抗痉挛治疗改善脑性瘫痪患儿大运动功能的作用  

Effect of antispasmodic therapy on the gross motor function in chi ldren with cerebral palsy

作　　者：梁松[1] 李江[1] 易霞[1] 李雄斌[1] 

机构地区：[1]东风汽车公司花果医院小儿弱智脑瘫治疗中心,湖北省十堰市442049

出　　处：《中国临床康复》2004年第3期432-433,共2页Chinese Journal of Clinical Rehabilitation

摘　　要：目的:探讨抗痉挛治疗对脑性瘫痪肢体运动功能的影响。方法:将50例小儿脑性瘫痪患儿用随机数字表分为治疗组25例,对照组25例。治疗组接受以上田法为主的抗痉挛治疗和神经发育疗法;对照组只接受神经发育疗法,采用大运动评价表(grossmotorfunctionmeasure,GMFM)进行功能评定及修订的Ashworth量表(Ashworth'smeasure,MAS)评定痉挛程度。结果:治疗组MAS评分为0.92±1.08,对照组评分为1.56±1.23,两组比较差异有显著性意义(t=1.78,P<0.05)。两组1～5功能区GMFM评分比较,差异均有非常显著性意义(t=3.17～5.32,P<0.05)。结论:抗痉挛治疗是改善肢体运动功能及痉挛程度的有效手段。AIM:To explore the effect of antispasmodic therapy on the limb motor function in children with cerebral palsy(CP). METHODS:Fifty children with CP were divided into the study group(n=25) and th e control group(n=25) with random number table.The study group was treated with Shangtian method as the main approach of antispasmodic therapy and neurodevelopm ental therapy,while the control group was treated with neurodevelopmental therap y.The level of spasm was evaluated by the gross motor function measure(GMFM) and the reform Ashworth's measure scale(MAS). RESULTS:The score of MAS in the study group(0.92± 1.08) was significantly di fferent from that in the control group(1.56± 1.23)( t=1.78,P< 0.05) .There we re significant differences in the score of GMFM of the 1-5 functional region b etween two groups(t=3.17-5.32,P< 0.05). CONCLUSION:The antispasmodic therapy is an effective method of improving the limb motor function and level of spasm.

关 键 词：治疗 抗痉挛作用 脑性瘫痪 运动功能 诊断 CP 神经运动 

分 类 号：R742.3[医药卫生—神经病学与精神病学]