Vojta疗法治疗小儿脑损伤性疾病30例临床观察

Vojta疗法治疗小儿脑损伤性疾病30例临床观察 Vojta疗法治疗小儿脑损伤性疾病30例临床 观察 Vojta?????????6???;???h?s????30???X?????? ?m????,?????? (?????V?????????????????)??,????k?????k?410008) k9????k;k?????k?????Vojta?????????????c?6???;???h?s?????:???X?????c????ko???? k??3?y??76????????????1??9?g?, ???6???;???h?s????????ko?????3?9??????(?P????)?????????t30??ko???????(Vojta??? ??????,?????????;???)????;?????? ?(???,?????????????;???)????ko????k????cVojta?????????????7??????????????????? o?(???????6??(j? 2 =6128,P<0105), ???????7?????????????r?????????o?(???????6??(j? 2 =6128,P<0105)ko????k?Vojta?????????????c?6???;???h?s?????;?? ?)?????:?(???????X?????c????ko [???>??]k?k?Vojta????;?6???;???h?s????;ZKS;CP k?k??:???s???j????????(ZKS),?bVojta?c?????l?????;?s ?d???????)??,?b???????Z????????????,?8?6???;?s?d?? (CP,????Little??)ko1862???????????5?????,WilliamJohn Little???W????47?????(eC???S??????eL(Spasticrigidity)???? ??????,?????????c?????SCPko?????6???;?d??????????:?0 ?6?????l???k???l?7???g?,???;???????l?????????s?;???h ???,??,???????:???s???????????????o?Uko?8?????X?(???? ???1,????kV?y??kV????kV??????????ko???;??1998?????;?d?? ??????????,????????????112??217ek [1,2] ,?y????2003??10 ?,??2004??10?,76??????????1??9?g?,???6???;???h???? ????????Vojta???????????????????P??ko????Vojta?????? ???????c?X???????6???;???h?s?????????c????ko 1k??????7???? 1??1k????y????k?60???????:?+34??,??26??ko??????:?+ 16??,??14??;??????:?+18??,??12??ko?X???3?????S???? 30??kV????????????4??,????????2??kV?S?=????2??kV???, ????12??kV?X??????2??ko?P????(??????)?7???????????3 ?????(?????5?t?3ko????????????????kV?s?dkV???????????? ?o?????????6??(P>0105)ko 1??2k??????0???????k?0??k??????0??:h????????????ekV?? ??????kV?o?U??????????????kV???e??????(?????5???1)koh? ????????kV?X???????????????????????8????ko???d????:?? ?????s?;???s????:????????kV???3???s????(???.????)kV???m ?s????(???(??????????)kV???r?s?;?????)??kV?????s?????? (?)?c?y??????)ko???)???k?0??:?X??????????90?W(?r)?? ?/??????kV90?W(?r)???X???????????5???????(??kV90?W (?r)?X?????????????????a??????ko 1??3k?????????k?h?Vojta????????????????:Vojta???????? ?c???t?s???y?????t?s?????h??????koh????t?s???y?b?c?? ???????1,?????X??????,?4??kV???b??kV???b??kV???b??,???? ???y????????????ko?????3???????c???????4,???????t???? ????,?XkV?????c?????????4,???????;??????????30??,?X?? ????kV????????,?????U??kV??????kV???????7????????ko?B?7 ?1??????????,???????????4???B?7?1???Z?????????1?????? ????;??????????,???????????4?????????4??????,???????? ???????y??????koh?Vj???t?s?????b????????????,?3?X ?;????????30??,?????U??kV?X??????,???????4???U??,?h?? ?4???????/?U????????ko?1???????5???t??,???????7?????? ?b???????????V,???X???;?????9???????????????1??,???? ??????????????ko??728???????U??,???8?????????????;?? ??,?Z???????9ko???????c?4?????????????????1,???r?b?V2 ??3?W,???W8??15min,30d?????g???1,?;??30d???1???g ???1koh????,????????:h?????:?????????????????3?????? ??,?b?r?c?????