【作者】 刘振寰； 潘佩光； 马美美； 王青山； 张宏雁； 张春涛； 钱旭光；

【Author】 Nanhai Affiliated Maternity and Children’s Hospital of Guangzhou University of Traditional Chinese Medicine.Foshan,Guangdong(528200),China.Zhenhuan Liu, Peiguang Pan,Xuguang Qian,Meimei Ma,Qingshan Wang,Hongyan Zhang,Chuntao Zhang.

【机构】 广州中医药大学附属南海妇产儿童医院； 佛山市南海妇幼保健院；

【摘要】 为探讨适合我国国情的脑瘫康复治疗模式的推广应用,自1999年10月—2005年10月,我们对儿童脑瘫进行了中西医结合家庭康复模式的应用研究。在国际首次应用多元化的传统医学康复+现代康复+家庭康复的中西医结合家庭康复模式。经684例脑瘫患儿的治疗,临床有效率80.4%。显著高于现代医学康复组的32%,p<0.001,头颅CT复查脑发育不良恢复率31%,高于现代医学康复组的2.6%,p<0.001.显著优于国内外同类技术,有效降低了脑瘫儿童的致残率.。阐明了中西医结合康复的优势。经动物实验、微循环、脑电生理、影像学等基础研究验证,证明该康复模式有改善脑微循环,促进脑发育及神经细胞功能重组的作用。研究出了实用有效的脑瘫家庭康复适宜技术。编辑出版了脑瘫家庭康复书面及电视教材。添补了国内空白。发表论著20余篇。ISTP收录1篇,发表的主要著作被引用20次。国际学术交流12次。经鉴定委员会一致通过鉴定,并认为该研究达到国内领先、国际先进水平。结论该项中西医结合家庭康复模式,可有效降低脑瘫儿童致残率,减轻残疾儿童对社会与家长带来的巨大痛苦和经济负担,对提高我国人口素质,和谐医患关系有着积极重要的意义,若推广将产生较大的社会效益与经济效益。更多还原

【Abstract】 Objective:To investigate suitable rehabilitation modality of our country to spread.Methods:We studied the applying of integrated traditional and western medicine-home rehabilitation modality for children with cerebral palsy (tri-combined cerebral palsy rehabilitation modality) form Oct 1999 to Oct 2005. It was the first time that to study the combination of TCM rehabilitation with Western medicine rehabilitation and home rehabilitation modality in international and have an advantage of the technique of same kind.Results:The effective rate of 684 patients(80.4%) was significantly higher than that of Western medicine rehabilitation group(32%).And we took the leader of reporting the recovery rate of cerebral atrophy and dysplasia(31%) of cerebral palsy after treatment, significantly higher than that of treated by rehabilitation training only(2.56%). The study illuminated the dominantposition of TCM and western medicine rehabilitation.After the study of molecular biology,etiology,haemodynamics,and microcirculation,brain electrophysiology,imaging,we also proved that the combined rehabilitation modality can promote the function rebuilding of nerve cell. We carried out home rehabilitation for children with cerebral palsy at home,edited and published series teaching material including book and VCD and replenished the vacant of internal.We published 20 paper’s articles and one was included by ISTP and 20 times were cited.The opinion of the evaluation committee is that the study achieved the level of domestic leading and international advanced.Conclusion:The rehabilitation modality can effectively degrade mutilation rate of cerebral palsy and relieve mind and economy burden of family and society.更多还原