强化康复锻炼联合水针疗法对脑瘫患儿的影响

Study on the effect of intensive rehabilitation combined with water acupuncture on children with cerebral palsy

目的探讨传统强化康复锻炼方式联合水针疗法对强直性脑瘫患儿的作用。方法选取郑州大学第五附属医院2016-01—2017-12收治的脑瘫患者为研究对象,随机分为A组与B组,A组接受强化康复治疗联合水针疗法,B组仅接受康复疗法,在第0、4、8、12、16周5个时间点依据粗大运动功能分级评价(GMFM-66)及儿科残疾问卷调查(PEDI)中的自理能力、运动与社会功能3个评价部分评价2组功能改善情况。结果最终75例患者纳入研究,所有患者入组时GMFCS分级均在Ⅳ级以下,且研究时间段内无治疗相关的不良事件。2组GMFM-66与PEDI运动能力调整后的平均值波动情况:第12周时A组功能改善显著高于B组,虽12～16周时A组不再接受水针治疗,组内虽无显著性改变,但仍然呈上升趋势,至研究终点仍显著优于B组;所有研究对象综合起来分析GMFCS分级时显示,经12周的强化功能训练所有不同GMFCS分级患者结局指标均显示出不同程度的改善,尤其Ⅱ级患者明显改善,差异有统计学意义(P<0.05)。结论与单纯康复锻炼相比,综合多种康复方法的强化治疗联合水针疗法能够显著改善患者的运动功能和相关的生活质量。

Objective To explore the related effects of traditional intensive rehabilitation training combined with water acupuncture on children with aortic cerebral palsy.Methods The cerebral palsy patients admitted to the Fifth Affiliated Hospital of Zhengzhou University fromJanuary 2016 toDecember 2017were selected as subjects.They were randomly divided into group A and group B.Group A received intensive rehabilitation combined with hydrotherapy,and group B received only rehabilitation therapy.At the 0th,4th,8th,12th,and 16th week,5 time points were evaluated according to the evaluation of gross motor function(GMFM-66)and the Pediatric Disability Questionnaire(PEDI).The functional improvement of the subject.Results 75 patients had GMFCS grades below grade IVand no treatment-related adverse events occurred during the study period;The improvement of function of group A patients at week 12 was significantly higher than that of group B patients.Although patients in group A were no longer treated with water acupuncture at 12 16 weeks,there was no significant change in the group,but it still showed an upward trend,and the study endpoint was still significantly better than group B.All subjects were combined to analyze the GMFCS classification.After 12 weeks of intensive functional training,all the different GMFCS graded patients showed different degrees of improvement in outcomes,especially in grade II patients.The difference was statistically significant.Conclusion The results of the study showed that intensive treatment combined with multiple acupuncture treatments combined with multiple rehabilitation methods can significantly improve the motor function and related quality of life of patients.