针刺推拿治疗小儿痉挛型脑瘫30例  

Treatment of 30 Cases of Spastic Cerebral Palsy in Children by Acupuncture and Massage

作　　者：王瑾 陈杰 贺阿利 杨华[2] 黄凌云 钟韶芳 吴亮 李永峰[2] Wang Jin;Chen Jie;He Ali;Yang Hua;Huang Lingynn;Zhong Shaofang;WU Liang;Li Yongfeng(Shaanxi TCM Hospital,Xi'an China,710003;Shaanxi University of Chinese Medicine,Xianyang China,712046;Zhashui TCM Hospital,Zhashui China,711400;Shanxi rehabilitation hospital,Xi'an China)

机构地区：[1]陕西省中医医院,陕西西安710003 [2]陕西中医药大学,陕西咸阳712046 [3]柞水县中医医院,陕西柞水711400 [4]陕西省康复医院,陕西西安710065

出　　处：《陕西中医药大学学报》2019年第1期103-106,共4页Journal of Shaanxi University of Chinese Medicine

基　　金：陕西省科技统筹创新工程项目(2015KTZDSF02-03)

摘　　要：目的针刺结合推拿手法治疗小儿痉挛型脑瘫临床疗效的观察。方法 60例患儿按照随机数字表分为针刺结合小儿推拿手法(治疗组)和常规康复训练治疗(对照组),每组30例。治疗组李教授给予针刺手法与小儿推拿及康复训练手法治疗相结合,对照组给予常规康复训练治疗,包括Vojta法、日常生活作业疗法及Bobath法等运动疗法进行康复训练治疗;治疗前安静休息20min,治疗时每次40min,每天1次,1周休息1天,20d为1个疗程,持续治疗3个疗程。2组治疗前后用GMFM量表、Ashworth量表及综合功能改善评定量表进行疗效评估。结果 6个疗程治疗后,治疗组在降低肌张力、改善患儿肢体痉挛和运动及提高综合功能方面明显优于对照组(P <0. 05),并且治疗组的总有效率为100. 00%,对照组的总有效率为90. 00%。结论针刺结合推拿手法对缓解小儿痉挛型脑瘫降低肌张力、改善患儿肢体痉挛和运动及提高综合功能方面临床疗效明显。Objective: To observe the clinical effect of acupuncture Combined with massage in the treatment of spastic cerebral palsy in children. Method: According to the random number table,60 children were divided into acupuncture combined with massage group( treatment group) and conventional rehabilitation training group( control group),with30 cases in each. Professor Li gave the treatment group acupuncture manipulation combined with massage and rehabilitation training,while the control group received routine rehabilitation training treatment,including Vojta method,daily life occupational therapy and Bobath method for rehabilitation training. Quiet rest of 20 minutes before the treatment were required,and the treatment lasted for 40 minutes each time for each day and six days a week. The treatment continued for3 courses with 20 days in each course. Then,curative efficacy evaluation of GMFM scale,Ashworth scale and comprehensive functional improvement rating scale before and after treatment in 2 groups were conducted. Result: After 6 courses of treatment,the treatment group was significantly better than the control group in reducing muscle tension,improving limb spasm and movement and improving comprehensive function( P<0.05),the total effective rate of the treatment group was 100.00%,and the total effective rate of the control group was 90.00%. Conclusion: Acupuncture combined with massage has obvious clinical effect in alleviating spastic cerebral palsy in children,reducing muscle tension,improving limb spasm and movement,and improving comprehensive function.

关 键 词：针刺 推拿 小儿脑瘫 粗大运动 

分 类 号：R742.3[医药卫生—神经病学与精神病学]