穴位埋线治疗痉挛型脑瘫足下垂60例的疗效观察  

Clinical Observation on Catgut Embedding Therapy in Treatment of the Foot-drop in 60 Children with Spastic Cerebral Palsy

作　　者：兰颖[1] 王春南[1] 林年年[1] 张泽[1] 

机构地区：[1]沈阳市儿童医院,辽宁沈阳110032

出　　处：《中国医学创新》2014年第14期106-108,共3页Medical Innovation of China

摘　　要：目的:探讨穴位埋线对痉挛型脑性瘫痪足下垂的治疗效果。方法:将脑瘫住院患儿60例随机分为治疗组和对照组,每组各30例。在康复训练的基础上,对照组每周连续5次针刺治疗,治疗组每周穴位埋线1次。疗程为3个月。治疗前后分别对粗大运动量表(GMFM)中的C、D、E区的总分值、肌力和主动足背屈角度进行比较。结果:GMFM量表C、D、E区总得分,初评时两组患儿差异无统计学意义(P>0.05),末评时两组患儿差异有统计学意义(P<0.01)。两组治疗后肌力及主动足背屈角比较差异均有统计学意义(P<0.05)。结论:穴位埋线可有效改善脑瘫患儿的痉挛状态,提高肌力,纠正足下垂步态,进而明显提高其粗大运动能力。Objective： To explore the effect of catgut embedding therapy in treatment of the foot-drop in spastic cerebral palsy. Method： 60 cases of hospitalized children with cerebral palsy were randomly divided into experimental group （ n=30 ） and control group （ n=30 ） .On the basis of rehabilitation, the control group were treated with acupuncture 5 times a week. The experimental group were treated with catgut embedding therapy 1 time a week. A course of treatment was 3 months. Pre and post treatment, the total score of C D E in GMFM, muscle strength and ankle dorsiflexion curvature were compared respectively. Result： On the total score of C D E in GMFM, before the treatment, there was no significant difference between two groups （ P〉0.05 ） .After treatment, there was a significant difference between two groups （ P〈0.O1 ）. And on muscle strength and ankle dorsiflexion curvature, there was a significant difference between two groups （ P〈O.05 ） . Conclusion： Catgut embedding therapy can improve cerebral palsy spasticity, increase muscle strength, correct the foot- drop, and then improve the gross motor ability.

关 键 词：穴位埋线 脑性瘫痪 足下垂 

分 类 号：R246[医药卫生—针灸推拿学]