大剂黄芪为主治疗小儿脑瘫粗大运动障碍的疗效观察  

Effect Obserration of Child Cerebral Palsy Gross Movement Disorders Treated with High Dose of Astragalus Mongholicus

作　　者：程婉[1] 张作美[1] 冯克久 蔡在欣 李爱武[2] 吕英[2] 

机构地区：[1]南方医科大学研究生学院,广东广州510515 [2]南方医科大学南方医院,广东广州510515

出　　处：《时珍国医国药》2016年第9期2192-2194,共3页Lishizhen Medicine and Materia Medica Research

基　　金：广东省中医药局2014年中医药强省建设专项资金广东省名中医师承项目(No.2100601)

摘　　要：目的观察运用大剂量黄芪为主的中药治疗小儿脑瘫粗大运动障碍的临床疗效,为临床治疗提供新的思路。方法将30例脑瘫患儿随机分为治疗组和对照组,治疗组17人,采用以大剂量黄芪为主的中药配合功能训练治疗;对照组13人,仅采用功能训练治疗。在治疗前和治疗10个疗程以后进行粗大运动功能评分(GMFM)评估及临床疗效评价,并且观察治疗10个疗程后患儿独立行走的情况。结果两组治疗前后粗大运动功能均有明显改善,两组间有显著性差异(P<0.05),治疗组在治疗10个疗程后可以独立行走例数明显多于对照组(P<0.05)。结论运用大剂量黄芪为主的中药治疗小儿脑瘫粗大运动障碍有效,可提高粗大运动的能力。Objective To observe the clinical effect on movement disorders in pediatric cerebral palsy treated with high dose of astragalus mongholicus and provide a new way. Methods There were 30 cases of pediatric cerebral palsy,randomly divided into treatment group（ treated with high dose of astragalus mongholicus and rehabilitation therapies,17 cases） and control group（ treated with rehabilitation therapies,13 cases）. The gross motor function measure（ GMFM） was administrated to evaluate the clinical effect,and after 10 courses to collect the condition of independent walking. Results Both of the two therapies could improve the condition in two groups. There was significant difference（ P〈0. 05） between the treatment group and the control group in terms of therapeutic effect on gross motor function,after 10 courses,it showed that in the treatment group the cases who could walk independently were much more than those in the control group the difference was significant（ P〈0. 05）. Conclusion High dose of astragalus mongholicus could improve movement of limb in children with cerebral palsy,especially the gross motor function.

关 键 词：脑瘫 大剂黄芪 粗大运动功能 

分 类 号：R259[医药卫生—中西医结合]