分段梯度治疗对痉挛型脑瘫的效果观察

Observation of curative effect of the subsection gradient treatment on the children with spastic cerebral palsy

目的探讨分段梯度疗法对痉挛型脑瘫(SCP)的疗效。方法将2007年2月至2009年2月收治的、符合入选标准的SCP患者配对入组并随机分为梯度治疗组和常规治疗组,共34对病例;分别给予分段梯度疗法和常规疗法治疗;治疗前和治疗后6个月进行脑瘫分项功能、脑瘫痉挛临床分项、肌力及总体疗效评估。结果梯度治疗组术后6个月脑瘫分项功能评分如卧姿、立姿、步姿及蹲立变换等明显优于常规治疗组(P<0.05);两组术后6个月肌张力和肌力评分均较术前有显著改善(P<0.05),且梯度治疗组术后6个月肌张力和肌力评分均优于常规治疗组(P<0.05);梯度治疗组的疗效为"优"患者百分比明显高于常规治疗组(P<0.05)。结论分段梯度疗法可有效提高SCP患者的疗效。

Objective To explore the curative effects of the subsection gradient treatment on the children with spastic cerebral palsy （SCP）. Methods Sixty-eight children with SCP were randomly divided into the routine treatment （control） group and subsection gradient treatment （observed） group after they were paired according to the their age, sex and disease condition. The children received the subsection gradient treatment including selective posterior rhizotomy （SPR）, subsection rehabilitation treatment abnd so on in the observed group. The curative effect was assessed by cerebral palsy （CP） subentry function, clinical subentry assessment for CP spasm, myodynamia and muscular tension before the treatment and 6 months after the treatment. Results The Postoperation CP subentry function in the prone posture, standing posture, gait, and shifting from squatting position to standing position was significantly better in the observed group than that in the control group （ P 0.05）. The muscular tension and myodynamia were significantly improved after the treatment compared to those before the treatment in both the groups （ P 0.05）. The muscular tension and myodynamia were significantly better in the observed group than those in the control group after the treatment （ P 0.05）. Conclusion The subsection gradient treatment is helpful to enhancement of the curative effect on SCP.