高压氧联合功能训练对脑瘫患儿运动功能的影响

Effects of hyperbaric oxygen combined with function training on motor function in children with cerebral palsy

目的：探讨高压氧联合功能训练对脑瘫患儿运动功能的影响。方法选取2012年12月-2013年12月期间在我院确诊并进行治疗的小儿脑瘫患儿72例作为研究对象,两组患儿均予运动功能强化训练（Bobath法）,观察组同时联合高压氧治疗,高压氧治疗：每日1次,连续治疗10 d,间歇20 d为1个疗程,连续3个疗程后观察疗效。比较两组患儿治疗后的疗效及治疗前后GMF评分的变化。结果观察组患儿治疗后的总有效率为94.4%,显著高于对照组（66.7%）,差异有统计学意义（χ2=11.238,P﹤0.05）。治疗前两组患儿GMF评分比较,差异无统计学意义（P〉0.05）。治疗后,两组患儿GMF评分均较治疗前显著降低（t=2.421、2.235,P〈0.05）,且观察组显著低于对照组,差异有统计学意义（t=2.387,P〈0.05）。结论高压氧联合功能训练较单纯的功能训练对改善患儿的运动功能效果更好,二者联用可以明显改善脑瘫患儿的运动功能,从而进一步提高脑瘫患儿的治疗效果,值得临床广泛推广和应用。

Objective To investigate the effects of hyperbaric oxygen combined with function training on motor function in children with cerebral palsy. Methods From December 2012 to December 2013 during the treatment,72 cases chil-dren with cerebral palsy were selected as the object of study confirmed in our hospital, two groups of children were given intensive training of motor function （Bobath method）, Hyperbaric oxygen therapy, 1 time a day, continuous treatment for 10 d, intermittent 20 d was 1 course of treatment, continuous treatment after the 3 curative effect observation. And the observation group was combined with hyperbaric oxygen treatment, the change of GMF score before and after treatment were compared between the two groups after treatment. Results The total effective rate of observation group patients after the treatment was 94.4%, significantly higher than the control group （66.7%）, the difference was significant （χ^2=11.238, P〈0.05） between two groups. Before treatment, GMF scores of two groups were not different significantly （P〉0.05）. After treatment, GMF scores of two groups decreased significantly （t=2.421, 2.235, P〈0.05）, and the GMF scores of observation group after treatment were sig nificantly lower than the control group, the difference was signifi-cant （t=2.387, P〈0.05）. Conclusion Training of hyperbaric oxygen combined with function training on motor function of relatively simple and the effect of the children is better than intensive training, two methods combined can obviously improved the movement function of children with cerebral palsy so as to further improve the effect of treatment of chil-dren with cerebral palsy, is worthy of extensive promotion and application.