针刺结合康复训练治疗小儿脑性瘫痪疗效观察

Observation on Therapeutic Effect of Acupuncture combined with Rehabilitation Training on Children with Cerebral Palsy

目的观察针刺结合康复手法治疗小儿脑瘫的疗效观察。方法将医院收治的78例小儿脑性瘫痪患儿随机分为观察组和对照组各39例。对照组采用康复训练治疗,30 min/次,3次/d,治疗6个月。观察组在此基础上加用针刺治疗,采用体针加头针方式,每周治疗4次,治疗6个月。观察两组治疗前后粗大运动功能评分(GMFM)、精细运动功能评分(FMFM)、Barthel指数(BI);比较两组治疗后临床疗效、家属满意度。结果治疗后,总有效率观察组高于对照组,组间比较差异无统计学意义(P> 0.05)。治疗前,两组GMFM、FMFM、BI比较,差异无统计学意义(P>0.05);治疗后,两组GMFM、FMFM、BI均有改善(P<0.05),观察组评分优于对照组(P<0.05)。治疗后,家属满意度观察组高于对照组(P<0.05)。结论针刺结合康复训练可提高小儿脑性瘫痪治疗效果,改善患儿粗大运动、精细运动能力,提高生活能力,提高患儿家属满意度,值得推广。

Objective To observe the curative effect of acupuncture combined with rehabilitation manipulation on children with cerebral palsy.Method78 children with cerebral palsy in our hospital were randomly divided into observation group and control group with 39 cases each. The control group was treated with rehabilitation training, 30 min/time, 3 times/d, for 6 months. The observation group was treated with acupuncture on this basis, using body acupuncture plus scalp acupuncture,treatment 4 times a week for 6 months. Observe the gross motor function score(GMFM), fine motor function score(FMFM),and Barthel index(BI) of the two groups before and after treatment;compare the clinical efficacy and family satisfaction of the two groups after treatment.ResultAfter treatment, the total effective rate of the observation group was higher than that of the control group, but the difference between the groups was not statistically significant (P> 0. 05). Before treatment, there wasno statistically significant difference between the two groups of GMFM, FMFM, and BI (P> 0. 05);after treatment, the twogroups of GMFM, FMFM, and BI were improved(P<0. 05), and the score of the observation group was better than that ofthe control group (P<0. 05). After treatment, family satisfaction in the observation group was higher than that in the controlgroup(P<0. 05).ConclusionAcupuncture combined with rehabilitation training can improve the treatment effect of childrenwith cerebral palsy, improve the children’s gross motor and fine motor ability, improve life ability, and improve the satisfactionof children’s family members. It is worthy of promotion.