蜡疗联合肢体功能被动训练与痉挛肌电疗治疗痉挛型脑瘫随机平行对照研究被引量：7

Randomized and Paralleled Control Study of Wax Therapy combined with Passive Training of Limb Function and Electrotherapy for Spasmodic Muscle in the Treatment of Spastic Cerebral Palsy

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摘要 [目的]观察蜡疗联合肢体功能被动训练与痉挛肌电疗治疗痉挛型脑瘫疗效。[方法]使用随机平行对照方法,将68例住院患者按随机数字表法分为两组;肢体功能被动训练(头部、躯干控制,手眼协调,爬行能力训练);痉挛肌电疗:痉挛肌治疗仪A路两电极置于痉挛肌肌腱处,B路两电极置于拮抗肌和痉挛肌,电流强度以患儿能耐受,引起明显收缩为宜,治疗1h/次,每隔1d治疗1次。对照组34例中药水疗,中药方(红花15g,苦参、艾草各10g,木瓜生、防风、荆芥、怀牛膝各8g,海桐皮、鸡血藤、川续断、透骨草、伸筋草各5g),煎煮后待水温降到39℃左右,气泡涡流浴,1次/d。治疗组34例蜡疗,中药方同对照组,药物研粉,使用恒温蜡疗机,熔点52～55℃,石蜡总量3kg,石蜡预先置于蜡疗机充分软化,药粉与软化石蜡混匀,冷却至45℃纱布浸蜡药混合液,敷痉挛肌,取1～2cm蜡饼铺在纱布上,布垫严密包裹,蜡疗过程中患儿保持安静,持续20min,1次/d。连续治疗1个月为1疗程。观测临床表现、肌张力、粗大神经运动功能评分、不良反应。连续治疗3疗程(3个月),判定疗效。[结果]肌张力、粗大神经运动功能评分两组均有改善(P<0.01),治疗组改善优于对照组(P<0.01)。[结论]蜡疗联合肢体功能被动训练与痉挛肌电疗治疗痉挛型脑瘫,疗效满意,无严重不良反应,值得推广。 [Objective] To observe the curative effect of wax therapy combined with passive training of limb function and electrotherapy for spasmodic muscle in the treatment of spastic cerebral palsy. [Methods] Randomized and paralleled control study was carried out. 68 inpatients were divided into two groups by the random number table method. The passive training of the limb function included control of head and trunk, hand-eye coordination and training of crawling capability. The conditions of electrotherapy for spasmodic muscle included that the two electrodes of route A in the instrument were placed on the tendon of the spasmodic muscle while the two electrodes of routine B were placed on the antagonistic muscle and the spasmodic muscle. The appropriate current intensity must be tolerated by the child, and could cause obvious contraction. The treatment lasted for 1 hour once, once every other day. 34 cases in the control group were treated by hydrotherapy with traditional Chinese medicine, and the prescription included 15 g of flos carthami, 10 g of Sophora flavescens, 10 g of wormwood, 8g of raw Chaenomeles sinensis(Thouin) Koehne, 8g of Saposhnicovia divaricata, 8g of Herba schizonepetae, 8g of Achyranthes bidentata, 5g of cortex erythrinae, 5g of Spatholobus suberctu, 5g of teasel, 5g of Garden Balsam Stem and 5g of lycopodii herb. After decoction, the water temperature dropped to about 39℃ for bubble whirlpool bath, once/d. The other 34 cases in the treatment group was given wax therapy, and the traditional Chinese medicine prescription was the same with the control group, The medicines were made into powder and melted with a wax machine with constant temperature, and the melting point was 52~55℃. The total amount of paraffin was 3kg. It was fully softened with a wax therapy machine firstly, and then itwas mixed with the powder. When the temperature dropped to 45℃, the gauze was dipped in the mixture of wax and medicine for external application on the spasmodic muscle. 1~2 cm of wax cake was paved on the gauze

作者韩晓晨 HAN Xiaochen(Rehabilitation Department,the Third Affiliated Hospital of Zhengzhou University,Zhengzhou 45000,China)

机构地区郑州大学第三附属医院康复科

出处《实用中医内科杂志》 2018年第11期53-56,共4页 Journal of Practical Traditional Chinese Internal Medicine

关键词痉挛型脑瘫五迟五软蜡疗肢体功能被动训练水疗痉挛肌电疗痉挛肌治疗仪肌张力、粗大神经运动功能评分中药复方随机平行对照研究 spastic cerebral palsy five kinds of retardation five weaknesses wax therapy passive function training of limb function hydrotherapy electrotherapy for spasmodic muscle therapeutic instrument for spasmodic muscle muscle muscle tension and gross nerve motor function score Chinese medicine compound Randomized and paralleled control study