中医综合治疗小儿脑性瘫痪肝强脾弱证临床研究

摘要

Objective To observe the clinical efficacy of cerebral palsy children with liver strong spleen weak syndrome treated with integrated traditional Chinese medicine therapy. Methods Eighty cerebral palsy children with liver strong spleen weak syndrome were divided into treatment group (40 cases) and control group (40 cases). Patients in control group were treated with conventional therapy (including exercise therapy, occupational therapy, guidance education, physical factors, and psychological therapy), and patients in treatment group were treated with integrated traditional Chinese medicine therapy (acupuncture and traditional Chinese medicine medicated bath) additionally. Three months were set for a course of treatment, and the whole treatment lasted for a total of four courses. TCM clinical symptoms were scored every six months, muscle tone (MAS), gross motor function (GMFM), and daily life activity ability (MBI) were evaluated every three months for both groups. Results There were significant differences in the total scores of TCM clinical symptom, MAS, GMFM, and MBI at different treatment time points in the two groups, compared with that before treatment (P<0.01). There were significant differences in the total scores of clinical symptom for Chinese medicine, MAS, GMFM, and MBI at different treatment time points for treatment group, compared with that of control group (P<0.05). Conclusion Integrated traditional Chinese medicine therapy (acupuncture and traditional Chinese medicine medicated bath) for cerebral palsy children on the basis of western medicine therapy can more effectively improve function and life quality of children patients.%目的：观察中医综合疗法治疗小儿脑性瘫痪肝强脾弱证的临床疗效。方法将符合脑瘫肝强脾弱证的80例患儿分为治疗组和对照组各40例。对照组采用脑瘫常规治疗方案(运动治疗、作业治疗、引导式教育、物理因子及心理治疗),治疗组在此基础上联合中医综合疗法(针刺、中药药浴),3个月为1个疗程,共治疗4个疗程。每6个月进行中医临床症状评分,每3个月采用改良Ashworth量表(MAS)、粗大运动功能测量量表(GMFM)、改良Barthel指数(MBI)分别对肌张力、粗大运动功能和日常生活活动能力进行评估。结果与治疗前比较,2组不同治疗时点中医临床症状总积分、MAS评分、GMFM评分、MBI评分比较,差异均有统计学意义(P＜0.01)；不同治疗时点治疗组中医临床症状总积分、MAS评分、GMFM评分、MBI评分均优于对照组,差异有统计学意义(P＜0.05)。结论在西医综合康复的基础上联合针刺、中药药浴等中医综合治疗可更有效改善脑瘫患儿功能状况,提高患儿生活质量。