“四肢分筋法”降低脑瘫患儿肌张力的疗效探析

Effective exploration on reducing muscle tension in the children with cerebral palsy by the Sizhi Fenjin therapy

目的:探讨"四肢分筋法"在痉挛型脑瘫患儿的康复治疗中对降低四肢肌张力的疗效。方法:将48例痉挛型脑瘫患儿随机分为观察组和对照组。观察组在现代康复训练和物理治疗基础上加"四肢分筋法",对照组仅用现代康复训练和物理治疗。3个疗程后观察两组患儿四肢肌张力变化。结果:治疗1个月、2个月后,两组四肢肌张力评分较治疗前有明显降低,差异有统计学意义(P<0.05);观察组四肢肌张力降低情况明显优于对照组,差异有统计学意义(P<0.05);治疗3个月后,观察组与对照组间四肢肌张力比较,差异无统计学意义(P>0.05)。结论:"四肢分筋法"可在短时间内有效降低痉挛型脑瘫患儿的四肢肌张力,从而有效缩短康复时间,提高康复疗效,增强患儿家属的治疗信心。

Objective To explore the effect of the Sizhi Fenjin therapy on reducing muscle tension of limb in children with spastic cerebral palsy. Methods： 48 patients were randomly divided into the observation group and control group. The control group was given modern rehabilitation training and physical therapy; the observation group was treated by the Sizhi Fenjin therapy more. The muscle tension of limb in two groups were observed after 3 courses. Results： After 1 month and 2 months, the muscle tension of limb in groups was decreased signifcantly, with a statistically signifcant diference （P〈0.05）. The reducing of muscle tension in the observation group was signifcantly better than the control group （P〈0.05）. After 3 months of treatment, there was no statistically signifcant diference in the muscle tension between groups （P〈0.05）. Conclusion： The Sizhi Fenjin therapy can efectively reduce muscle tension of limb in children with spastic cerebral palsy in a short time, so shorten the recovery time, improve the efcacy, and enhance confdence in families of children.