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目的观察AMIE方案治疗痉挛型脑瘫患儿运动功能障碍的临床疗效。方法采用随机、对照的试验方法,将40例痉挛型脑瘫患儿随机分为治疗组20例,施行AMIE方案;对照组20例,施行Bobath训练法治疗,均治疗60次。以治疗前后运动功能评分评价其临床疗效,并且随访12个月,了解患儿独立行走情况。结果两组治疗前后运动功能评分差异均有统计学意义(P<0.01),但两组之间比较差异无统计学意义。治疗组治疗后12个月可以独立行走例数明显多于对照组(P<0.05)。结论AMIE方案治疗痉挛型脑瘫患儿运动功能障碍有效,近期疗效等同于Bobath训练法,远期疗效优于Bobath训练法。
Objective To observe the clinical efficacy of AMIE in the treatment of motor dysfunction in children with spastic cerebral palsy. Methods A randomized controlled trial of 40 children with spastic cerebral palsy were randomly divided into treatment group (n = 20) and AMIE regimen. Control group (n = 20) received Bobath training and were treated 60 times. Before and after treatment to assess the clinical efficacy of motor function score, and follow-up of 12 months to understand the children walking independently. Results The scores of motor function before and after treatment in both groups were significantly different (P <0.01), but there was no significant difference between the two groups. The number of patients who could walk independently for 12 months after treatment in the treatment group was significantly more than that in the control group (P <0.05). Conclusion AMIE is effective in treating motor dysfunction in children with spastic cerebral palsy. The short-term efficacy is equivalent to Bobath training, and the long-term curative effect is better than Bobath training.