CAJ | 학술논문

目的：观察运动终板药物注射治疗痉挛型脑瘫患儿的效果。方法230例痉挛型脑瘫患儿分为对照组和观察组，每组115例。对照组给予综合康复，包括功能训练、物理因子治疗及药物应用；观察组在此基础上加痉挛肌肉运动终板注射维生素B1和维生素B12。治疗前后采用粗大运动功能测试(GMFM)评价患儿功能区的运动功能，采用改良Ashworth量表(MAS)评价痉挛程度，采用CDCC婴幼儿智能发育量表测定智力发育指数(MDI)和心理运动发育指数(PDI)。结果治疗后，两组患儿的粗大运动功能明显改善，MAS分级明显降低，MDI和PDI评分明显增加(P<0.01)；且观察组均优于对照组(P<0.05)。结论肌肉运动终板药物注射能提高脑瘫患儿粗大运动功能，减轻痉挛，改善智力发育。
목적：관찰운동종판약물주사치료경련형뇌탄환인적효과。방법230례경련형뇌탄환인분위대조조화관찰조，매조115례。대조조급여종합강복，포괄공능훈련、물리인자치료급약물응용；관찰조재차기출상가경련기육운동종판주사유생소B1화유생소B12。치료전후채용조대운동공능측시(GMFM)평개환인공능구적운동공능，채용개량Ashworth량표(MAS)평개경련정도，채용CDCC영유인지능발육량표측정지력발육지수(MDI)화심리운동발육지수(PDI)。결과치료후，량조환인적조대운동공능명현개선，MAS분급명현강저，MDI화PDI평분명현증가(P<0.01)；차관찰조균우우대조조(P<0.05)。결론기육운동종판약물주사능제고뇌탄환인조대운동공능，감경경련，개선지력발육。
Objective To explore the effect of drug injection in muscle motor points on children with spastic cerebral palsy. Methods 230 children with spastic cerebral palsy were divided into control group and observation group, with 115 cases in each group. The control group received comprehensive rehabilitation including functional training, physical therapy and medicine, while the observation group re-ceived injection of vitamin B1 and vitamin B12 in muscle motor points in addition. They were assessed with Gross Motor Function Measure (GMFM), modified Ashworth Scale (MAS), mental development index (MDI) and psychomoter developmental index (PDI) of CDCC Infant Me Ntal Development Scale. Results The gross motor function improved, MAS score decreased, the scores of MDI and PDI increased after treatment (P<0.01) in both groups, which were better in the observation group than in the control group (P<0.05). Conclusion Drug injec-tion in muscle motor points can improve the gross motor function, relieve spasm, and improve intelligence development of children with spastic cerebral palsy.