目的 观察不同黄芪剂量补中益气汤药浴对痉挛型脑瘫膝反张改善的作用。方法 将63例我院儿童肢体康复科收治的3~6岁痉挛型脑性瘫痪儿童随机分成模型组(A组)、黄芪60g组(B组)、黄芪120g组(C组),各21例。在各组均施行运动疗法的基础上,A组不附加其他治疗,B组用含60 g黄芪的补中益气汤熏洗,C组用含120 g黄芪的补中益气汤熏洗。各组在治疗3个月后进行相应疗效指标的观察。观察指标包括:(1)改良Ashworth量表(MAS);(2)膝关节最大伸直度的测量;(3)粗大运动功能评定量表(GMFM)中D、E能区分值。结果 C组有效率90.5%,显著优于A组的76.2%和B组的85.7%,C组的MAS、膝关节最大伸直度评定分值较治疗前明显降低,GMFM的D、E能区评定分值较治疗前明显提高,与A组和B组比较,差异有统计学意义(P<0.05)。结论 120 g黄芪剂量补中益气汤熏洗对3~6岁痉挛型脑瘫儿童膝反张改善作用为佳。
Abstract
Objective To evaluate the effect of Buzhongyiqi soup with different dosage of astragalus on children with spastic cerebral palsy.Methods Sixty-three cases of spastic cerebral palsy children aged 3 to 6 years were equally divided into three groups: model group (Group A),Astragalus 60 g group (Group B) and Astragalus 120 g group (Group C).Indexes for observation included the Modified Ashworth Scale(MAS).Genu recurvature and physical ability were determined before treatment.Results The effective rate was 90.5% in Group C, significantly better than 76.2% in Group A and 85.7% in Group B.MAS and knee joint maximum straight degree assessment score of Group C were significantly decreased, but the scores of GMFM D and E improved.Conclusions Treatment of children with spastic cerebral palsy with Buzhongyiqi soup containing Astragalus 120g is more effective.
关键词
脑性瘫痪 /
黄芪 /
补中益气汤 /
熏洗 /
膝反张 /
中医药疗法
Key words
cerebral palsy /
astragalus /
Buzhongyiqi soup /
fuming and washing /
genu recurvatum /
TCM therapy
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