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 ›› 2020, Vol. 12 ›› Issue (6): 562-.

• 中医应用研究 • 上一篇    下一篇

下肢中药浴联合蜡疗治疗痉挛型脑性瘫痪的疗效观察

申艳娥   

  1. 110032 沈阳,沈阳市儿童医院康复科
  • 出版日期:2020-12-25 发布日期:2021-05-14
  • 通讯作者: 申艳娥,E-mail:447073656@qq.com
  • 作者简介:申艳娥(1982-),女,医学硕士,副主任中医师。研究方向:中西医结合治疗儿科系统疾病

Clinical observation on the treatment for spasmodic cerebral palsy with Chinese herb bathing and wax therapy of the lower limbs

SHEN Yan'e   

  1.  Rehabilitation Department,Shenyang Children's Hospital,Shenyang 110032,China
  • Online:2020-12-25 Published:2021-05-14

摘要: 目的:探讨下肢中药浴联合蜡疗治疗痉挛型脑性瘫痪(简称脑瘫)的临床疗效。
方法:选择2017年6月至2019年6月在沈阳市儿童医院治疗的痉挛型四肢瘫及双瘫脑瘫患儿60例为研究对象,随机分为对照组和观察组各30例。对照组给予综合康复训练及蜡疗,观察组在对照组治疗基础上加用下肢中药浴治疗。两组治疗时间以90 d为1个治疗疗程,共治疗2个疗程。在治疗前及治疗第1个、第2个疗程后,分别采用粗大运动功能测试量表(GMFM-88)评价疗效。
结果:治疗后两组GMFM-88评分均值较治疗前提高,观察组在治疗第1个疗程和第2疗程后结果均优于对照组,差异有统计学意义(P<0.05)。观察组总有效率、显效率均优于对照组,差异有统计学意义(P<0.05)。
结论:治疗痉挛型脑瘫在常规康复训练的同时采用下肢中药浴联合蜡疗,将传统中医疗法与现代康复方法相结合,具有较好的临床疗效。

关键词: 痉挛型脑性瘫痪, 蜡疗, 中药浴

Abstract: Objective:To investigate the clinical effect of lower limb herb bathing combined with wax therapy for spastic cerebral palsy.
Methods:Sixty cerebral palsy children with spastic quadriplegia and diplegia, who were treated in Shenyang Children's Hospital from June 2017 to June 2019, were included as the research subjects, and they were randomly divided into control group(n=30) and observation group(n=30). Both groups received comprehensive rehabilitation training and wax therapy, and the observation group received additional lower limb herb bathing. Both groups were treated for 90 days as a course, for 2 courses. The effect was evaluated by gross motor function measurement(GMFM-88) before treatment, and at the end of one and two courses respectively.
Results:The GMFM:-88 score was increased after treatment in both groups, and it was higher in observation group than in control group after one course and two courses of treatment(P<0.05). The total effective rate and the rate of obvious effect were both higher in observation group than in control group(P<0.05).
Conclusion:In the treatment of spastic cerebral palsy, the combination of conventional rehabilitation training with lower limb herb bathing and wax therapy, which is the combination of traditional Chinese therapy with the modern rehabilitation treatment, has significant clinical effect.

Key words: Spastic cerebral palsy, Wax therapy, Chinese herb bathing, Child