引导式教育加脑活素和丹参治疗对脑性瘫痪婴幼儿发育商的影响

Effect of conductive education combined with Salvin Miltiorrbiza and Cerebrolysin on the developmental quotient of infant with cerebral palsy

目的:将引导式教育(conductiveeducation,CE)加营养脑细胞和活血化淤药物治疗婴幼儿小儿脑性瘫痪,以期提高其康复效果。方法:2002-01/2004-01在安徽医科大学第一附属医院儿科和康复医学科对3岁以下的婴幼儿脑性瘫痪74例应用引导式教育治疗,79例应用引导式教育加脑活素和丹参治疗,并进行了1年的随访。结果:单用引导式教育治疗组的总有效率是68.92%,引导式教育加脑活素和丹参治疗组总有效率是87.34%,两组疗效差异有显著性意义(P<0.01)。治疗1年时的发育商水平比较:引导式教育组平均发育商值58.36±16.34,引导式教育加药物治疗组平均发育商值69.38±17.32,两组疗效差异有显著性意义(F=12.38,P<0.01)。结论:引导式教育对婴幼儿脑性瘫痪康复效果显著;引导式教育加营养脑细胞和活血化淤药物疗效更佳,对婴幼儿脑性瘫痪的发育商有较大影响。

AIM: To use conductive education(CE) and drug for nourishing brain cells and removing blood stasis to treat infants with cerebral palsy in order to improve the rehabilitative effect.<METHODS: From January 2002 to January 2004, 74 and 79 infants with cerebral palsy who were less than three years old received the treatment of CE and CE+ Cerebrolysin+ Salvin Miltiorrbiza respectively in the Departments of Pediatric and Rehabilitation Medicine, the First Affiliated Hospital of Anhui Medical University. One year follow up was conducted in all the infants.<RESULTS: The total effective rate was 68.92% for the single CE group and 87.34% for the combination group. And there was a significant difference between the two groups(P< 0.01). After one year treatment, the mean developmental quotients(DQ) were 58.36± 16.34 in the single CE group and 69.38± 17.32 in the combination group, and there was a significant difference between the two groups (F=12.38, P< 0.01).<CONCLUSION: CE is effective to treat infants with cerebral palsy, and CE combined with drugs for nourishing brain cells and removing blood stasis is more effective, and also has great effect on the DQ of infants with cerebral palsy.