中西医结合神经康复方案治疗脑性瘫痪临床疗效分析  

Clinical Efficacy Analysis on Cerebral Paralysis Treated with Neurorehabilitation Combined with Integrative Medicine

作　　者：孙远标[1] 向宪文 刘伟[1] 程子翠[1] 董恒[1] 

机构地区：[1]山东省泰安市中医医院,山东泰安271000

出　　处：《世界中西医结合杂志》2011年第11期971-973,共3页World Journal of Integrated Traditional and Western Medicine

摘　　要：目的研究以针刺为主的中西医结合神经康复方案对脑性瘫痪(CP)患者临床疗效的影响。方法对30例CP患者给予针刺、神经促通手法、电磁物理因子刺激、躯干肢体易化训练以及神经营养药物,分析治疗前、治疗1.5个月后(中评)、治疗3个月后(末评)功能独立性评定(FIM)结果以及治疗效果的变化。结果治疗1.5个月时FIM结果变化不明显(P>0.05),而治疗3个月后FIM明显提高,其中生活自理能力、转移行进能力以及社交交流能力好转明显(P<0.05),而括约肌功能变化差异无统计学意义;末评的显效率、总有效率比中评时提高,差异有统计学意义(P<0.05);男、女性患者治疗的FIM结果比较,差异无统计学意义(P>0.05);治疗后3～9岁患者的FIM值提高较明显(P<0.05)。结论以针刺为主的中西医神经康复方案能明显促进CP患者生活自理能力、行进转移能力以及社交交流能力的提高,而且以坚持治疗3个月以上者效果显著。Objective To study the impacts on cerebral paralysis（CP）treated with neurorehabilitation and integrative medicine,in which acupuncture was adopted.Methods 30 cases of CP were treated with acupuncture,nerve promotion manipulation,an electric-magnetic-physical-factor stimulation,facilitation training of the trunk and limbs and neurotrophic medication.The Functional Independence Measure（FIM）and the changes in efficacy were analyzed before treatment,1.5 months after treatment（medium assessment）and 3 months after treatment（final assessment）separately.Results The changes in FIM were not apparent（P0.05）in 1.5 months after treatment,but they were obviously improved in 3 months after treatment,including self care,mobility,locomotion and social adjustment/cooperation（P0.05）.There was no statistical difference in sphincter control.The remarkably effective rate and the total effective rate in final assessment were improved as compared with those in medium assessment,presenting statistical significance（P0.05）.In comparison of FIM results between male and female patients,the differences were not significant statistically（P0.05）.FIM score was improved much apparently for the patients aged from 3 to 9 years after treatment（P0.05）.Conclusion Neurorehabilitation and integrative medicine,in which acupuncture is the main option,can apparently promote self care,mobility,locomotion and social adjustment/cooperation for CP patients.The significant efficacy can be achieved if keeping on treatment for over 3 months.

关 键 词：针刺 中西医结合 神经康复技术 脑性瘫痪 功能独立性评定(FIM) 

分 类 号：R742.3[医药卫生—神经病学与精神病学]