A型肉毒毒素与靳三针治疗痉挛型双瘫脑瘫患儿尖足步态的疗效观察

Effect of Botulinum Toxin Type A and Jin Three-needle on Treatment of Tip Toes of Children Patient with Spastic Diplegia Cerebral Palsy

目的观察A型肉毒毒素注射结合靳三针疗法纠正痉挛型双瘫脑瘫患儿尖足步态的疗效。方法 78例以尖足步态为主的痉挛型双瘫脑瘫患儿,均采用A型肉毒毒素局部注射治疗后,随机分为治疗组40例和对照组38例,两组患儿均采用综合康复治疗的方法,治疗组在此基础上增加靳三针疗法。在治疗前、治疗2周、3个月和6个月时对肌张力、运动功能进行评定。结果治疗后,两组患儿的观测指标均有改善,治疗组优于对照组(P<0.05)。结论 A型肉毒毒素注射结合靳三针疗法治疗痉挛型双瘫脑瘫患儿疗效显著,靳三针疗法可以提高康复治疗的效果。

Objective To observe treatment effect of Jin three- needle combined with injection of Botulinum tox- in type A for children with spastic diplegia cerebral palsy. Methods 78 children patients with spastic diplegia were received local injection of botulinum toxin A, and randomly divided into treatment group （40 cases） and control group （38 cases）. The two groups were carried out comprehensive rehabilitation therapy. The treatment group was received traditional medicine Jin three-needle therapy. The muscle tension and motor function of pa- tients were evaluated before and after 2 weeks, 3 months, and 6 months treatment. Results The muscle ten- sion, motor function and other index in two groups after treatment were improved, the treatment group were much better than that of control group （P 〈 0.05 ）. Conclusion The combined injection of Botulinum toxin type A with Jin three-needle have significant effect on treatment of children patients with spastic diplegia cerebral palsy; and Jin three-needle could improve the curative effect of rehabilitation.