应用中医体质分型治疗脑性瘫痪的临床研究

Clinical study of TCM constitution types in the treatment of cerebral palsy

目的评估中医体质分型治疗脑性瘫痪的临床疗效。方法将120名纳入研究的脑瘫患儿随机分为治疗组(60例)和对照组(60例),对照组采用PT,OT,ST等西医学治疗方法,治疗组在上述方法治疗的基础上加中医体质分型治疗。在治疗前后及治疗后3月,采用北京Gesell发育商(DQ)及免疫球蛋白IgG,IgA,IgE对患儿进行评估。结果治疗组患儿经过中医体质分型治疗,其免疫功能较对照组明显提高(P<0.05);治疗组于治疗前后对比,脑瘫患儿在社会适应、大运动、精细运动、语言、个人社交等方面有明显改善(P<0.05);治疗组在社会适应、大运动、精细运动、个人社交等方面疗效优于对照组(P<0.05),但在语言能力提高方面无明显差异(P>0.05)。结论在常规治疗模式基础上予中医体质分型治疗脑性瘫痪,能显著提高患儿免疫功能,从而提高疗效。

Objective To evaluate the clinical curative effect of TCM constitution types on cerebral palsy. Methods 120 cases of cerebral palsy were randomly divided into the treatment group （60 cases） and control group （60 cases）. The control group was treated with PT, OT, ST and other modern medical treatment, the treatment group was additionally treated according to traditional Chinese medicine constitution type. Before and after treatment, and 3 months after treatment, the Beijing Gesell development quotient （DQ） and immunoglobulin IgG, IgA, IgE were used to evaluate the children. Results Immune function in the treatment group was significantly improved compared with the observation group （P〈0.05） ; before and after the treatment in the treatment group, children with cerebral palsy in social adaptation, sports, fine motor, language, social and other aspects have significantly improved （ P 〈0.05 ） ; the treatment group in the social adaptation movement, motion, fine, social and other side effects was better than the control group （ P〈0.05 ） , but had no significant difference in the language ability （P〉0.05）. Conclusion The routine treatment according to TCM constitution in treating cerebral palsy can significantly improve the immune function, improve the curative effect.