CAJ | 학술논문

目的：探讨神经节苷脂结合Bobath技术对痉挛性脑瘫儿康复影响效果。方法选取2013年2月～2014年10月我院收治90例痉挛性脑瘫儿随机分为神经节苷脂组、Bobath组和神经节苷脂结合Bobath组，治疗后检测并比较三组患儿表面肌电、三维步态，评定治疗效果。结果三组患儿治疗后RMS、iEMG、AEMG、CR值均有改善，但神经节苷脂结合Bobath组改善程度明显优于神经节苷脂组、Bobath组，两组间各值比较有统计学意义（P＜0.05）；三组患儿治疗后步速、劣势侧跨步、优势侧跨步长均有改善，但神经节苷脂结合Bobath组改善程度明显优于神经节苷脂组、Bobath组，两组间各值比较有统计学意义（P＜0.05）。结论神经节苷酯结合Bobath技术治疗脑瘫儿可改善患儿表面肌电、三维步态值，可帮助患儿康复，具有显著临床治疗效果，值得在临床中推广应用。
목적：탐토신경절감지결합Bobath기술대경련성뇌탄인강복영향효과。방법선취2013년2월～2014년10월아원수치90례경련성뇌탄인수궤분위신경절감지조、Bobath조화신경절감지결합Bobath조，치료후검측병비교삼조환인표면기전、삼유보태，평정치료효과。결과삼조환인치료후RMS、iEMG、AEMG、CR치균유개선，단신경절감지결합Bobath조개선정도명현우우신경절감지조、Bobath조，량조간각치비교유통계학의의（P＜0.05）；삼조환인치료후보속、열세측과보、우세측과보장균유개선，단신경절감지결합Bobath조개선정도명현우우신경절감지조、Bobath조，량조간각치비교유통계학의의（P＜0.05）。결론신경절감지결합Bobath기술치료뇌탄인가개선환인표면기전、삼유보태치，가방조환인강복，구유현저림상치료효과，치득재림상중추엄응용。
Objective To investigate the influence effect of ganglioside binding Bobath technique spastic cerebral palsy children rehabilitation.MethodsSelect 90 cases of spastic cerebral palsy children from February 2013 to October 2014 in our hospital,randomly divide them to Ganglioside group,Bobath group and ganglioside binding Bobath group,after treatment,testing and compared three groups of children with surface electromyography,three-dimensional gait,assessing treatment effect.ResultsAfter treatment,the three groups of children with RMS,iEMG,AEMG,CR values were improved,but the degree of improvement ganglioside binding Bobath group was significantly better than ganglioside group,bobath group,and the value comparison between the two groups had statistical significance(P<0.05);After treatment,the three groups of children walking speed,stride inferior side,dominant side stride length were improved,but the degree of improvement ganglioside binding Bobath group was significantly better than ganglioside group, Bobath group,and the value comparison between the two groups had statistical significance(P<0.05).ConclusionThe ganglioside binding Bobath treatment of children with cerebral palsy children can improve surface electromyography, three-dimensional gait value, can help children with rehabilitation, which has a substantial clinical curative effect and is worthy of clinical application widely.