中药熏蒸联合康复训练对痉挛型脑性瘫痪患儿运动功能及肌张力的影响  

Effects of traditional Chinese medicine fumigation combined with rehabilitation training on motor function and muscle tension of children with spastic cerebral palsy

作　　者：贾广良[1] 王雪峰[1] JIA Guangliang;WANG Xuefeng(Liaoning University of Traditional Chinese Medicine Affiliated Hospital,Shenyang 110032,China)

机构地区：[1]辽宁中医药大学附属医院儿科,沈阳110032

出　　处：《中国中西医结合儿科学》2020年第4期316-319,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：“十一五”国家科技支撑计划项目(2008BAI53B067)。

摘　　要：目的探讨中药熏蒸联合康复训练对痉挛型脑性瘫痪(简称脑瘫)患儿运动功能及肌张力的影响。方法择取我院自2018年7月至2019年12月收治的痉挛型脑瘫患儿86例,随机分为观察组和对照组各43例。予以对照组综合康复训练干预,观察组患儿在对照组基础上接受中药熏蒸。比较两组患儿治疗前后的运动功能与肌张力水平,并观察不良反应情况。结果两组干预前GMFM-88、PDMS-FM、改良Ashworth评分比较,差异无统计学意义(P>0.05)。观察组治疗后GMFM-88、PDMS-FM评分为(88.49±7.60)分、(59.26±9.85)分,分别高于对照组(75.78±6.92)分、(50.67±8.14)分,观察组治疗后Ashworth评分为(1.46±0.81)分,低于对照组(1.87±0.70)分,差异均有统计学意义(P<0.05)。观察组有3例患儿出现轻微不良反应,未影响治疗。结论中药熏蒸联合康复训练能够有效改善痉挛型脑瘫患儿的运动功能,明显降低肌张力,康复效果确切,且安全性较高,临床上值得推广应用。Objective To investigate the effects of traditional Chinese medicine fumigation combined with rehabilitation training on motor function and muscle tension of children with spastic cerebral palsy.Methods Totally 86 cases of children with spastic cerebral palsy admitted to our hospital from July 2018 to December 2019 were selected and divided into two groups according to the random number table method,with 43 cases in each group.The control group was given comprehensive rehabilitation training for intervention,and the children in the observation group received traditional Chinese medicine fumigation in addition to the intervention for the control group.The motor function and muscle tension of the two groups were compared,and the incidence of adverse reactions were recorded.Results There was no significant difference in GMFM-88,PDMS-FM or Ashworth between the two groups before the intervention(P>0.05).After treatment,GMFM-88 and PDMS-FM scores in the observation group were(88.49±7.60)and(59.26±9.85),respectively,higher than those in the control group[(75.78±6.92)and(50.67±8.14)];after treatment,Ashworth score in the observation group was(1.46±0.81),lower than that in the control group(1.87±0.70);both of the differences were statistically significant(P<0.05).In the observation group,three children had mild adverse reactions,which did not affect the treatment.Conclusion Traditional Chinese medicine fumigation combined with rehabilitation training can effectively improve the motor function of children with spastic cerebral palsy and significantly reduce the muscle tension.The recovery effect is good,and the safety is high.It is worthy of clinical popularization and application.

关 键 词：痉挛性脑性瘫痪 中药熏蒸 康复训练 运动功能 肌张力 儿童 

分 类 号：R742.3[医药卫生—神经病学与精神病学]