ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (5): 379-381.doi: 10.3969/j.issn.1674-3865.2019.05.004

• 卫生健康事业发展70年巡礼 • 上一篇    下一篇

针刺联合运动疗法治疗痉挛性双瘫型脑性瘫痪临床观察

李克伟   

  1. 471200 河南 洛阳,河南省汝阳县人民医院儿科
  • 出版日期:2019-11-01 发布日期:2019-11-08
  • 作者简介:李克伟(1974-),男,医学硕士,副主任医师。研究方向:儿童神经系统疾病的康复,E-mail:18695997561@163.com

Clinical observation on acupuncture combined with exercise therapy in the treatment of spastic sputum cerebral palsy

LI Kewei   

  1. Department of Pediatrics,Ruyang County People's Hospital of Henan Province,Luoyang 471200,China
  • Online:2019-11-01 Published:2019-11-08

摘要:
目的
探讨分析对痉挛性双瘫型脑性瘫痪(简称脑瘫)患儿采用针刺联合运动疗法的疗效。
方法
选择2016年10月至2018年10月我院治疗的痉挛性双瘫型脑瘫患儿60例,随机分为观察组和对照组各30例。对照组给予运动康复治疗,包括运动疗法、作业治疗、核心稳定性训练。观察组在对照组治疗基础上辅助针刺治疗。疗程12周。采用改良Ashworth量表评分和足背屈角角度评估两组患儿双下肢腓肠肌肌张力缓解情况,采用粗大运动功能测量(GMFM)的D、E区分数变化评估站立与行走、跑功能改善情况,采用日常生活活动能力(ADL)量表评估日常生活能力改善情况。
结果
观察组治疗后改良Ashworth量表评分低于对照组,足背屈角角度高于对照组,差异有统计学意义(P<0.05)。观察组治疗后GMFM的D、E区分数和ADL评分均高于对照组,差异有统计学意义(P<0.05)。
结论
对于痉挛性双瘫型脑瘫患儿采用针刺联合运动疗法治疗可获得满意疗效。

关键词: 脑性瘫痪, 痉挛型双瘫, 针刺, 运动疗法, 儿童

Abstract:
Objective
To investigate the effect of acupuncture combined with exercise therapy on children with spastic sputum cerebral palsy (referred to as cerebral palsy).
Methods
Sixty children with spastic sputum cerebral palsy treated in our hospital from October 2016 to October 2018 were selected and were randomly divided into observation group(30 children) and control group(30 children). The control group was given exercise rehabilitation, including exercise therapy, occupational therapy, and core stability training. The observation group received acupuncture treatment in addition to the treatment for the control group. The course of treatment was 12 weeks. The modified Ashworth scale and the dorsal dorsiflexion angle were used to evaluate the relief of the muscle tension of the lower extremity gastrocnemius in the two groups. The changes of the D and E regions of the gross motor function measurement (GMFM) were used to evaluate the improvement in standing, walking and running functions. The improvement in daily living ability was assessed using the Activity of Daily Living (ADL) scale.
Results
The score of the modified Ashworth scale was lower in the observation group than in the control group, while the angle of the dorsiflexion of the foot was higher(P<0.05). The D, E and ADL scores of GMFM in the observation group were higher than those in the control group, and the difference was statistically significant(P<0.05).
Conclusion
Acupuncture combined with exercise therapy for children with spastic sputum cerebral palsy can achieve satisfactory results.

Key words: Cerebral palsy, Spastic sputum, Acupuncture, Exercise therapy, Children