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目的观察Bobath联合郁氏手法(PPT)治疗脑瘫患儿的临床效果。方法将我康复中心2005年12月至2007年3月住院治疗的40例脑瘫患儿,随机分为治疗组20例(Bobath法+PPT法),对照组20例(Bobath法),疗程均为3个月。结果治疗组与对照组治疗后的GMFM评分均较治疗前提高,每组治疗前后比较有显著性差异(P<0.01);治疗后Bobath+PPT组评分高于单独应用Bobath组,两组比较有显著性差异(P<0.01),Bobath+PPT组治疗的总有效率为95%,好于单独应用Bobath组治疗的总有效率70%,两者比较有显著性差异(P<0.05)。结论Bobath联合PPT法对于提高脑瘫患儿的运动功能力有很好的效果。
Objective To observe the clinical effect of Bobath combined with Yu’s hand method (PPT) in treating children with cerebral palsy. Methods Forty children with cerebral palsy admitted from December 2005 to March 2007 in our rehabilitation center were randomly divided into treatment group (Bobath method + PPT method) and control group (Bobath method). The treatment course was 3 months. Results The GMFM scores of the treatment group and the control group after treatment were significantly higher than those before treatment, and there was significant difference between before and after treatment in each group (P <0.01). The score of Bobath + PPT group was higher than that of the Bobath group alone after treatment (P <0.01). The total effective rate was 95% in the Bobath + PPT group, which was better than that of the Bobath group (70%). There was a significant difference between the two groups (P <0.05). Conclusion The combination of Bobath and PPT has a good effect on improving motor function in children with cerebral palsy.