心理干预配合针灸治疗对小儿脑瘫康复治疗的疗效观察

Obseruation on the efficacy of psychological intervention plus acupuncture rehabilitation treatment for children with cerebral palsy

目的：探讨心理干预配合针灸治疗小儿脑瘫康复的临床疗效。方法选取2010‐04—2013‐09于我院诊治的116例小儿脑瘫患者，随机分为A组和B组，每组58例，A组采用针灸与运动功能训练相结合的方法治疗；B组在此基础上加用心理干预治疗。评定治疗效果以及患儿运动功能的改善情况。结果 B组总有效率为91.38％，相比于A组的67.24％明显提高（χ2＝14.053，P＜0.05）；2组治疗后6个月GMFM评分相比于治疗前均明显提高，但B组提高幅度更大（P＜0.05）；6个月～3岁患儿的总有效率为89.70％，明显高于＞3～6岁的62.50％，差异有统计学意义（ P＜0.05）。结论针灸联合心理干预能够有效改善患者的运动功能，提高治疗效果，改善预后。早期治疗可能治疗效果更佳。

Objective To investigate the clinical efficacy of psychological intervention with acupuncture treatment for reha‐bilitation of children with cerebral palsy.Methods 116 cases of cerebral palsy children from April 2010 to September 2013 trea‐ted in my hospital were randomly divided into group A （n=58 ,treated by acupuncture combined with functional training and exercise） and group B（n=58 ,treated by acupuncture combined by functional training and exercise and psychological interven‐tion）. Its therapeutic effect and improvement of motor function in children were evaluated.Results Compared to group A with 67.24% ,the total effective rate of group B with 91.38% improved significantly（χ2 =14.053 ,P〈0.05）;GMFM scors after 6 months of treatment in two groups were significantly improved compared with those before treatment ,but the group B im‐proved even more sharply （P〈0.05）;total effective rate for all children was 78.45% ,which 6 months to 3 years old children with the total effective rate of 89.70% ,was significantly higher than 62.50% of 3 years to 6 years old children. Differences were statistically significant （P〈0.05）.Conclusion Acupuncture combined psychological intervention in children with cerebral palsy have a better therapeutic effect ;it can effectively improve the motor function of patients ,the therapeutic effect and the prognosis of children. Also ,early treatment can cure better.