采用中药蒸汽浴治疗儿童痉挛型脑瘫疗效观察

Clinical observation for traditional chinese fumigating to spasticity of cerebral palsy

目的探讨采用中药蒸汽浴治疗痉挛型脑瘫患儿的临床疗效。方法92例痉挛型脑瘫患儿在家长知情同意下，按数字表法随机分为治疗组和对照组各46例，对照组采用常规的功能训练和推拿治疗，治疗组在对照组的基础上加用中药蒸汽浴疗法，两组治疗均为3个疗程，应用改良Ashworth法进行肌张力评分，观察两组肌张力缓解的情况和临床疗效。结果经过治疗3个疗程后，治疗组肌张力评分为（1．15±0．71）分，较对照组的（1．49±0．83）分差异有统计学意义（t=3．11，P〈0．05）；治疗组总有效率为86．96％，明显高于对照组的69．57％（X^2=4．09，P〈0．05）。结论中药蒸汽浴可明显降低痉挛型脑瘫患儿的肌张力，提高临床疗效。

Objective To explore the efficacy of traditional Chinese fumigating＇s treatment effect on infant＇s spasticity of cerebral palsy. Methods 92 patients with infant＇s spasticity of cerebral palsy were randomly divided into two groups ： each group 46 patients. The control group received ordinary functional training and tuina therapies, and the treatment group except receiving functional training and tuina therapies ,they were given traditional Chinese fumigating additional, both groups were treated for 3 months. Results The muscular tension relieving extent in the treatment group is much better than that in the control group, and compared with the control group ,there is significant statistical difference （ t = 3. 11, P 〈 0. 05 ） ; The overall efficacy was 86.96% for the treatment group and 69. 57% for the control group. Between the two groups there were significant differences （ X^2 = 4. 09,P 〈 0. 05 ）. Conclusion Traditional Chinese fumigating could obviously relieve the muscular tension and improve clinical efficacy, and had a good clinical prospect.