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 (4): 330-332.doi: 10.3969/j.issn.1674-3865.2019.04.015

• 临床研究 • 上一篇    下一篇

中药熏蒸联合蜡疗对痉挛型双瘫脑性瘫痪患儿立位平衡的影响

刘肖妮，林卓婷，李玉秀，张梦桃   

  1. 528200 广东 佛山，佛山市南海区妇幼保健院儿童康复科
  • 出版日期:2019-08-25 发布日期:2019-09-18
  • 通讯作者: 刘肖妮，E-mail：841001474@qq.com
  • 作者简介:刘肖妮(1981-)，女，主管护师。研究方向：儿童脑性瘫痪的康复护理

Effect of traditional Chinese medicine fumigation combined with wax therapy on the standing balance of spastic cerebral palsy children

LIU Xiaoni，LIN Zhuoting，LI Yuxiu，ZHANG Mengtao   

  1. Department of Child Rehabilitation of Nanhai Maternal and Child Healthcare Hospital, Foshan 528200, China
  • Online:2019-08-25 Published:2019-09-18

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摘要：
目的
观察中药熏蒸联合蜡疗治疗痉挛型双瘫脑性瘫痪(简称脑瘫)患儿立位平衡的临床疗效。
方法
选择2015年1月至2016年12月佛山市南海区妇幼保健院收治的痉挛型双瘫患儿60例，按就诊先后顺序分为对照组和观察组各30例。对照组给予常规康复训练，观察组在此基础上给予中药熏蒸联合蜡疗治疗，每日1次，每周6次，2周为1个疗程，疗程间隔1周，治疗3个疗程后采用改良Ashworth痉挛评定量表、粗大运动功能评估量表D区［GMFM(D)］、GaitView足底压力测试仪评价患儿肌张力和立位平衡能力变化。
结果
两组患儿治疗后Ashworth肌张力、GMFM(D)及GaitView足底压力测试值较治疗前均有不同程度改善，差异有统计学意义(P<0.05)。治疗后观察组以上指标均优于对照组，差异有统计学意义(P<0.05)。
结论
中药熏蒸联合蜡疗是一种安全、有效的脑瘫抗痉挛治疗方法。

关键词: 脑性瘫痪, 中药熏蒸, 蜡疗, 肌张力, 立位平衡, 儿童

Abstract:
Objective
To observe the clinical effect of traditional Chinese medicine fumigation combined with wax therapy on the standing balance of spastic cerebral palsy children.
Methods
Totally 60 cases of children with spastic cerebral palsy were chosen, who were treated in Foshan Nanhai District Maternal and Child Health Care Hospital from January 2015 to December 2016，and they were divided into control group(30 cases) and observation group(30 cases) according to the order of treatment. Both groups were given routine rehabilitation training, and the observation group was additionally given traditional Chinese medicine fumigation combined with wax treatment, 1 time per day, 6 times per week, with 2 weeks as one course. The interval between each two courses was 1 week. After 3 courses of treatment, the modified Ashworth muscle tension, GMFM(D) and Gait View plantar pressure tester were used to evaluate the muscle tension and standing balance of the child.
Results
After treatment, the Ashworth muscle tension, GMFM(D) and Gait View plantar pressure test values of both groups were improved to different degrees compared with those before treatment, the difference was statistically significant(P<0.05), and these indexes were better in the observation group(P<0.05).
Conclusion
Traditional Chinese medicine fumigation combined with wax therapy is a safe and effective anti-spasm treatment.

Key words: Cerebral palsy, Chinese medicine fumigation, Wax therapy, Muscle tension, Standing balance, Child