皮肤针叩刺联合康复训练治疗小儿痉挛型脑性瘫痪临床观察

Clinical observation of skin needle tapping combined with rehabilitation training in the treatment of children with spastic cerebral palsy

目的探讨皮肤针叩刺联合康复训练治疗小儿痉挛型脑性瘫痪临床疗效。方法选取2011年2月～2013年2月来我院就诊的65例小儿脑性瘫痪患儿，根据治疗方法的不同，分为观察组32例与对照组33例。对两组患者的临床疗效、治疗前后痉挛评分、关节活动度进行比较。结果观察组临床疗效的总有效率为93．75％，对照组总有效率为81．81％，两组比较，差异均有统计学意义（P〈0．05）。治疗前两组痉挛评分比较，差异无统计学意义（P〉0．05）；两组治疗前后痉挛评分比较，差异均有统计学意义（P〈0．05）。观察组痉挛评分下降程度明显优于对照组（P〈0．05）。观察组关节活动度的总有效率为84．38％，对照组总有效率为72．72％，两组比较，差异显著（P〈0．05）。结论对小儿痉挛型脑瘫采用皮肤针叩刺结合康复训练治疗，可明显降低患儿肌张力，减轻痉挛程度，提高临床疗效，值得临床推广应用。

Objective To explore the clinical curative of skin needle tapping combined with rehabilitation training in the treatment of children with spastic cerebral palsy. Methods 65 children with spastic cerebral palsy from February 2011 to February 2013 in our hospital were collected, according to the different treatment methods, they were divided into the observation group of 32 cases and the control group of 33 cases. The clinical efficacy, spasticity score and joint movable degree before and after treatment of two groups were compared. Results The clinical efficacy rate of the observation group was 93.75%, that of the control group was 81.81%, the difference was statistically significant between the two groups（P 〈 0.05）. There was not significant difference in the spasticity score before treatment between the two groups（P ~ 0.05）; The difference was statistically significant in the spastieity score of two groups between before and after treatment（P 〈 0.05）. Compared with the control group, the spasticity score of the observation group decreased more significantly（P 〈 0.05）. The joint activity total efficiency of observation group was 84.38%, that of control group was 72.72%, the difference was statistically significant between the two groups（P 〈 0.05）. Conclusion Skin needle tapping combined with rehabilitation training for children with spastic cerebral palsy can significantly reduce muscle tension, relieve spasm, improve clinical efficacy, and is worthy of clinical application.