现代康复训练结合中医针刺治疗小儿脑瘫临床疗效及对肢体运动功能与脑血流影响

Effect of Modern Rehabilitation Training Combined with Traditional Chinese Medicine Acupuncture Treatment on Children with Cerebral Palsy and Its Effect on Limb Motor Function and Cerebral Blood Flow

目的:探究现代康复训练结合中医针刺治疗小儿脑瘫的临床疗效及对肢体运动功能与脑血流的影响。方法:选取我院于2013年5月—2015年5月收治的脑瘫患儿共96例,随机分为对照组和观察组,对照组患者进行现代康复训练治疗,观察组患者在现代康复训练治疗的基础上结合中医针刺治疗,比较两组患者治疗的疗效及对肢体运动功能和脑血流的影响。结果:观察组患儿治疗的总有效率显著高于对照组,差异具有统计学意义(P<0.05);两组患儿治疗前和治疗后6个月粗大运动功能评估结果:观察组患儿治疗后6个月GMFM评分显著高于对照组,差异具有统计学意义(P<0.05),治疗前无显著差异;观察组患儿治疗后6个月肌张力评分显著低于对照组,差异具有统计学意义(P<0.05),治疗前无显著差异;观察组患儿治疗后VP显著高于对照组,PI显著低于对照组,且两组患儿治疗后较治疗前均有显著改善,差异具有统计学意义(P<0.05)。结论:现代康复训练结合中医针刺治疗小儿脑瘫临床疗效显著,可以有效改善脑细胞代谢功能,增加血流量,有效改善患儿的运动能力,增加关节的活动度,提高患儿的生活质量,临床上值得进一步推广应用。

Objective：To explore the clinical effect of modern rehabilitation training combined with traditional Chinese medicine acupuncture treatment of children with cerebral palsy and its effect on limb motor function and cerebral blood flow. Methods：In children with cerebral palsy from May 2014 to May 2015 period were treated a total of 96 cases in our hospital,were randomly divided to observation group and control group. Patients of control group were treated with modern rehabilitation training in the treatment,the observation group on the basis of modern rehabilitation training in the treatment with traditional Chinese medicine acupuncture treatment,the ratio of the two groups of patients and effect on limb motor function and cerebral blood flow. Results：The observation group with the total effective rate of treatment was significantly higher than the control group,the difference was statistically significant（P〈0.05）;the 6 month assessment of gross motor function in two groups before and after treatment,the observation group with GMFM score at 6 months after treatment was significantly higher than the control group,the difference was statistically significant（P〈0.05）before treatment. There was no significant difference between the patients in the observation group;6 months after treatment,the muscle tension score was significantly lower than the control group,the difference was statistically significant（P〈0.05）,no significant differences before treatment;after the treatment in the observation group VP was significantly higher than the control group,PI was significantly lower than the control group,and the two groups after treatment were significantly improved than before treatment. The difference was statistically significant（P〈0.05）. Conclusion：Modern rehabilitation training combined with significant clinical curative effect of acupuncture in the treatment of children with cerebral palsy and can effectively improve the metabolism of brain cells function,increase blood flow,effectively improve children＇s motor ability,increase the joint activities,improve the quality of life of children,clinical worthy of further popularization and application.