中药浴式水疗结合推拿治疗脑瘫患儿下肢痉挛的疗效观察  

The clinical effect of Chinese herbal bath therapy combined with Tuina on the lower limb spasm in children with cerebral palsy

作　　者：姚志勇 Yao Zhiyong(Zhecheng People's Hospital Shangqiu,Henan 476200)

机构地区：[1]柘城县人民医院,河南商丘476200

出　　处：《辽宁医学杂志》2019年第1期84-86,共3页Medical Journal of Liaoning

摘　　要：目的研究中药浴式水疗结合推拿对脑瘫患儿下肢痉挛的影响。方法将42例痉挛型脑瘫患儿随机分为观察组(21例)和对照组(21例),对照组给予常规康复治疗,观察组在对照组基础上加用中药浴式水疗及推拿,于治疗前、治疗3个疗程后分别采用粗大运动功能量表(GMFM)、改良Ashworth(MAS)量表及踝关节活动范围对下肢痉挛进行评估。结果两组患儿治疗3个疗程后GMFM评分观察组显著高于对照组、MAS评分观察组明显低于对照组、踝关节活动范围观察组较对照组明显提高;观察组与对照组间差异均具有统计学意义(P<0.05)。结论中药浴式水疗结合推拿能有效地缓解痉挛型脑瘫患儿下肢痉挛,明显提高下肢运动功能。Objective To observe the clinical effect of Chinese herbal bath therapy combined with Tuina on the lower limb spasm in children with cerebral palsy. Methods Twenty-two children with spastic cerebral palsy were randomly divided into observation group ( 21 cases) and control group ( 21 cases). The control group was given routine rehabilitation treatment. The observation group was treated with Chinese herbal bath therapy and Tuina. The Grand Sport Function Scale ( GMFM),the modified Ashworth ( MAS) scale and the ankle range were adopted prior to and after 3 treatment cycles to evaluate the lower limb spasms. Results The GMFM score in the observation group was significantly higher than that in the control group ( P < 0. 05). The MAS score in the observation group was significantly lower than that in the control group. The range of ankle joint in the observation group was significantly higher than the control group. The difference between the observation group and the control group Was statistically significant ( P < 0. 05). Conclusion Chinese herbal bath therapy combined with Tuina can effectively relieve the lower limb spasm of the children with spastic cerebral palsy and improve the lower limb motor function.

关 键 词：脑性瘫痪 中药水疗 推拿 痉挛 

分 类 号：R742.3[医药卫生—神经病学与精神病学]