目的:觀察中藥水療配合功能訓練對痙攣型腦癱患兒臨床痙攣指數的影響。方法:采用隨機對照方法,在功能訓練的基礎上,進行中藥水療與傳統水療治療痙攣型腦癱患兒,并以臨床痙攣指數評價其療效。結果:兩個療程的治療后,對照組和治療組均能降低痙攣型腦癱患兒的臨床痙攣指數,與治療前相比均有統計學意義(Plt;0.05),其中治療組的差值為1.79±1.06較對照組1.23±0.84大,具有統計學意義(Plt;0.05)。結論:在綜合功能訓練的基礎上進行水療治療痙攣型腦癱患兒,具有較好的臨床療效,且中藥水療治療痙攣型腦癱優于傳統水療。
【摘要】 目的 觀察懸吊運動系統治療（sling exercise therapy， SET）聯合神經發育療法治療對痙攣型腦性癱瘓兒童肌張力及日常生活活動能力（activities of daily living，ADL ）的影響。 方法 2008年8月-2009年3月收治的40例雙下肢痙攣型腦性癱瘓兒童納入研究。根據隨機數字表法分為治療組與對照組，每組各20例。對照組與治療組均采用神經發育療法進行康復訓練，治療組在神經發育療法基礎上配合懸吊運動系統治療。觀察兩組患兒治療1、3個月時肌張力與ADL變化。 結果 治療1個月時，治療組患兒肌張力緩解明顯優于對照組（P＜0.05），3個月時，治療組肌張力緩解程度明顯優于對照組。兩組ADL評分比較，治療組ADL評分改善情況明顯優于對照組（P＜0.05）。 結論 懸吊運動系統治療聯合神經發育療法可明顯緩解痙攣型腦性癱瘓患兒童肌張力，提高ADL。【Abstract】 Objective To observe the effects of sling exercise therapy (SET) combined with neurodevelopmental therapy on muscle tension and activities of daily living (ADL) of children with spastic cerebral palsy. Methods Forty children with spastic cerebral palsy on bilateral lower limb were selected in our study. The children were randomly divided into a treatment group and a control group, 20 children in each group. Both the two groups were accepted rehabilitation training by neurodevelopmental therapy, while the treatment group was received SET as cooperate cure based on the neurodevelopmental therapy. The changes of muscle tension and ADL on the one and three months after treatment were observed. Results On the one and three months after treatment, the remission of muscle tension and improvement of ADL score were better than those in the control group, the differences were statistically significant(Plt;0.01). Conclusion SET combined with neurodevelopmental therapy can relieve the muscle tension, and improve the ADL of children with spastic cerebral palsy.