A型肉毒毒素结合上田法治疗小儿脑性瘫痪痉挛状态的疗效观察

Therapeutic Effect of Botulin A Injection Combined with Wuida Approach for Children with Cerebral Palsy with Spasticity

目的:探讨A型肉毒毒素结合上田法在治疗小儿脑性瘫痪痉挛状态的疗效。方法:61例小儿脑性瘫痪患儿,随机分为两组,观察组35例,对照组26例。在理学疗法基础上,前者采用上田法和A型肉毒毒素治疗,后者采用Bobath法治疗。结果:经3个月治疗后,采用改良Ashworth痉挛量表进行评定,观察组和对照组治疗前、后相比,肌痉挛均明显降低,但两组治疗后相比,观察组疗效更优于对照组(P<0.05)。结论:A型肉毒毒素配合上田法治疗小儿脑性瘫痪能明显改善痉挛状态。

Objective; To study the effect of botulin A injection combined with Wuida approach for children with cerebral palsy with spastieity. Methods. Sixty-one patients with cerebral palsy were divided randomly into a trial group（35cases） and a control group（26cases）. On the base of physiotherapy, the trial group was treated with botulin A injection combined with Wuida ap- proach, and the control group was treated with Bohath method. Results： After three months, the effect was evaluated by the improved Ashworth. Spasticity was improved significantly in all the patients（P〈0.01） ,a comparison between the two groups revealed that the curative effect of the trial group was surperior to that of the control group（P〈0.05）. Conclusion.The method with botulin A and Wuida approach can improve more signiticantly spasticity.