Combined With Traditional Chinese Medicine Fumigation Therapy Of Ganglioside Clinical Observation Of Children With Spastic Cerebral Palsy

Background and objectives:Child cerebral palsy is caused in the world one of the most common cause of childhood physical disabilities.The data shows that, due to various reasons the incidence of pediatric cerebral palsy is rising year by year, one of the highest incidence is spasm cerebral palsy, accounts for about 60%～70% of all children with cerebral palsy, such clinical features of children with cerebral palsy are increased limb muscle tension, limited physical activity, abnormal posture, etc., lead to motor function in children with limited, make children lost the ability to care for daily life of different level, impaired quality of life, become the burden of the family and society.Ganglioside in neurogenesis, plays an important role in the process of growth, differentiation, and can repair damage nerve and nerve of injury can promote nerve regeneration, promote the growth of axons and synapse formation and restore innervation, and other functions.Ganglioside in neurogenesis, plays an important role in the process of growth, differentiation, and can repair damage nerve and nerve of injury can promote nerve regeneration, promote the growth of axons and synapse formation and restore innervation, and other functions.Clinical application of ganglioside type treatment of infantile spasm cerebral palsy is mainly ganglioside in nerve regeneration and repair function, which can better potential ability and the compensatory function of the brain are to mobilize, functional reconstruction.Chinese medicine fumigation in traditional Chinese medicine theory as the instruction, the warm stimulation and pharmacological effects can make the body vasodilation, the circulation of the blood flow and metabolism faster, thereby increasing body blood volume, improve the limb vascular elasticity, to relieve muscle spasms, maintain and expand of motion, correct contracture, reducing muscle tension, improve exercise capacity. Study shows that the application of ganglioside type and application of traditional Chinese medicine fumigation treatment of infantile spasm cerebral palsy achieved a certain effect, but have not used ganglioside in combination with traditional Chinese medicine fumigation in the treatment of infantile spasms type cerebral palsy, now we use the ganglioside muscle injection combined traditional Chinese medicine fumigation treatment of children with spastic type cerebral palsy, and with the ganglioside therapy of children, use Chinese medicine fumigation treatment of children on the contrast, all three groups of children with functional training and physical therapy at the same time, at the same time, compared with children of only be functional training and physical therapy, to observe the ganglioside in combination with traditional Chinese medicine fumigation in the treatment of spastic type cerebral palsy children curative effect, for clinical type infantile spasm cerebral palsy rehabilitation to provide feasible solutions.Research method:1. The research object to select 88 cases in 2013 between April and October 2014 in shandong zaozhuang maternity and child care children’s rehabilitation rehabilitation department comply with spastic type cerebral palsy children with inclusion criteria.2. According to the parents intend into three groups treatment group and control group, a group of 23 cases of treatment, treatment of two groups of 22 cases, treatment of three groups of 22 cases, control group 21 cases;2 to 6 years old, the girl 21 cases,67 cases of the boy.Treatment group used ganglioside muscle injection with traditional Chinese medicine fumigation therapy, treatment of two groups used ganglioside, three groups of application of traditional Chinese medicine fumigation treatment, the above three groups are at the same time cooperate with functional training and physical therapy, the treatment of a group of ganglioside and treatment of two groups with each dose of 20 mg muscle injection, once a day,10 days in a row, interval 20 days again used ganglioside muscle injection, continuous treatment for 3 months for a period of treatment;Traditional Chinese medicine fumigation for 20 minutes at a time, once a day, six days a week, continuous treatment for 3 months for a period of treatment.The control group only for functional training and physical therapy. 3. The muscle tone of each cases before treatment evaluation, inspection and joint mobility gross motor functional assessment scale (GMFM-88), a course of 3 months after the treatment were assessed the muscle tension again, check and assessment of GMFM-88 joint mobility.Muscle tension and statistical data to reduce the number of cases, the main motion increase the number of cases and increase the number of cases of GMFM-88 scores.Result evaluation(1) Muscle tone, according to the modified Ashworth rating system to thigh adduction muscle group, hamstring and calf triceps muscle tension were assessed, the muscle tension O, Ⅰ, Ⅰ+, Ⅱ, Ⅲ, Ⅳ level down to 0,1,2,3,4, and 5 points.If any group of muscle group after treatment decreased muscle tension level 1 above is divided into effective score reduced by 1.(2)The main motion increased 10° above is valid, (3) On children with gross motor function scale (GMFM 88) assessment of GMFM criteria according to complete degree awarded 0～3 points, scores by functional areas, respectively, and the final score to represent the gross motor function of before and after treatment.The results of the study:Statistics of three groups of effective and ineffective treatment group with a group of control group cases, efficient calculation, set forms, respectively treatment group and control group, treatment group and control group,3 group and control group, a set of treatment and treatment of two groups, treatment group and treatment group, the data for statistical analysis, the results are all P<0.05, there is statistical significance, therefore, in the case of cooperate with functional training and physical therapy, ganglioside and use traditional Chinese medicine fumigation therapy infantile spasm cerebral palsy, effect is limited to the curative effect of functional training and physical therapy is better, and at the same time under the condition of matching function training, physical therapy, application of combined traditional Chinese medicine fumigation treatment of infantile spasms ganglioside type cerebral palsy is of ganglioside alone or use Chinese medicine fumigation curative effect is better.Research conclusions:Ganglioside muscle injection as well as the application Chinese medicine fumigation treatment of infantile spasm cerebral palsy are effective, and the application of combined Chinese medicine fumigation ganglioside muscle injection treatment of children with spastic type cerebral palsy is better, can be more effective to reduce the risk of type spasm cerebral palsy muscle tone, expanding joint activity, improve the motor function.