康复训练结合健脾补肾调督针刺法治疗痉挛型脑瘫患儿43例临床观察

Clinical observation on 43 cases of spastic cerebral palsy in children treated with the combination of rehabilitation training and acupuncture of Jianpi Bushen Tiaodu

目的观察康复训练结合健脾补肾调督针刺法治疗痉挛型脑瘫患儿的临床疗效。方法选取2014年9月至2017年5月在我院门诊或住院部治疗的86例痉挛型脑瘫患儿作为研究对象,随机分为对照组和治疗组,各43例。对照组给予康复训练,40 min/次,1次/d。治疗组在对照组治疗方法的基础上给予健脾补肾调督针刺法治疗,1次/d,6次/周,中间休息1 d。2组均治疗4周后统计疗效。结果治疗组总有效率为95.35%,高于对照组的79.07%,差异有统计学意义(P<0.05)。治疗前2组内收肌肌张力评分和内收肌角度比较,差异均无统计学意义(P>0.05);与治疗前比较,同组治疗后内收肌肌张力评分均降低(P<0.05),内收肌角度均升高(P<0.05),且治疗组改善程度明显优于对照组(P<0.05)。治疗前2组粗大运动功能评估量表(GMFM)-88中D区、E区评分比较,差异均无统计学意义(P>0.05);与治疗前比较,同组治疗后GMFM-88中D区、E区评分均提高(P<0.05),且治疗组改善程度显著高于对照组(P<0.05)。结论康复训练结合健脾补肾调督针刺法可有效提高痉挛型脑瘫患儿的临床疗效,降低内收肌肌张力和增加内收肌角度,提高患儿行走和跑跳功能。

Objective To observe the clinical effect of children with spastic cerebral palsy treated with the combination of rehabilitation training and acupuncture of Jianpi Bushen Tiaodu.Methods According to sequence of hospitalization,86 cases of children with spastic cerebral palsy in our inpatient or outpatient from Sept.2014 to May2015 were randomly divided into therapy group and control group with 43 cases in each.The control group was given rehabilitation training,40 minutes one time each day,while the therapy group was treated with acupuncture of Jianpi Bushen Tiaodu based on the treatment of control group,1 time each day,6 times one week.The clinical effects of two groups were observed after 4 weeks.Results The total effective rate in therapy group was 95.35%,much higher than 79.07%in control group,differences had significance(P<0.05);before treatment,there were no significant differences in the muscular tension scores and angles of adductor of two groups(P>0.05).The muscular tension scores of adductor after treatment significantly decreased as compared with that before treatment in both groups(P<0.05),its angles became bigger(P<0.05),and it improved more significantly in therapy group than that of control group(P<0.05);before treatment,there were no statistical differences in scores in D,E of GMFM-88 of two groups(P>0.05);After treatment,it significantly improved as compared with that before treatment in both groups(P<0.05),and it improved more significantly in therapy group than that of control group(P<0.05).Conclusion The combination of rehabilitation training and acupuncture of Jianpi Bushen Tiaodu can improve the clinical effect of children with spastic cerebral palsy effectively,reduce the muscular tension scores and angles of adductor,improve patients walking,running and jumping.