中醫綜合治療對腦性麻痺兒童之臨床療效評估

Evaluation Of The Clinical Effect In Cerebral Palsy Children With Mixed TCM Treatment

蔡馥光(Fu-Kuang Tsai) ； 薛宏昇(Horng-Sheng Shiue) ； 李科宏(Ko-Hung Li)

《中醫藥雜誌》 28卷2期 (2017/12) Pp. 1-10

https://doi.org/10.3966/241139642017122802001

摘要

本研究採回溯性方式，回溯2006年5月至2008年3月在桃園長庚紀念醫院接受小兒腦性麻痺中醫優質門診試辦計畫的腦性麻痺兒童，共有138名的腦性麻痺兒童在西醫復健治療外，每周接受一次中醫綜合治療連續達九個月，並於治療前、治療後第三、六、九個月以粗動作功能評估量表（GMFM）與中華兒童發展量表（CCDI）評估得分，結果發現從治療的第三個月開始各項量度分數即有進步，而治療九個月後的進步均有統計意義（P＜0.05），在對照其他學者的研究後發現，在西醫的復健治療基礎上加上中醫綜合治療，可以使腦性麻痺兒童的動作功能與認知功能增加更多，即使是重度的腦性麻痺兒童也有幫助。

關鍵字

中醫綜合治療 ； 腦性麻痺

並列摘要

This study retrospected to children diagnosed with cerebral palsy (CP) and joined the pilot program of ＂Traditional Chinese Medicine (TCM) Day-care Out Patient Department of CP＂ in Taoyuan Chang Gung Memorial Hospital from 2006/05 to 2008/03. There were 138 children with CP received mixed TCM treatment once a week for 9 months besides rehabilitation treatment. Two evaluations ＂Gross Motor Function Measure (GMFM)＂ and ＂Chinese Child Developmental Inventory (CCDI)＂ were done before treatment and in 3^(rd), 6^(th) and 9^(th) month during treatment course. Results in this study showed all items of GMFM and CCDI progressed since 3^(rd) month. There was significance different (P＜0.05) in 9^(th) month evaluation. After reviewing and comparing with other studies, we find mixed TCM treatment combined with rehabilitation can strengthen motor and cognitive function in children with CP, even in severe children with CP.

並列關鍵字

mixed TCM treatment ； Cerebral palsy

參考文獻

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