(???T?????????????????????????k?????? ?c;h?bobath?????b???c???????akarelbobath?d??,??1943?? ???8?P???S????,???b??????????????????????,???c???B?o ?U???????t?????????U??????????????koh??4?k??:?b???y?6 ???????5?????l?4?k?????c1988???S?????????????6???;?s ?d??????????koh??????s????koh?????????:?;???e???????? ??ko 1??4k????????t?3k????cj? 2 ????ko 2k????? 2??1k????????7??????????????k?????1ko ??1k????????7????????????????k?k?(??) k????d?????????(?????? k???????3022 3 71 k???????3013125 k?k???:j?2 =6128,3 P<0105 2??2k????????7??????????????(?r??)????k?????2ko ??2k????????7??????????????????k?k?(??) k????d????<90d>90d k???????3022 3 8 k???????301317 k?k???:j?2 =5155, 3 P<0105 3k????? 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[?B?????l:2005211218] ?????????????????6?<???????n?s?=???X?????? ?<????,?W?l?7,?e???1 (???C?V???%?o???;?????????5??,???Ck????%k?522000) k9????k;k?????k??????????????????????6?<?????n?s?=?????a??????????ko????k? 78???n?s?=?????a?????3?92??:???? ??39?????a?c???????????????4???c?????????????????6?<??????????,??????39???? ?a?c???????????????4???c?????????? ?6?<??,??2???????????1??????????????ko????k??????????1?7????????????(P<0 101),???????????7???]????????(P< 0101)ko????k??????????????????6?<???b???????l,?(???????n?s?=????????ko [???>??]k?k???????;????;???????6?<??;?n?s?=?? k?k??y????1998??1?,??2005??7?,??,???B???n?s?=???? ????78??,?378???????????3??2??,?????????????????c ???????6?<???????4??????????????????,?????????????c?? ?????????6?<??,???32???????????????????1ko 1k??????7???? 1??1k????y????k?78?????a?:?+40??kV??38??,????6??65 ??,???:?????=??36??,?????=??42??,???=??21??,?????s ?=??57??ko 1??2k??X??????k????a???(???r????,?????e??,?X?(???1?? ?g?5???g???4??????:h?????,h????U????,h?????,h??????? ??,h????.?)?bko?s???3???n?s????,?)???????5?????????? ??????,2??????????,???a???????U???????/,???????(?)?8 ?1??????????????,?????????????????(??????,?????????? ?a?????????)?a,???????????a???????)?a,???????K?a????kV ???6?;????????,?P?????;????ko 1??3k?????????k??y?????a??????????????,?:?s??????> 80%,?????U????,????X???????b??????????????????????, T??B?????c???????????b?p?a??,?3??????????????,???? ?????????=?????k????ko ??k?????????k???????3??h??U?????????6?<??,?????? ???7???y7kV8???????????????s?????????6?<????,?9???c?? ??110??112φ,?????c????016??018φ,???W???????????? ???a????16??20ml/kg,???B???s????????24??48h??????ko ?????s?=???a???U??????????koh????????6?<???????????? ?l??(1??115kpa)?U?<???????<??koh????(????????????,?? ?????U????????B??????,??????????CT????,?????????a?? ?s?=??,?????cB???????1???a???t?:?>???????(????,???? ?????????=??,?Z???????6?<???724??48h??B??????,???? ?b?p?(?a???s?=?????9,???(,?Z?8?+???a???t?:?>???????( ????,?????a?????9,?Z???=?????:?4???X???t???????(????, ???o???j???????c????????????koh????(?????c?????=???? ?<??,???????b?K?????????t????,?y?????????c?????;100 ml+??????1?0U?/????????????,?????7???(?????????? ???6?<?[????????1??2h?7????,h??????????????????????? ?(?????l?(?????l?e,???????????B????koh?????????,?=?? ???a???6???X,?K????????,?????l?e????????????,???6?j?? ?X?T???c????,???????d??????????????ko??????39??:h??? ?=???????????t???????????s?????????6?<????,?????s?6?7 ?????????8,?????????????????:??h?h?h??????c???????:?8 ?+???cko 291?:?????,????k?2006?????4 C 149: