中药熏蒸联合功能训练治疗小儿痉挛型脑瘫临床研究  

Chinese Herbal Fumigation Combined with Functional Training in Treatment of Infantile Spastic Cerebral Palsy

作　　者：吴伟 陈海琼[2] 黄礼华 石云 WU Wei;CHEN Haiqiong;HUANG Lihua;SHI Yun(Rehabilitation Department,Maternal and Child Health Hospital of Hainan Province,Sanya 572000,Hainan,China;Department of Emergency,Maternal And Child Heahh Care Hospital of Sanya,Sanya 572000,Hainan,China;Department of Pediatric Brain RehabiIitation,Liuzhou TCM Hospital,Liuzhou 545000,Guangxi,China)

机构地区：[1]三亚市妇幼保健院儿童康复科,海南三亚572000 [2]三亚市妇幼保健院急诊科,海南三亚572000 [3]柳州市中医医院小儿脑康科,广西柳州545000

出　　处：《中华中医药学刊》2018年第8期1920-1923,共4页Chinese Archives of Traditional Chinese Medicine

基　　金：广西中医药民族医药自筹经费科研项目(GZZC16-74)

摘　　要：目的：探讨中药熏蒸联合功能训练治疗小儿痉挛型脑瘫的临床疗效，旨在促进患儿更快康复。方法：选择医院门诊2010年6月_2016年3月收治的80例小儿痉挛型脑瘫患者作为研究对象，采取随机数字表法将所有患儿分为观察组（40例）和对照组（40例），其中对照组采用功能训练的治疗方式，观察组在对照组的基础上采用中药熏蒸治疗，比较两组患儿治疗3个月后疗效、肌张力（采取Ashworth评分）、关节活动度（采用标准人体关节活动度测评量表测评）、粗大运动功能（GMFM-88评分）。结果：治疗后各组患儿疗效均较好，观察组患儿治疗有效率高达97．50％，高于对照组82．5％，P〈0．05，差异具有统计学意义；治疗前两组患儿Ashworth评分相当，两组患儿肌张力情况相当，P〉0．05，差异无统计学意义；治疗后各组患儿Ashworth评分均改善，较对照组，观察组患儿改善更明显，可见各组患儿肌张力均改善，观察组优于对照组，P〈0．05，差异具有统计学意义。治疗前两组患儿GMFM评分相当，P〉0．05，差异无统计学意义；治疗后各组患儿评分均改善，观察组评分优于对照组，P〈0．05，差异具有统计学意义。治疗前，两组患儿关节活动度相当（P〉0．05），差异无统计学意义；治疗后各组患儿关节活动度均提升，观察组优于对照组，P〈0．05，差异具有统计学意义。结论：中药熏蒸联合功能训练对小儿痉挛型脑瘫的肌张力、关节活动度（内收肌角、胴窝角、足背屈角）、粗大运动功能有明显的改善作用，治疗效果佳，可促进患儿早日康复，值得临床推广使用。Objective ： To explore the clinical efficacy of Chinese herbal fumigation combined with functional training in the treatment of spastic cerebral palsy in children, in order to promote the rehabilitation of children with acute cerebral palsy. Methods： Eighty cases of children with spastic cerebral palsy in our hospital during June 2010 - March 2016 as the objects of study, were randomly divided into observation group （40 cases） and control group （40 cases）. The control group was treated with function training treatment, and the observation group additionally used traditional Chinese Medi- cine fumigation treatment. After 3 months treatment, the curative effect of muscular tension （ Ashworth score）, range of motion（a measure of scale by standard of human joint motion） and gross motor function（ GMFM score 88） were com- pared. Results：The curative effect after treatment was better. The observation group＇ s effective rate was 97.50%, higher than 82.5% in the control group, P 〈 0. 05. The difference was statistically significant. The two groups＇ Ashworth score and muscle tension before treatment were not significant （ P 〉 0. 05 ）. After treatment, Ashworth scores were improved. Compared with the control group, the observation group＇ s was improved obviously. The visible muscle tension was im- proved in each group and the observation group＇ s was better than that of the control group and the difference was statisti-cally significant（P 〈0. 05）. Before treatment, the GMFM score of the two groups was equal and the difference was not statistically significant（P 〉 0.05 ）. The scores of each group were improved after treatment, and the score of observation group was better than that of the control group and the difference was statistically significant （ P 〈 0. 05 ）. Before treat- ment, two groups＇ joint activity was not statistically significant（P 〉 0. 05）. After treatment,the joint activities were im- proved and the observation group＇ s were better than th

关 键 词：小儿脑性瘫痪 中药熏蒸 功能训练 治疗结果 

分 类 号：R722.19[医药卫生—儿科]