中药浴联合推拿治疗痉挛型脑瘫患儿踝关节活动障碍临床观察

Clinical Observation on Traditional Chinese Medicine Bath Combined with Massage on Ankle Dysfunction in Children with Spastic Cerebral Palsy

目的分析中药浴联合推拿在痉挛性脑瘫儿中的应用效果及对踝关节活动障碍的改善情况。方法将2016年4月—2018年2月治疗的痉挛型脑瘫患儿43例设为研究对象。全体患儿均接受中药浴联合推拿治疗,对比治疗前后患儿综合痉挛量表(CSS)评分以及踝关节活动度。结果痉挛型脑瘫患儿治疗总有效率为86. 05%。治疗后患者踝关节背屈活动度显著低于治疗前,CSS评分显著低于治疗前,差异有统计学意义(P <0. 05)。结论痉挛型脑瘫患儿采取中药浴联合推拿治疗能够获得较好的临床效果,有利于改善其踝关节活动度及肌肉痉挛,值得临床推广应用。

Objective To analyze the effect of traditional Chinese medicine bath combined with massage on spastic cerebral palsy children and the improvement of ankle movement disorder.Methods 43 children with spastic cerebral palsy treated in our hospital from April 2016 to February 2018 were studied.All the children were treated with traditional Chinese medicine bath combined with massage.The scores of Comprehensive Spasm Scale(CSS)and ankle motion were compared before and after treatment.Results The total effective rate of spastic cerebral palsy in children was 86.05%.After treatment,the ankle dorsiflexion activity was significantly lower than that before treatment,and the CSS score was significantly lower than that before treatment.There was a significant difference before and after treatment(P<0.05).Conclusion The treatment of spastic cerebral palsy with traditional Chinese medicine bath combined with massage can obtain better clinical effect.It is helpful to improve ankle motion and muscle spasm,and is worthy of clinical application.