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 ›› 2019, Vol. 11 ›› Issue (3): 248-2250.doi: 10.3969/j.issn.1674-3865.2019.03.019

• 临床研究 • 上一篇    下一篇

水疗及熏蒸疗法对脑性瘫痪高危儿运动功能影响的研究

张君，王妍炜，白青云，张鹤，李维佳，申营胜   

  1. 450046 郑州，河南中医药大学护理学院儿科（张君，申营胜）；450000 郑州，河南中医药大学第一附属医院儿科（王妍炜，白青云，张鹤，李维佳）
  • 出版日期:2019-06-25 发布日期:2019-07-04
  • 通讯作者: 王妍炜，E-mail:ekwyw@163.com
  • 作者简介:张君（1993-），女，医学硕士，护师。研究方向：儿科脑病护理
  • 基金资助:
    河南省中医药科学研究专项课题（2016ZY3005）；河南省第九批重点学科〔教高（2018）119号〕

Effect of hydrotherapy and fumigation on motor function of high-risk children with cerebral palsy

ZHANG Jun，WANG Yanwei，BAI Qingyun，ZHANG He，LI Weijia，SHEN Yingsheng   

  1. Henan University of TCM, First Affiliated Hospital of Henan University of Traditional Chinese Medicine，Zhengzhou 450046，China
  • Online:2019-06-25 Published:2019-07-04

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摘要： 目的
研究水疗及熏蒸疗法对脑性瘫痪（简称脑瘫）高危儿运动功能的影响。
方法
选择2018年1月至2019年1月河南中医药大学第一附属医院儿科收治的脑瘫患儿80例为研究对象，随机分为观察组和对照组各40例。对照组给予基本治疗（推拿、理疗）。观察组在基本治疗基础上加用水疗和熏蒸疗法，每日1次，每周6 d，4周为1个疗程，连续治疗3个疗程。采用粗大运动功能测试量表（GMFM）和改良Ashworth肌张力分级法进行评定，并观察其安全性。
结果
观察组GMFM总百分率高于对照组，肌张力评分高于对照组，差异有统计学意义(P<0.05)。两组患儿在治疗过程中生命体征未出现异常情况，中药熏蒸时未发生过敏、烫伤等不良反应，水疗过程中未发生呛水等不良事件。
结论
水疗及熏蒸疗法可以促进脑瘫高危儿运动功能的改善。

关键词: 脑性瘫痪, 高危儿, 水疗, 中药熏蒸, 运动功能

Abstract: Objective
To study the effect of hydrotherapy and fumigation on motor function of high-risk children with cerebral palsy (CP).
Methods
Totally 80 children with cerebral palsy admitted to the Department of Pediatrics of the First Affiliated Hospital of Henan University of Traditional Chinese Medicine from January 2018 to January 2019 were selected as research subjects, and they were randomly divided into observation group and control group with 40 cases in each group.  The control group was given basic treatment(massage, physical therapy). In addition to basic treatment, the observation group also received hydrotherapy and fumigation, once a day, 6 days a week, and 4 weeks as a course of treatment, for 3 consecutive courses of treatment. Gross motor function test scale(GMFM) and modified Ashworth muscular tension grading method were used to evaluate, and its safety was observed.
Results
The total percentage of GMFM in the observation group was higher than that in the control group, and the muscular tension score was higher than that in the control group, the difference being statistically significant(P<0.05). The two groups of children did not have abnormal vital signs during treatment, no adverse reactions such as allergy and scald occurred during fumigation with traditional Chinese medicine, and no adverse events such as choking water occurred during hydrotherapy.
Conclusion
Hydrotherapy and fumigation therapy can improve motor function of high-risk children with cerebral palsy.

Key words: Cerebral palsy, High-risk infants, Hydrotherapy, Fumigation with traditional Chinese medicine, Motor function