针刺配合Bobath法治疗痉挛型脑性瘫痪的临床观察

Effect of Bobath Approach Combined with Acupuncture on Spastic Cerebral Palsy

目的观察针刺配合Bobath法治疗痉挛型脑性瘫痪的康复效果。方法 30例脑瘫患儿为针刺组,使用针刺配合Bobath法治疗。30例脑瘫患儿为运动组,采用Bobath法治疗。比较两组患儿的康复效果。结果针刺组总有效率为93%,运动组总有效率80%;两组患儿治疗后粗大运动功能测定(GMFM)评分较治疗前均有提高(P<0.05),针刺组评分高于运动组(P<0.05);两组治疗后痉挛改善针刺组总有效率76.7%,运动组总有效率50%。结论针刺配合Bobath法治疗痉挛型脑性瘫痪较单一Bobath法治疗有更好疗效。

Objective To investigate the effect of Bobath approach combined with acupuncture on spastic cerebral palsy.Methods30 children with cerebral palsy treated with acupuncture combined with Bobath approach were as study group,other 30 children treated with Bobath approach only as the control group.ResultsThere were 27 cases（93%）were effective in study group,and 21 cases（80%）in control.The scores of Gross Motor Function Measure（GMFM）improved in both groups（P0.05）,but more in the study group（P0.05）after treatment.The spasticity alleviated in both study group（76.7%）and control group（50%）.ConclusionThe combination with acupuncture is more effective on spastic cerebral palsy than Bobath approach alone.