周围神经选择性缩窄术联合中医康复治疗对痉挛型脑瘫的疗效观察

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摘要目的探讨痉挛型脑瘫患儿采用周围神经选择性缩窄术联合中医康复治疗的效果。方法选取2019 年7 月至2020 年1 月九江市中医医院收治的64 例痉挛性脑瘫患儿作为研究对象，采用随机数字表法将其分为对照组（32 例）与治疗组（32 例），对照组采用周围神经选择性缩窄术联合常规康复治疗，治疗组采用周围神经选择性缩窄术联合中医康复，两组均连续治疗3 个月。比较两组治疗3 个月后的临床疗效，以及治疗前、治疗结束时、治疗后1、6、12 个月时患肢肌张力。结果治疗组的临床总有效率高于对照组，差异有统计学意义（P＜0.05）；治疗结束时、治疗后1、6、12 个月时，两组肌张力评分均低于治疗前，且治疗组治疗结束时、治疗后1、6、12 个月时的肌张力评分均低于对照组，差异有统计学意义（P＜0.05）。结论痉挛型脑瘫患儿采用周围神经选择性缩窄术联合中医康复治疗可降低肌张力，临床疗效显著。

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关键词 ：脑瘫, 痉挛型, 周围神经选择性缩窄术, 中医康复

Abstract：Objective To investigate the effect of selective constriction of the peripheral nerve combined with rehabilitation of traditional Chinese medicine in children with spastic cerebral palsy. Methods A total of 64 children with spastic cerebral palsy who were admitted to Jiujiang Hospital of Traditional Chinese Medicine from July 2019 to January 2020 were selected as the research subjects, and they were divided into the control group (32 cases) and the treatment group (32 cases) by the random number table method. The control group was treated with selective constriction of the peripheral nerve combined with conventional rehabilitation, and the treatment group was treated with selective constriction of the peripheral nerve combined with traditional Chinese medicine rehabilitation. Both groups were treated for 3 months continuously. The clinical efficacy of the two groups was observed after 3 months of treatment, and the muscle tension of the affected limbs was observed before treatment, at the end of treatment and at 1, 6 and 12 months after treatment. Results The total effective rate of the treatment group was higher than that of the control group, and the difference was statistically significant (P＜0.05). At the end of treatment and at 1, 6 and 12 months after treatment, the scores of muscle tension in the two groups were lower than those before treatment, and the scores in the treatment group were lower than those in the control group, with statistically significant differences (P＜0.05). Conclusion Selective constriction of the peripheral nerve combined with rehabilitation of traditional Chinese medicine can reduce muscle tension in children with spastic cerebral palsy, which has significant clinical effect.

Key words： Cerebral palsy Spastic type Peripheral nerve seleetive coarctation Rehabilitation of traditional Chinese medicine

收稿日期: 2021-04-07

基金资助:江西省中医药管理局科技计划课题（2020B0073）

引用本文:

钟立伟；陈思思；谭政华. 周围神经选择性缩窄术联合中医康复治疗对痉挛型脑瘫的疗效观察[J]. 中国当代医药, 2021, 28(35): 12-14转18.
ZHONG Li-wei CHEN Si-si TAN Zheng-hua. Observation of curative effect of selective constriction of peripheral nerve combined with rehabilitation of traditional Chinese medicine on spastic cerebral palsy. 中国当代医药, 2021, 28(35): 12-14转18.

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http://dangdaiyiyao.com/CN/ 或 http://dangdaiyiyao.com/CN/Y2021/V28/I35/12

[7]	严晓华，何璐，郑韵，等.改良 Ashworth 量表与改良Tardieu量表在痉挛型脑瘫患儿评定中的信度研究[J].中国康复医学杂志，2015，30（1）：18-21.
[8]	穆晓红，李筱叶.痉挛型脑性瘫痪外科治疗专家共识[J].中国矫形外科杂志，2020，28（1）：77-81.
[9]	杨培中，刘向东，刘永博，等.联合式周围神经选择性部分切断术治疗儿童脑性瘫痪下肢痉挛[J].中华神经外科杂志，2019，35（1）：47-50.
[1]	何晓清，徐永清，杨曦.痉挛性脑性瘫痪的精细化诊疗[J].中国修复重建外科杂志，2019，33（12）：125-129.
[2]	王世杰，陈业涛，苗素华，等.周围神经选择性部分切断术治疗脑性瘫痪肢体痉挛[J].中华神经外科杂志，2019，35（1）：25-29.
[3]	徐杰，徐林，曾杰，等.选择性脊神经后根切断术改善脑瘫患者下肢功能的研究进展[J].中国骨伤，2020，33（5）：489-492.
[4]	曾杰，徐林，汪乐，等.选择性脊神经后根切断术联合中医康复综合疗法治疗痉挛型脑瘫80 例[J].中国中医骨伤科杂志，2020，28（4）：50-53.
[5]	中华医学会儿科学分会康复学组，中华医学会儿科学分会神经学组. 脑性瘫痪共患癫痫诊断与治疗专家共识[J].中华实用儿科临床杂志，2017，32（16）：1222-1226.
[6]	中华医学会儿科学分会康复学组.脑性瘫痪的病因学诊断策略专家共识[J].中华儿科杂志，2019，57（10）：746-751.
[10]	王明鑫，宗强，韩光良，等.周围神经选择性部分切断术治疗成人脑源性痉挛状态[J].中华神经外科杂志，2019，35（1）：43-46.
[11]	黄荧宇，苏利国.中药药浴配合护理干预对痉挛型脑瘫患儿的效果观察[J].中国医药科学，2020，10（21）：141-144.
[12]	章马兰，刘振寰.针刺对痉挛型脑瘫患儿下肢肌张力的影响[J].中国针灸，2018，38（6）：591-596.
[13]	张玲，宋虎杰，王兴.填精补髓法治疗痉挛型脑瘫患儿临床研究[J].山东中医杂志，2018，37（1）：43-45.
[14]	谈建新，赵娟娟，陈红霞.针灸联合MOTOmed 智能运动训练对痉挛型脑瘫患儿下肢运动功能和脑血流量的影响[J].世界中医药，2018，13（6）：1533-1536.
[15]	安晓菲，吴梦蝶，侯瑜超，等.针灸治疗痉挛型脑瘫的临床应用[J].世界中医药，2020，15（21）：118-122.