摘要
目的:为了探讨适合我国国情的脑性瘫痪(脑瘫)康复模式,于2000年～2002年对脑瘫实施了传统医学康复的临床治疗对照研究.方法:对6个月～7岁的150例脑瘫患儿选用Bobath、上田正法的物理治疗(PT)与作业治疗(OT)、语言治疗(ST),配伍针灸、按摩、水疗、中医辨证施治等传统医学康复措施,以<小儿脑瘫家庭康复手册>和<小儿脑瘫家庭康复按摩VCD>为教材,对患儿家长进行定期培训、指导.结果:传统医学康复组100例近期(3个月)效果显著,大运动发育商(DQ)、精细动作DQ、运动发育指数(MQ)、小儿脑瘫运动量表(GMFM)治疗后较治疗前显著升高,P＜0.05或P＜0.01.远期效果(9个月)稳定,传统医学组总有效率显著高于西医康复训练组,t=6.926,P＜0.01.传统医学康复组头颅CT脑萎缩、软化、白质发育不良者,治疗后有25.92%好转或正常,西医康复训练组有2.56%好转或正常,两组有非常显著性差异,t=4.106,P＜0.01.结论:传统医学康复配合西医康复训练效果显著,既改善了脑病损伤区的神经细胞功能,抑制了异常运动模式与异常姿势反射,又实施了持久的家庭传统医学康复,提高了患儿的生存质量与生活自理能力.
Objective： To investigate the mode of cerebral palsy （CP） rehabilitation of suit to the condition of our country, we implemented composite rehabilitation from 1999 to 2001. Methods： Applying Bobath physiotherapy（PT）, occupation therapist（OT）, speech therapist（ST）, Matching acupuncture, massage, hydrotherapy,and Traditional Chinese Medicine, refer to Children Cerebral Palsy Home Rehabilitation Manual and Children Cerebral Palsy Home Rehabilitation VCD to take long-term home rehabilitation. Results： There was obvious effect in the recent period of treating group （3 months）. DQ , MQ, GMFE ascended obviously after treatment （P 〈 0.01 ）. Forward effect （9 months） was stable. The effect rate of treating group was higher than control group （ t = 6. 926, P 〈 0.01 ）. In skull CT inspect, There was significant difference in two groups （P 〈 0.01 ）. Conclusion： The rehabilitation of TCM not only improves nerve-ceU function of cerebral injury, alleviate anomaly motion mode and abnormal posture reflex, but also implement the lasting home rehabilitation mode. The therapy rises the patients＇ subsistence qualities and lives take care of themselves.
出处
《中医儿科杂志》
2005年第2期22-25,共4页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
脑性瘫痪
物理治疗
传统医学
康复
cerebral palsy
physiotherapy
Traditional Chinese Medicine
rehabilitation
