ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2018, Vol. 10 ›› Issue (4): 300-303.doi: 10.3969/j.issn.1674-3865.2018.04.008

• 临床研究 • 上一篇    下一篇

基于三维步态系统分析中医疗法对痉挛型脑性瘫痪步态时空参数的影响

胡晓丽，王雪峰，韩洋   

  1. 110032 沈阳，辽宁中医药大学附属医院（胡晓丽，王雪峰）；辽宁中医药大学2013级中医儿科专业研究生（韩洋）
  • 出版日期:2018-08-25 发布日期:2018-12-03
  • 通讯作者: 王雪峰，Email：lnzywxf@163com
  • 作者简介:胡晓丽（1979-），女，医学博士，主治医师。研究方向：中医药防治瘫痪性疾病
  • 基金资助:
    辽宁省科技厅博士科研启动基金项目（201601189）

Analysis of the effect of TCM therapy on the temporal and spatial parameters of the gait in spasmodic cerebral palsy based on 3D gait system

HU Xiaoli，WANG Xuefeng，HAN Yang.   

  1. The Affiliated Hospital of Liaoning TCM University，Shenyang 110032，China
  • Online:2018-08-25 Published:2018-12-03

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摘要：
目的
基于三维步态系统提供的步态参数数据，对中医疗法治疗痉挛型脑性瘫痪（简称脑瘫）进行疗效评价。
方法
选取2014年1月至2015年1月辽宁中医药大学附属医院儿童康复中心及沈阳市儿童医院脑瘫康复中心收治住院的脑瘫患儿20例，采用三维步态分析系统，对20例脑瘫患儿入院时及中医康复1个月后分别进行步态检测，收集步态参数数据，康复前后数据进行比较。中医康复疗法参照“国家中医药管理局‘十一五’重点专科协作组五迟、五软、五硬（脑性瘫痪）诊疗方案”，根据入院时脑瘫患儿步态参数特点，采取针对性中医治疗方法。
结果
各年龄段患儿康复后步态周期时长较康复前有改善，差异有统计学意义（P<0.05）。3～6岁患儿康复后左侧支撑期时长较康复前有改善，7～8岁患儿右侧摆动期较康复前有改善，差异有统计学意义（P<0.05）。7～8岁患儿步幅长较康复前有改善，差异有统计学意义（P<0.05）。
结论
基于三维步态系统，中医疗法对痉挛型脑瘫运动障碍改善更具有针对性。同时，三维步态分析系统是一种科学地、客观地对中医疗法进行评价的技术方法

关键词: 脑性瘫痪, 三维步态, 步态参数, 中医疗法, 儿童

Abstract:
Objective:
To evaluate the treatment effect of TCM therapy on spasmodic cerebral palsy based on the data of gait parameters provided by the 3D gait system.
Methods:
A total of 20 children with cerebral palsy were included in the study, who were treated in the Affiliated Hospital of Liaoning TCM University and Shenyang Children Hospital from Jan. 2014 to Jan.2015. Their gait was detected by 3D gait analysis system on admission and one month after TCM rehabilitation; the data were collected and compared before and after rehabilitation. The rehabilitation therapy was based on the Diagnosis and Treatment Program of FiveLate, Five-soft and Five-hard(cerebral palsy) by the Eleventh-Five-Year Key Special Association Group of National TCM Administration Agency. The targeted treatment was performed according to the features of gait parameters of these children on admission to the hospital.
Results:
The length of gait interval in the children of each age group was improved after rehabilitation, and the difference was significantly statistical(P<0.05). The length of supporting on the left side in the children between 3 and 6 years old was improved after rehabilitation, and the length of waving on the right side in children between 7 and 8 years old was improved after rehabilitation, and there was statistical difference(P<0.05). The stride length was also improved in the children of 7 and 8 years old(P<0.05).
Conclusion:Based on the 3D gait system, the TCM therapy is more targeted to the improvement of dyskinesia in the children with spasmodic. In addition, 3D gait analysis system is a scientific and objective technology to evaluate the TCM therapy.

Key words: Cerebral palsy, 3D gait, Gait parameter, TCM therapy, Child