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目的探讨颈总动脉周围交感神经网剥脱术配合Bobath训练治疗痉挛性脑性瘫痪(脑瘫)的疗效。方法将100例痉挛性脑性瘫痪患儿随机分为治疗组和对照组,治疗组采用颈总动脉周围交感神经网剥脱术配合Bobath训练,对照组仅行Bobath法康复训练,采用粗大运动功能量表(GMFM)治疗前后对两组患儿进行评定。结果治疗后治疗组患儿卧位和翻身、坐位、爬和跪、站立、走跑跳GMFM评分分别为96.55+12.23、84.63+17.87、88.20+21.02、45.22+4.06、47.34+7.66,对照组分别为89.20±11.11、75.30±17.64、78.45±20.13、29.68±4.10、29.69±8.09。结论颈总动脉周围交感神经网剥脱术配合Bobath训练可快速有效缓解痉挛,明显改善患者运动功能。
Objective To investigate the effect of sympathectomy of the common carotid artery with Bobath training on spastic cerebral palsy (cerebral palsy). Methods One hundred children with spastic cerebral palsy were randomly divided into treatment group and control group. The treatment group was treated by sympathetic nerve network stripping around the common carotid artery with Bobath training. The control group received only Bobath training and the gross motor function Table (GMFM) before and after treatment of two groups of children were assessed. Results After treatment, the GMFM scores of the children in the treatment group were 96.55 + 12.23, 84.63 + 17.87, 88.20 + 21.02, 45.22 + 4.06, 47.34 + 7.66, respectively. Was 89.20 ± 11.11, 75.30 ± 17.64, 78.45 ± 20.13, 29.68 ± 4.10, 29.69 ± 8.09. Conclusion The common carotid artery sympathectomy with Bobath training can quickly and effectively relieve spasticity and improve the motor function of patients.