健脾醒脑针刺治疗小儿脑瘫的临床疗效

Clinical curative effects of Jianpi Xingnao acupuncture for treatment of children with cerebral palsy

目的观察健脾醒脑针刺法对脑性瘫痪患儿的临床治疗效果。方法选择2010年8月至2015年10月济宁市第一人民医院儿童康复科收治的脑性瘫痪患儿90例,按随机数字表法分为2组,观察组(针刺加综合康复治疗)和对照组(综合康复治疗),连续治疗3个月,所有患儿治疗前和治疗后分别进行粗大运动功能量表评估(GMFM)和Gesell智力测试。所有数据均采用SPSS10.0统计软件包进行统计分析,用±s表示,治疗前后CMFM比较采用自身配对t检验,组间比较采用两独立样本t检验,以P<0.05为差异有统计学意义。结果治疗后观察组显效14例,有效29例,无效2例,总有效率95.5%(43/45);对照组治疗显效9例,有效27例,无效9例,总有效率80.0%(36/45)。观察组总有效率高于对照组,且差异有统计学意义(x^2=7.008,P<0.01)。观察组和对照组治疗后GMFM评分分别为(40.49±4.81)分和(27.35±4.66)分,发育商分别为(84.86±7.27)分和(73.64±7.37)分,观察组GMFM评分均高于对照组,且差异均有统计学意义(t=2.85、3.27,P均<0.01)。结论健脾醒脑针刺法是脑性瘫痪患儿临床康复治疗方法之一。

Objective To observe the clinical therapeutic effect of Jianpi Xingnao acupuncture in the treatment of children with cerebral palsy.Methods A total of 90 cases were selected in Department of Children＇s rehabilitation,Jining first people＇s Hospital,from August 2010 to October2015.Children included in this study met the inclusion criteria of cerebral palsy.They were divided into two groups according to the random number table method,observation group（acupuncture plus comprehensive rehabilitation therapy） and control group（comprehensive rehabilitation treatment）continuous treatment for 3 months.The gross motor function measure（GMFM） assessment and Gesell intelligence test were detected before and after treatment.Results were expressed as x^-±s.Data were analyzed by SPSS 10.0 statistics software package.Data before and after treatment were compared with their own paired test.Comparison between groups were compared using two independent samples t test.The significant difference was taken as P〈0.05.Results After treatment 14 cases showed markedly effective,29 cases were effective,2 cases were ineffective,the total effective rate was 95.5%（43/45）in observation group.In control group 9 cases were markedly effective,27 cases were effective,9 cases were ineffective,and the total efficiency was 80%（36/45）.The total effective rate was significantly higher in observation group than that of control group（x^2=7.008,P〈0.01）.The GMFM scores were（40.49±4.81）and（27.35±4.66）,and development quotient score were（84.86±7.27） and（73.64±7.37） for observation group and control group.There were significant differences in GMFM and DQ scores after treatment between two groups（t =2.85,3.27,P〈0.01）.Conclusion The Jianpi Xingnao acupuncture treatment is one of clinical rehabilitation treatment methods for children with cerebral palsy.