水疗同步小儿推拿治疗痉挛型脑瘫的随机对照研究  

A Randomized Controlled Study on Synchronized Hydrotherapy and Pediatric Massage Therapy for Spastic Cerebral Palsy

作　　者：卢文辉[1] 张婷[2] 李明慧[1] 王晶 魏建军[1] 张军[2] LU Wen-hui;ZHANG Ting;LI Ming-hui;WANG Jing;WEI Jian-jun;ZHANG Jun(The First Affiliated Hospital of Nanchang University,Nanchang,Jiangxi 330006;The Affiliated Rehabilitation Hospital of Nanchang University,Nanchang,Jiangxi 330003)

机构地区：[1]南昌大学第一附属医院,江西南昌330006 [2]南昌大学附属康复医院,江西南昌330003

出　　处：《实用中西医结合临床》2024年第24期5-8,共4页Practical Clinical Journal of Integrated Traditional Chinese and Western Medicine

基　　金：江西省中医药管理局科技计划项目(编号:2021B565)。

摘　　要：目的探讨水疗同步小儿推拿治疗痉挛型脑瘫的临床效果。方法选取2022年1~12月收治的60例痉挛型脑瘫患儿,随机分为对照组和治疗组,各30例。对照组进行水疗治疗,治疗组进行水疗同步小儿推拿治疗,两组均治疗3个月。对比两组痉挛程度、肌电图指标、运动功能、步态指标及平衡控制能力。结果治疗后,治疗组改良Ashworth痉挛量表(MAS)评分、腓肠肌肌电积分值(iEMG)、拮抗肌协同收缩率(CR)明显低于对照组,差异有统计学意义(P<0.05);治疗组粗大运动功能评估量表(GMFM)、精细运动功能评估量表(FMFM)评分均高于对照组,差异有统计学意义(P<0.05);治疗组步长、步速、髋关节内旋、外旋及外展角度均高于对照组,步频低于对照组,差异有统计学意义(P<0.05);治疗组功能性Berg平衡量表(BBS)评分高于对照组,差异有统计学意义(P<0.05)。结论水疗同步小儿推拿治疗可提高痉挛型脑瘫患儿运动功能,减轻痉挛程度,纠正步态异常。Objective To explore the clinical effect of simultaneous hydrotherapy and pediatric massage in the treatment of spastic cerebral palsy.Methods Sixty children with spastic cerebral palsy admitted from January to December 2022 were randomly divided into a control group and a treatment group,with 30 cases in each group.The control group received hydrotherapy treatment,while the treatment group received hydrotherapy combined with pediatric massage treatment,both for 3 months.Compared the spasticity degree,electromyographic indicators,motor function,gait indicators,and balance control ability between two groups.Results After treatment,the modified Ashworth Spasm Scale(MAS)score,gastrocnemius muscle electromyography integral(iEMG),and antagonistic muscle co contraction rate(CR)in the treatment group were significantly lower than those in the control group,and the differences were statistically significant(P<0.05).The scores of Gross Motor Function Scale(GMFM)and Fine Motor Function Scale(FMFM)in the treatment group were higher than those in the control group,and the differences were statistically significant(P<0.05).The stride length,pace,hip joint internal rotation,external rotation,and abduction angle of the treatment group were all higher than those of the control group,and the step frequency was lower than that of the control group,with statistical significance(P<0.05).The functional Berg Balance Scale(BBS)score of the treatment group was higher than that of the control group,and the difference was statistically significant(P<0.05).Conclusion Simultaneous hydrotherapy and pediatric massage therapy can improve motor function,reduce spasticity,and correct gait abnormalities in children with spastic cerebral palsy.

关 键 词：痉挛型脑瘫 水疗 小儿推拿 同步治疗 

分 类 号：R742.3[医药卫生—神经病学与精神病学]