中药气泡浴对痉挛型双瘫脑性瘫痪患儿的疗效

摘要

目的：观察中药气泡浴对痉挛型双瘫脑瘫患儿的疗效。方法痉挛型双瘫脑瘫患儿在常规康复的基础上，对照组13例患儿行单纯气泡浴；实验组14例行中药气泡浴。治疗前和治疗10周后，使用粗大运动功能测试量表(GMFM-66)和改良Ashworth量表(MAS)分别评定患儿的运动功能和小腿三头肌肌张力。结果治疗后，两组GMFM-66总分均较治疗前显著增加(P<0.001)， MAS评分均较治疗前明显下降(P<0.01)；实验组GMFM-66的B、D、E区评分高于治疗前(P<0.05)，对照组无显著性差异(P>0.05)。组间比较，治疗后实验组MAS评分低于对照组(P<0.05)。结论中药气泡浴能改善痉挛型双瘫脑瘫患儿粗大运动功能，降低小腿三头肌肌张力。%Objective To observe the effects of Traditional Chinese Medicine bubble bath on the children with spastic diplegia cerebral palsy. Methods 13 children with spastic diplegia cerebral palsy received routine rehabilitation and bubble bath (control group), while 14 chil-dren received routine rehabilitation and Traditional Chinese Medicine bubble bath (experimental group). All the children were assessed with Gross Motor Function Measure (GMFM-66) and Modified Ashworth Scale (MAS) of triceps surae muscle before and 10 weeks after treat-ment. Results The total score of GMFM-66 increased (P<0.001) and the MAS score decreased in both groups (P<0.01) after treatment. The dimensions B, D, and E of GMFM-66 only increased in the experimental group (P<0.05). The MAS score decreased more in the experimen-tal group than in the control group after treatment (P<0.05). Conclusion Traditional Chinese Medicine bubble bath can improve gross mo-tor function and reduce triceps surae muscle tension of the children with spastic diplegia cerebral palsy.