Bobath疗法联合Vojta疗法在小儿脑损伤综合征早期康复中的应用

Application of Bobath therapy combined with Vojta in the rehabilitation of children patients with brain damage syndrome(BDS)

目的探究Vojta疗法应用于脑损伤综合征(BDS)患儿康复治疗的临床效果。方法选取126例BDS患儿为研究对象,按照随机数表法分为观察组与对照组各63例。对照组仅采取Bobath疗法,观察组在其基础上联合Vojta疗法进行治疗。比较治疗前及治疗3个月后,两组患儿运动功能[粗大运动功能测试(GMFM)]、发育情况[Gesell发育量表(GDS)]、大脑中动脉(MCA)血流动力学参数[平均血流速度(Vm)、搏动指数(PI)、阻力指数(RI)]变化,分析治疗3个月后,两组患儿肌张力[改良Ashworth肌张力量表(MAS)]差异。结果治疗3个月后,两组患儿GMFM、GDS各项评分及MCAVm水平均较治疗前有显著提升,且观察组明显高于同期对照组(均P<0.05);两组患儿MCAPI、RI水平均较治疗前有显著下降,且观察组明显低于同期对照组(均P<0.05);观察组患儿肌张力MAS评级明显低于对照组(P<0.05)。结论Vojta疗法治疗小儿BDS可取得较为理想康复效果,有利于其生长发育。

Objective To explore the clinical effects of Vojta therapy in the rehabilitation of children patients with brain damage syndrome( BDS). Me thods A total of 126 children patients with BDS were selected for the study.According to the random number table method,they were divided into the observation group and the control group,with 63 cases in each group.The control group was only given Bobath therapy while the observation group was treated with Bobath therapy combined with Vojta therapy.Before the treatment and 3 months after the treatment,the motor function [Gross Motor Function Measure(GMFM)],development status [Gesell Development Scale(GDS)] and hemodynamic parameters in middle cerebral artery(MCA) [mean blood flow velocity(Vm),pulsatility index(PI),resistance index(RI)] were compared between the two groups.After 3 months of treatment,the muscle tension [modified Ashworth muscle tension scale(MAS)] was analyzed in the two groups.Re s ults After 3 months of treatment,the items scores of GMFM and GDS and MCA Vm level in the two groups significantly increased compared with those before the treatment and the indexes in observation group were higher than those in the control group( P <0.05).The levels of MCA,PI and RI in the two groups significantly decreased compared with those before the treatment and the levels in the observation group were significantly lower than those in the control group( P<0.05).The muscle tension MAS classification in the observation group was significantly lower than that in the control group( P < 0. 05).Conclus ion Vojta therapy can achieve ideal rehabilitation effects in children with BDS and it is beneficial to prognosis growth and development,being of high clinical application value.