针灸在小儿脑瘫运动功能障碍康复治疗中的疗效探讨

Discussion on the Therapeutic Effect of Acupuncture on Rehabilitation of Motor Dysfunction in Children with Cerebral Palsy

目的探析在小儿脑瘫运动功能障碍康复治疗中,应用针灸治疗的临床疗效。方法选择2018年1月—2019年6月期间,该院收治的小儿脑瘫运动功能障碍患儿108例,随机分成对照组和实验组,各54例。其中,对照组行康复治疗,实验组行康复治疗+针灸。对比两组临床疗效。结果粗大运动功能、精细运动功能评分分别为:对照组(88.98±12.71)分、(23.36±4.62)分。实验组(103.84±13.25)分、(29.12±5.03)分。粗大运动功能、精细运动功能比较,实验组高于对照组,差异有统计学意义(粗:t=5.947,P=0.000;细:t=6.197,P=0.000)。总有效率比较,实验组高于对照组[96.30%(52/54) vs 85.19%(46/54)],差异有统计学意义(χ^2=3.967,P=0.046)。脑部各功能状态比较,认知功能、言语功能、运动功能、自理动作以及社会适应性评分分别为:对照组(11.28±2.19)分、(11.26±2.07)分、(14.91±2.03)分、(9.16±2.14)分、(7.59±0.51)分;实验组(14.63±2.31)分、(13.68±2.26)分、(17.83±2.46)分、(11.84±1.43)分、(9.68±1.39)分;脑部各功能状态比较,实验组高于对照组,差异有统计学意义(认:t=15.352,P=0.000;言:t=5.803,P=0.000;运:t=6.728,P=0.000;自:t=7.652,P=0.000;社:t=10.373,P=0.000)。结论在小儿脑瘫运动功能障碍康复治疗中,应用针灸治疗,疗效显著,可推荐。

Objective To explore the clinical efficacy of acupuncture in the rehabilitation of children with cerebral palsy motor dysfunction. Methods From January 2018 to June 2019, 108 children with cerebral palsy motor dysfunction treated in our hospital were randomly divided into a control group and an experimental group, 54 cases each. Among them, the control group received rehabilitation therapy, and the experimental group received rehabilitation therapy +acupuncture. Compare the clinical efficacy of the two groups. Results The scores of gross motor function and fine motor function were: control group(88.98±12.71) points and(23.36±4.62)points. The experimental group had( 103.84±13.25) points and(29.12±5.03)points. In comparison of gross motor function and fine motor function, the experimental group was higher than the control group, and the difference was significant(thick: t=5.947, P=0.000;fine: t=6.197, P=0.000). Compared with the total effective rate, the experimental group was higher than the control group [96.30%(52/54) vs 85.19%(46/54)], the difference was significant(χ^2=3.967, P=0.046). Comparing the various functional states of the brain, the scores of cognitive function, speech function, motor function, self-management and social adaptability were respectively: control group(11.28±2.19)points,(11.26±2.07)points,(14.91±2.03)points,(9.16±2.14)points,(7.59±0.51) points;(14.63±2.31) points,(13.68±2.26) points,(17.83±2.46) points,(11.84±1.43) points,(9.68±1.39)points in the experimental group;comparing the functional status of the brain, the experimental group was higher than the control group, and the difference was significant(recognition: t = 15.352, P =0.000;words: t =5.803, P =0.000;transport: t=6.728, P=0.000;self: t=7.652, P=0.000;company: t= 10.373, P=0.000). Conclusion In the rehabilitation treatment of motor dysfunction in children with cerebral palsy, the application of acupuncture and moxibustion is effective and can be recommended.