物理疗法治疗小儿脑性瘫痪疗效探讨

The research on comprehensive rehabilitation treatmentin children suffering from cerebral palsy

目的：探讨以物理疗法（ Ｐ Ｔ） 治疗小儿脑瘫的疗效。方法：将２７４ 例脑瘫患儿分组治疗。第１ 组单纯药物组，第２ 组药物、头针、穴位注射组，第３ 组综合康复组。疗效评价分４ 等：正常化、显效、有效、无效。结果：总有效率，第１ 组６２ ．９ ％ ，第２ 组９１ ．１ ％ ，第３ 组９２．６％ 。第１ 组与第２ 组总有效率之比有非常显著差异（ Ｐ＜ ０．０１） 。第２ 组与第３ 组总有效率之比无显著差异（ Ｐ＞ ０ ．０１） ，但第２ 组与第３ 组的正常化与显效率之比有非常显著差异（ Ｐ＜ ０ ．０１） ，即第３ 组的治疗质量明显优于第２ 组。结论：以 Ｐ Ｔ为主的综合性康复治疗方法是目前治疗小儿脑瘫较为有效的方法，尤其对轻、中型痉挛型脑瘫效果更佳。

Objective : To studythe effectof physicaltherapyin children suffering from cerebral palsy( C P) . Methods:274 casessufferingfrom C Pwere seperatedintothree groups. Thefirst wastreated by medicine only,the second by medicine,head acupuncture and acupointinjection, and the third by comprehensive rehabilitation treatment. According reponse totreatmentcurative effect wasseperatedintofourdegrees:normalization,significanteffective,effective,and noeffective. Resulds: The totaleffective ratein thefirst was 62 .9 % ,thatin the second was 91.1% ,and the third 92 .6 % . There were significantdifferences betweenthe totaleffectiveratein the firstand thatin second( P< 0.01) . There were notsignificantdifferences ontotal effective rate between the second and the third ( P> 0.05) ,butiftheirsignificanteffective and nomalrate were com pared ,significantdifferences were found ( P< 0.01) . Conclusion : The comprehensive rehabilitationtreatment,in which P Twasessential,was considerably effectivein treating C Pat present,particularlyin light or medium spastic C P.[