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 (5): 369-372.doi: 10.3969/j.issn.1674-3865.2019.05.001

• 卫生健康事业发展70年巡礼 •    下一篇

中药解痉方洗浴结合康复训练治疗痉挛型脑性瘫痪的疗效观察

张艳，黄礼华，石云，刘芳，张文柳，雷燕波   

  1. 545001 广西 柳州，柳州市中医医院儿童康复科
  • 出版日期:2019-11-01 发布日期:2019-11-08
  • 通讯作者: 黄礼华，E-mail：54368942@qq.com
  • 作者简介:张艳（1975-），女，医学硕士，主任医师。研究方向：中医脑病的诊治
  • 基金资助:
    广西中医药民族医药科研课题（GZZC16-74）；柳州市科学研究与技术开发计划课题（2016G020212）；广西中医药民族医药科研课题（GZZC16-75）

Effect of traditional Chinese medicine soaking combined with rehabilitation training in the treatment of spastic cerebral palsy

ZHANG Yan，HUANG Lihua，SHI Yun, LIU Fang，ZHANG Wenliu，LEI Yanbo   

  1. Department of Rehabilitation，Liuzhou Hospital of TCM，Liuzhou 545001，China
  • Online:2019-11-01 Published:2019-11-08

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摘要：
目的
观察中药解痉方洗浴结合现代康复训练对痉挛型脑性瘫痪（简称脑瘫）的影响。
方法
选择2016年8月至2019年5月柳州市中医医院收治的痉挛型脑瘫患儿60例为研究对象，随机分为观察组和对照组各30例。对照组采用Bobath疗法为主的运动疗法进行康复训练，观察组在对照组治疗基础上施用中药解痉方洗浴。采用改良Ashworth量表（MAS）评分判定临床疗效，采用粗大运动功能测试量表（GMFM）评价粗大运动功能。
结果
观察组总有效率为100.0%（30/30），显著高于对照组80.0%（24/30），差异有统计学意义（P<0.05）。两组治疗后GMFM评分显著高于治疗前，差异均有统计学意义（P<0.05）。两组治疗后GMFM评分比较差异无统计学意义（P>0.05）。
结论
中药解痉方洗浴配合康复训练可明显改善痉挛型脑瘫患儿的肌张力，有利于粗大运动功能的训练。

关键词: 脑性瘫痪, 痉挛型, 中药洗浴, 康复训练, 儿童

Abstract:
Objective
To observe the effect of traditional Chinese medicine spasmolysis formula combined with modern rehabilitation training on spasmodic cerebral palsy (referred to as cerebral palsy).
Methods
Totally 60 children with spastic cerebral palsy admitted to liuzhou traditional Chinese medicine hospital from August 2016 to May 2019 were selected as the study subjects, and were randomly divided into the observation group and the control group with 30 cases each. In the control group, Bobath therapy was adopted as the main exercise therapy for rehabilitation training. In the observation group, on the basis of treatment for the control group, traditional Chinese medicine spasmolysis prescription was applied for bathing. The modified Ashworth scale (MAS) score was used to evaluate the clinical efficacy, and the gross motor function test (GMFM) was used to evaluate gross motor function.
Results
The total effective rate of the observation group was 100.0% (30/30), which was significantly higher than that of the control group (80.0% (24/30), and the difference was statistically significant (P<0.05). GMFM score of the two groups after treatment was significantly higher than that before treatment, and the difference was statistically significant (P<0.05). There was no significant difference in GMFM score between the two groups after treatment (P>0.05).
Conclusion
The spasmolysis prescription for bathing combined with rehabilitation training can obviously improve the muscle tension of children with spasmodic cerebral palsy, which is beneficial to the training of gross motor function.

Key words: Cerebral Palsy, Spastic, Traditional Chinese medicine soaking, Rehabilitation training, Child