针灸治疗偏瘫型小儿脑瘫108例

目的:观察针灸治疗对偏瘫型脑性瘫痪患儿肌力及运动功能的作用,对患儿预后的改善。方法:采用针刺头部和体部相关穴位对108例偏瘫型脑瘫患儿进行治疗并观察其疗效。结果:3～6个疗程后采用肌力的评价标准及Brunnstrom偏瘫上下肢功能评价法评定患儿的上下肢功能,108例偏瘫型脑瘫患儿53例基本治愈,31例为显效,17例为有效,7例为无效,总有效率为93.5%。结论:针灸治疗偏瘫型小儿脑瘫疗效显著。

引导式教育半日制流程课对脑瘫儿童智力发育的影响

目的观察引导式教育半日制流程课对脑瘫儿童智力发育的影响。方法纳入我院2014年8月-2016年6月100例住院的脑瘫患儿,随机分为观察组(n=50)和对照组(n=50),对照组接受常规康复治疗,观察组在对照组基础上增加引导式教育半日制流程课,每个半日制3节课,每节课30min、5d/周,课间设有茶点、生活自理能力训练和课间操,6个月为1个疗程,于治疗前、治疗后6个月、12个月、18个月分别采用婴幼儿运动功能评估量表(GMFM-88)和盖泽尔发育诊断量表(Gesell)进行评定。结果治疗后6个月观察组粗大运动功能和智力评分值较干预前提高(P<0.05),随着训练时间的延长,在12个月、18个月患儿粗大运动、精细动作、语言、社交及适应性分值较对照组显著提高(P<0.01),整体功能有明显的进步。结论引导式教育半日制流程课可促进脑瘫儿童的智力发育。

胸部物理治疗脑性瘫痪合并肺炎的疗效观察

目的观察胸部物理治疗（CPT）在脑性瘫痪患儿合并肺炎的治疗作用及不良反应。方法选取60例脑性瘫痪合并肺炎患儿随机分为治疗组和对照组各30例，对照组在控制感染的基础上采用常规的雾化排痰治疗；治疗组在控制感染的基础上采用胸部物理治疗。结果治疗组在症状缓解及住院时间上与对照组比较，差异有统计学意义（P〈0．05）：咳嗽症状消失时间治疗组为（7．03±2．5）d，对照组为（11．47±1．55）d；肺部哕音消失时间治疗组为（6．70±1．12）d，对照组为（9．97±2．06）d，第7天胸片渗出吸收比率治疗组为46．67％，对照组为6．67％，住院时间治疗组为（8．43±1．83）d，对照组为（12．40±1．90）d，两组均无不良反应。结论胸部物理治疗在治疗脑性瘫痪合并肺炎中效果肯定、疗效确切、无不良反应，可在临床中推广应用。

Clinical observation on muscle regions of meridians needling method in improving upper limb function for children with cerebral palsy of spastic hemiplegia type

Objective:To observe the improving effect of muscle regions of meridians needling method on the upper limb function in children with cerebral palsy of spastic hemiplegic type.Methods:A total of 100 children with cerebral palsy of spastic hemiplegia type were divided into a treatment group and a control group according to the visiting sequence,with 50 cases in each group.The control group was treated with conventional rehabilitation plus conventional acupuncture treatment.The treatment group was treated with conventional rehabilitation plus muscle regions of meridians needling method.The electromyography(EMG)signal values of triceps brachii and pronator teres were detected before treatment,and 3 months and 6 months after treatment.The clinical efficacy was evaluated by Peabody developmental motor scale-fine motor(PDMS-FM)and fine motor function measure(FMFM).Results:Three and six months after treatment,the EMG signal values of triceps brachii and pronator teres,grasping scores and visual-motor integrated scores of PDMS-FM and the FMFM scores in both groups increased to varying degrees compared with the same group before treatment,and the intra-group differences were all statistically significant(all P<0.05).Six months after treatment,the results of the above three items in the treatment group were all better than those in the control group,and the differences between the groups were statistically significant(all P<0.05).Conclusion:Muscle regions of meridians needling method added on the basis of conventional rehabilitation can effectively reduce the muscle tone of upper limb and enhance the muscle strength,and improve the upper limb function in children with cerebral palsy of spastic hemiplegia type.The efficacy is superior to that of the conventional rehabilitation plus conventional acupuncture treatment.