针灸联合康复训练治疗小儿脑瘫运动功能障碍的临床效果观察

Clinical Observation of Acupuncture Combined with Rehabilitation Training in the Treatment of Motor Dysfunction in Children with Cerebral Palsy

目的:探讨针灸联合康复训练在小儿脑瘫运动功能障碍中的临床疗效。方法:选取2019年1月-2021年1月佛山市南海区妇幼保健院收治的86例小儿脑瘫运动功能障碍患儿,按照随机数字表法将其分为对照组和观察组,每组43例。对照组采用康复训练治疗,观察组在对照组基础上联合针灸治疗。比较两组疗效、症候积分、粗大运动功能评定量表评分(GMFM)。结果:治疗后,两组发育迟缓、萌芽落后、反应迟钝、肢体僵硬及屈伸不利评分低于治疗前,且观察组均低于对照组,差异均有统计学意义(P<0.05)。治疗后,两组粗大运动功能评定量表评分均高于治疗前,且观察组高于对照组,差异均有统计学意义(P<0.05)。观察组总有效率为95.35%,高于对照组的76.74%,差异有统计学意义(P<0.05)。结论:针灸联合康复训练用于小儿脑瘫运动功能障碍患儿中能降低症候积分,提高患儿运动功能,效果较好,值得推广应用。

Objective:To explore the clinical effect of acupuncture combined with rehabilitation training on motor dysfunction in children with cerebral palsy.Method:A total of 86 children with cerebral palsy motor dysfunction admitted to Maternal and Child Health Hospital of Nanhai District,Foshan City from January 2019 to January 2021 were selected,they were divided into control group and observation group according to random number table method,with 43 cases in each group.The control group was treated with rehabilitation training,and the observation group was treated with acupuncture on the basis of the control group.Efficacy,symptom score and gross motor function measure (GMFM) were compared between two groups.Result:After treatment,the scores of developmental retardation,germination lag,retardation,limb stiffness and adverse flexion and extension in both groups were lower than those before treatment,and those in the observation group were lower than those in the control group,the differences were statistically significant (P<0.05).After treatment,the scores of gross motor function rating scale in both groups were higher than those before treatment,and that in the observation group was higher than that in the control group,the differences were statistically significant (P<0.05).The total effective rate in observation group was 95.35%,which was higher than 76.74% in control group,the difference was statistically significant (P<0.05).Conclusion:Acupuncture combined with rehabilitation training in children with cerebral palsy motor dysfunction can reduce the score of symptoms,improve the motor function,the effect is good,worthy of promotion and application.