月治疗后,各项指标与治疗前相比有所改善,差异均有统计学意义(P<0.01),且治疗组较对照组效果明显。结论:中药蜡疗加作业疗法组与普通蜡疗加作业疗法对脑瘫的上肢痉挛、上肢运动功能及日常生活能力均有改善作用,但中药蜡疗加作业疗法较普通蜡疗加作业疗法对脑瘫的上肢痉挛及运动功能、日常生活能力的改善作用更明显。Objective：To observe the therapeutic effect of TCM wax therapy combined with occupational therapy for upper limb functional disturbance of cerebral palsy.Methods：158 cerebral palsy children were randomly divided into treatment group（88 cases）and control group（70 cases）.Occupational therapy was the basic treatment in each group.The cases of control group were treated 45 minutes by common wax therapy before occupational therapy.The cases of treatment group were treated 45 minutes by TCM wax therapy once a day,3 months after treatment the therapeutic effect was evaluated.Results：3 months after treatment,every index got improved than prior treatment in two groups,and compared with pre-treatment,there was significant difference in each group（P0.01）,and the treatment group was better than control group.Conclusion：TCM wax therapy combined with occupational therapy and common wax therapy combined with occupational therapy were effective on upper limb spasm,motor function and activity of daily living,but the former was more better than the latter.

关 键 词：中药蜡疗 作业疗法 痉挛型脑瘫 上肢功能障碍 

分 类 号：R682.22[医药卫生—骨科学]