中药熏洗方联合小脑电刺激对脑瘫儿童的康复效果研究  

Analysis of rehabilitation effect of Chinese herbal fumigation plus cerebellar electrical stimulation on children with cerebral palsy

作　　者：孔红涛 李三松 Kong Hongtao;Li Sansong(Rehabilitation Medicine Department,Kaifeng Central Hospital(Kaifeng 475000))

机构地区：[1]河南省开封市中心医院康复医学科,开封475000 [2]郑州大学第三附属医院康复科,郑州450000

出　　处：《陕西中医》2018年第8期1098-1100,1104,共4页Shaanxi Journal of Traditional Chinese Medicine

基　　金：郑州市科技发展计划项目(20140508)

摘　　要：目的:探讨中药熏洗联合小脑电刺激对脑瘫儿童的临床康复效果。方法:选择88例脑瘫患儿作为研究对象。采用随机数字法将患儿分为对照组和观察组,各44例,对照组患儿在常规药物及Bohath、Vojta等康复治疗的基础上给予小脑电刺激治疗,观察组在对照组基础上给予中药熏洗治疗。比较两组患儿治疗前、治疗后3、6个月运动功能、认知功能及临床疗效情况。结果:两组患儿治疗3、6个月后运功功能、认知功能评分均明显高于治疗前(P<0.05),观察组患儿治疗3、6个月后运功功能、认知功能评分均明显高于对照组(P<0.05)。观察组患儿总有效率明显高于对照组(P<0.05),治疗后6个月,观察组社会适应、大运动、精细动作、语言及个人社交5个方面的DQ均明显高于对照组(P<0.05);与治疗前相比,治疗后对照组SPM评分无明显变化(P>0.05);治疗后3、6个月时,观察组SPM评分明显比治疗前提高,且治疗后观察组SPM评分明显比对照组高(P<0.05)。结论 :应用中药熏洗联合小脑电刺激能够有效改善脑瘫患儿运动及认知功能、临床疗效显著,在脑瘫患儿的康复治疗中具有重要的应用价值。Objective:To explore the clinical rehabilitation effect of Chinese medicine fumigation combined with cerebellar electrical stimulation on children with cerebral palsy.Methods:88 children with cerebral palsy treated were selected as research subjects.The children were divided into the control group and the observation group by random number method,44 cases in each group.The children in the control group were treated with cerebellar electrical stimulation on the basis of conventional medicine and Bohath and Vojta,and the observation group was treated with traditional Chinese medicine on the basis of the control group.The motor function,cognitive function and clinical efficacy of the two groups were compared before and 3 and 6 months after treatment.Results:The scores of functional function and cognitive function of the two groups were significantly higher than those before treatment(P<0.05)after 3 and 6 months of treatment.The scores of functional function and cognitive function of the children in the observation group were significantly higher than those in the control group(P<0.05)after 3 and 6 months of treatment.In the observation group,18 cases were basically independent and 22 cases were independent,the total effective rate was 40 cases(90.91%),11 cases in the control group were basically independent,24 cases were independent,the total effective rate was 35 cases(79.55%).The total effective rate of the children in the observation group was significantly higher than that of the control group(P<0.05).After the treatment of 6 months after treatment,the observation group was social adaption and big.The DQ of 5 aspects of exercise,fine movement,language and personal social interaction were significantly higher than those in the control group(P<0.05).Compared with the treatment before treatment,the SPM score of the control group was not significantly changed(P>0.05).At 3 or 6 months after treatment,the SPM score in the observation group was significantly higher than that before the treatment,and the SPM score in th

关 键 词：脑性瘫痪/中西医结合疗法 电刺激疗法 外治法 

分 类 号：R729[医药卫生—儿科]