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分段梯度治疗对痉挛型脑瘫的效果观察
引用本文:常崇旺,吴玉燕,耿宁,王学廉. 分段梯度治疗对痉挛型脑瘫的效果观察[J]. 中国临床神经外科杂志, 2011, 16(10): 592-595. DOI: 10.3969/j.issn.1009-153X.2011.10.006
作者姓名:常崇旺  吴玉燕  耿宁  王学廉
作者单位:第四军医大学唐都医院神经外科,西安,710038
摘    要:目的探讨分段梯度疗法对痉挛型脑瘫(SCP)的疗效。方法将2007年2月至2009年2月收治的、符合入选标准的SCP患者配对入组并随机分为梯度治疗组和常规治疗组,共34对病例;分别给予分段梯度疗法和常规疗法治疗;治疗前和治疗后6个月进行脑瘫分项功能、脑瘫痉挛临床分项、肌力及总体疗效评估。结果梯度治疗组术后6个月脑瘫分项功能评分如卧姿、立姿、步姿及蹲立变换等明显优于常规治疗组(P<0.05);两组术后6个月肌张力和肌力评分均较术前有显著改善(P<0.05),且梯度治疗组术后6个月肌张力和肌力评分均优于常规治疗组(P<0.05);梯度治疗组的疗效为"优"患者百分比明显高于常规治疗组(P<0.05)。结论分段梯度疗法可有效提高SCP患者的疗效。

关 键 词:痉挛性脑瘫  分段梯度疗法  疗效

Observation of curative effect of the subsection gradient treatment on the children with spastic cerebral palsy
CHANG Chong-wang,WU Yu-yang,GENG Ning,WANG Xue-lian. Observation of curative effect of the subsection gradient treatment on the children with spastic cerebral palsy[J]. Chinese Journal of Clinical Neurosurgery, 2011, 16(10): 592-595. DOI: 10.3969/j.issn.1009-153X.2011.10.006
Authors:CHANG Chong-wang  WU Yu-yang  GENG Ning  WANG Xue-lian
Affiliation:CHANG Chong-wang,WU Yu-yang,GENG Ning,WANG Xue-lian. Department of Neurosurgery,Tangdu Hospital,the Fourth Military Medical University,Xi'an 710038,China
Abstract:Objective To explore the curative effects of the subsection gradient treatment on the children with spastic cerebral palsy (SCP). Methods Sixty-eight children with SCP were randomly divided into the routine treatment (control) group and subsection gradient treatment (observed) group after they were paired according to the their age, sex and disease condition. The children received the subsection gradient treatment including selective posterior rhizotomy (SPR), subsection rehabilitation treatment abnd so on ...
Keywords:Spastic Cerebral Palsy  Treatment  Rehabilitation  Curative effect  
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