摘要
目的观察中医"五联"疗法改善痉挛型脑性瘫痪肌张力的临床疗效。方法将144例确诊为痉挛型脑性瘫痪的患儿随机分为治疗组(中医"五联"加运动疗法72例)、对照组(运动疗法加经络导推治疗及痉挛肌治疗各36例),治疗前和治疗1个月、2个月、3个月时分别由康复评定师用改良的Ashworh分级法评定标准评定肌张力,将MAS评级转化为评分,1级为1分,1+级为1.5分,2级为2分3,级为3分4,级为4分,治疗前进行1次评估作为基数,治疗后每满1个月对肌张力情况进行评价,治疗3个月,观察治疗组的疗效,治疗前后肌张力评分相差≥1分为有效。结果治疗组与对照组组间及各组自身前后肌张力评分对比,从第2个月开始有显著差异,3个月时差异更突出;治疗组3个月总有效率为91.18.%,对照组3个月总有效率为48.52%,两组比较差异有统计学意义(P<0.05)。结论中医"五联"疗法在降低痉挛型脑性瘫痪的肌张力方面疗效明显。
Objective To observe the clinical efficacy of the quintuplet therapy of Chinese medicine on the improvement of muscular tension in spastic cerebral palsy. Methods 144 cases with the definite diagnosis as spastic cerebral palsy were randomized into a treatment group （72 cases, treated with the quintuplet therapy of Chinese medicine ） and a control group （ 36 cases in each sub - group, treated with kinesitherapy plus meridian -collateral conduction, and the treatment for spasmtic muscles separately）. Before treatment, and in 1 st ,2nd and 3rd months after treatment, separately, the rehabilitation evaluator used the modified Ashworh scale to evaluate the standard of muscular tension. The MAS grade was transformed into score,named 1 grade was equal to 1 score,1 ＋ grade was to 1.5 scores,2 grade was to 2 scores,3 grade was to 3 scores and 4 grade was to 4 scores. Before treatment, the evaluation was given as the base number. After treatment, the evaluation of muscular tension was given once every full month. After treatment for 3 months, the efficacy was observed in the treatment group. The score difference ≥1 score before and after treatment was taken as effec- tive treatment. Results Concerning the comparison of the muscular tension score between the treatment group and the control group, and self - comparison before and after treatment in each group, the difference was significant since the 2rd month and it was much more prominent in the 3rd month. The total effective rate of the 3 months was 91.18% in the treatment group and was 48.52% in the control group,presenting the statistical significant difference （ P 〈 0.05 ）. Conclusion The quintuplet therapy of Chinese medicine is obviously effective in reducing the muscular tension in spastic cerebral palsy.
出处
《世界中西医结合杂志》
2012年第8期672-675,共4页
World Journal of Integrated Traditional and Western Medicine
基金
陕西省中医药管理局2009年中西医临床研究课题(No.LC115)
关键词
中医“五联”疗法
脑性瘫痪
肌张力
Quintuplet Therapy of Chinese Medicine
Cerebral Palsy
Muscular Tension
