中药熏蒸配合作业疗法对提高痉挛型脑瘫精细运动功能的效果观察

Clinical Research on the Effect of Chinese Herbal Fumigation Combined with Occupational Therapy for Improving the Fine Motor Function of Children with Spastic Cerebral Palsy

目的观察中药熏蒸后配合作业疗法对提高痉挛型脑瘫患儿精细运动功能的效果。方法将70例痉挛型脑瘫患儿采用随机分组法分为观察组(n=35)和对照组(n=35)。对照组仅接受常规作业疗法,观察组采用中药熏蒸后配合作业疗法。于训练前及训练后三个月采用FMFM评分量表对两组患儿进行评定,比较两组的疗效。结果治疗后两组患儿的上肢运动功能均有不同程度改善,FMFM分值均较训练前有所提高(P<0.05)。观察组总有效率为85.71%,显著高于对照组的62.86%(P<0.05)。结论中药熏蒸后配合作业疗法可促进脑瘫患儿运动功能的恢复,提高双手精细运动能力。

Objective To observe the effect of occupational therapy after Chinese herbal fumigation for improving the fine motor function of children with spastic cerebral palsy. Methods Seventy cases of children with spastic cerebral palsy were randomly divided into two groups, with 35 cases in each group. The control group received routine occupational therapy, while the observation group received occupational therapy after Chinese herbal fumigation. The FMFM score was used for evaluation before training and 3 months after training,and the curative effects of two groups were compared. Results After therapy, both groups had improved upper limb movement function at different degree, and the FMFM scores improved significantly compared with those before therapy. The total effective rate of observation group was 85.71%, significantly higher than 62.86% of control group（P〈0.05）. Conclusions Chinese herbal fumigation combined with occupational therapy can promote the recovery of children with spastic cerebral palsy, and improve the fine motor function of both hands.