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及对照组。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2组治疗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),差异有显著性(t=2.726,P<0.01);2组不同病情治疗后运动功能评分观察组轻度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±8.14,2组比较差异有显著性(t=5.112,P<0.01;t=3.105,P<0.01;t=2.026,P<0.05)。结论加用Peto法可提高不同病情程度脑性瘫痪患儿运动功能康复的疗效。

Objective To observe the therapeutic effect of Peto method on the recovery of the motor function in children with cerebral palsy （ CP ）. Methods Fifty-six children with CP were randomly divided into observation group and control group. The control group was treated by shangtian method and Vojta method, but in the observation group, Peto method was adopted additionally. The therapeutic effects in both groups were compared. Meanwhile, the effect of different conditions was analyzed. Results The score of the motor function after treatment in the observation group was significantly superior to that in the control group[ （64.88 ± 18.76）vs. （53.16 ± 13.45） ] （t = 2. 726, P 〈 0.01 ） ; After rehabilitative treatment, the scores of the 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 control group in the cases of slight ,moderate and severe degrees ,respectively,with significant differences （ t = 5.112, P 〈 0. 01;t=3. 105, P〈0.01,t =2.026,P〈0.05）. Conclusion Peto method can improve the therapeutic effect of rehabilitation of motor function in different cerebral palsy patients.