Peto法对脑性瘫痪患儿运动功能恢复的疗效

Therapeutic effect of Peto method on the recovery of the motor function in children with cerebral palsy

目的:观察Peto法对脑性瘫痪患儿运动功能康复的疗效。方法:56例脑性瘫痪患儿随机分为观察组(24例)及对照组(32例)。对照组采用上田法、Vojta神经生理学方法治疗,观察组在此基础上加用Peto法。疗程结束后比较两组治疗后结果及不同病情间的疗效。结果:治疗后运动功能评分,观察组明显优于对照组(64.88±18.76和53.16±13.45),差异有高度显著性意义(t=2.726,P<0.01);两组不同病情治疗后运动功能评分分别为,观察组轻度78.15±14.36,中度45.35±9.25,重度41.99±9.42,对照组轻度62.04±9.18,中度38.43±7.43,重度37.23±8.14,两组比较结果轻、中度差异呈高度显著性意义,(t=5.112,P<0.01;t=3.105,P<0.01),重度差异呈显著性意义,(t=2.026,P<0.05)。结论:加用Peto法可增加不同病情程度脑性瘫痪患儿运动功能康复的疗效。

AIM:To observe therapeutic effectiveness of Peto method on the improvement of the gross motor function in children with cerebral palsy(CP). METHODS:Fifty-six children with CP were randomly divided into two groups:obse rvation group(n=24) and control group(n=32).The control group was treated with s hangtian method and Vojta method,but in the observation group,Peto method was gi ven additionally.The therapeutic effects in both groups were calculated after th erapy,respectively.Meanwhile,the effect and the difference of different state of illness were compared as well. RESULTS:The score of the gross motor function after rehabilitative treatment i n the observation group(64.88±18.76) was significantly superior to that in the control group(53.16±13.45)(t=2.726,P< 0.01);After rehabilitative treatment,the scores of the gross motor function were 78.15±14.36,45.35±9.25 and 41.99±9.42 in the observation group and 62.04±9.18, 38.43±7.43 and 37.23±8.14 in the co ntrol group in the cases of light,moderate and severe degrees respectively.There were highly significant differences for the rehabilitative treatment effect of light and moderate degrees(t=5.112,P< 0.01;t=3.105,P< 0.01),and significant diff erences for the severe degree(t=2.026,P< 0.05). CONCLUSION:Peto method can benefit the improvement of the gross motor function in cerebral palsy patients of different states of illness.