中药熏洗对痉挛型脑性瘫痪42例患者疗效观察

目的：观察中药熏洗对痉挛型脑瘫患儿肌张力及关节活动度的疗效。方法：对42例双下肢痉挛型脑瘫患儿应用此疗法治疗，分别于治疗前、后，对患儿肌张力进行评级，并对内收肌角、胭窝角、足背屈角进行测量，以评定肌张力的改变情况和关节活动度的改善情况。结果：对治疗后患儿肌张力、内收肌角、胭窝角、足背屈角的改变进行疗效评价，其总有效率分别为83．3％、83．3％、81．0％、73．8％；治疗后肌张力较治疗前明显降低，有统计学意义（P〈0．01），内收肌角、腰窝角、足背屈角均较治疗前增大，经统计学处理，具有差异性（P〈0．05）。结论：应用中药熏洗结合点穴以及有效的护理措施治疗痉挛型脑瘫患儿，可明显降低肌张力、增加关节活动度，临床值得推广应用。

Efficacy of Chinese medicine Lotion on Spastic Cerebral Palsy

Objective： To observe efficacy of Chinese medicinal lotion on muscular tension and joint motion of children with spastic cerebral palsy. Methods： The lotion was applied to 42 child patients, and compared muscular tension and joint motion （ adductor angle, etc. ） before and after the treatment. Results： Respective total effective rate on muscular tension, adductor angle, popliteal fossa angle, foot dorsiflexion angle were 83.3% ,83.3% ,81.0% ,73.8%, all improved significantly when compared with those before the treatment （P 〈 0.05 ）, muscular tension in particular was significantly lowered （P 〈 0. 01 ）. Conclusion： Chinese medicinal lotion plus point pressure and effective nursing intervention can lower muscular tension, increase joint motion, thus preferable in clinical application.