CAJ | 학술논문

目的：探索治疗痉挛型脑瘫有效的中西医临床治疗方法。方法将120例患儿随机分为治疗组与对照组，各60例。对照组在腰骶段脊神经后根选择性部分切断术（SPR）后给予常规康复训练，治疗组在对照组的基础上给予双下肢局部熏蒸及药浴治疗；评价治疗前后两组患儿双下肢粗大运动功能评分及前后差值，比较两组总体疗效。结果治疗组总有效率为96．67％，对照组总有效率为86．67％，两组比较，差异有统计学意义（P＜0．05）；患儿粗大运动功能评定，两组自身前后比较，差异均有统计学意义（P＜0．05，P＜0．01）），治疗后组间比较，治疗组优于对照组（P＜0．05），两组评分前后差值比较，治疗组优于对照组（P＜0．01）。结论腰骶部SPR术结合中药局部熏蒸及药浴能有效降低痉挛型脑瘫患儿的肌张力，改善其运动功能，值得临床推广。
목적：탐색치료경련형뇌탄유효적중서의림상치료방법。방법장120례환인수궤분위치료조여대조조，각60례。대조조재요저단척신경후근선택성부분절단술（SPR）후급여상규강복훈련，치료조재대조조적기출상급여쌍하지국부훈증급약욕치료；평개치료전후량조환인쌍하지조대운동공능평분급전후차치，비교량조총체료효。결과치료조총유효솔위96．67％，대조조총유효솔위86．67％，량조비교，차이유통계학의의（P＜0．05）；환인조대운동공능평정，량조자신전후비교，차이균유통계학의의（P＜0．05，P＜0．01）），치료후조간비교，치료조우우대조조（P＜0．05），량조평분전후차치비교，치료조우우대조조（P＜0．01）。결론요저부SPR술결합중약국부훈증급약욕능유효강저경련형뇌탄환인적기장력，개선기운동공능，치득림상추엄。
Objective TodiscusstheclinicaleffectivetherapeuticmethodofintegratedChineseand westernmedicineforspasticcerebralpalsy.Methods Onehundredandtwentychildrenwererandomizedin-to a treatment group and a control group,60 cases in each one.In the control group,the conventional rehabili-tation was applied after the selective posterior rhizotomy(SPR).In the treatment group,on the basic treatment as the control group,the local herbal steaming bathing therapy was given in the lower limbs.The gross motor function and the different value before and after treatment were evaluated in the two groups.The overall effi-cacywascomparedbetweenthetwogroups.Results Thetotaleffectiveratewas96.67%inthetreatment group and was 86.67% in the control group,indicating the significant difference in comparison(P<0.05). In the self-comparison,the difference in the gross motor function evaluation was significant(P<0.05,P<0.01);after treatment,in comparison between the two groups,the value in the treatment was better than that in the control group(P<0.05).In comparison of the value difference before and after evaluation,the result inthetreatmentgroupwasbetterthanthatinthecontrolgroup(P<0.01).Conclusion Thelumbosacral SPR combined with local herbal steaming and bathing therapy effectively reduces muscle tone and improves motor function in the patients of spastic cerebral palsy and deserves to be promoted in clinic.