以体外反搏为主的综合疗法治疗小儿脑性瘫痪的疗效观察

关键词：脑性瘫痪  体外反搏  彩色多普勒  粗大运动功能测试量表

Keywords:cerebral palsy  external counterpulsation  transcranial color Doppler  gross motor function measure

摘要：

      目的：评价以体外反搏(ECP)为主的综合疗法治疗小儿脑性瘫痪（CP）的临床疗效，以及改善CP患儿颅内血供的有效性。方法:采用ECP为主的综合疗法（治疗组）治疗CP患儿50例。同时设常规治疗组（对照组）20例，进行对照观察。治疗前后均采用粗大运动功能测试量表（GMFM），评估各组临床疗效。并通过彩色多普勒（TCD）检测，评价治疗前后各组颅底动脉血流动力学的改善情况。结果：治疗组在治疗3个月后，临床疗效显著。GMFM平均每月上升分值较对照组有显著差异（P＜O.01）。同时，治疗组颅内血供显著改善（P＜O.01），而对照组颅内血供无明显改善。结论：以ECP为主的综合疗法治疗CP具有良好的改善颅内血供的作用，同时具有较好的临床疗效。

Abstract:

      Objective: To evaluate the clinical effect of external counterpulsation(ECP) and comprehensive treatment on children with cerebral palsy(CP). Method: Seventy children with CP were examined by transcranial color doppler(TCD) and the clinical status was assessed with gross motor function measure(GMFM) scale before and after treatment. The treatment group(50 cases) was treated with ECP combining with conventional therapy, and the control group(20 cases) was treated with conventional therapy only. Result:After 3 months treatment the blood flow rate of patients in treatment group increased extremely, while in control group increased insignificantly. The treatment group had significant curative effect.Conclusion: ECP combining with conventional therapy has significant therapeutic effect to improve cerebral blood flow in CP children.