针刺结合棍棒操对痉挛性脑瘫患儿下肢运动功能障碍的影响  

Effects of Acupuncture Combined with Club-swinging on Lower Limb Motor Function in SCP Children

作　　者：黄海军 王勇[2] 

机构地区：[1]黄石市第二医院,湖北黄石435000 [2]鄂东医疗集团黄石市中心医院,湖北黄石435000

出　　处：《针灸临床杂志》2017年第11期7-10,共4页Journal of Clinical Acupuncture and Moxibustion

摘　　要：目的:探讨针刺结合棍棒操对痉挛性脑瘫患儿下肢运动功能障碍的影响。方法:72例患儿按照入院顺序,通过查随机数字表法随机分为观察组与对照组,各36例,对照组给予棍棒操康复锻炼,观察组在对照组治疗的基础上给予针刺治疗,治疗观察患儿3个月。结果:对照组总有效率达到77.8%,观察组达到97.2%,观察组比对照组高(P<0.05)。经过治疗,观察组、对照组的下肢运动功能评分为(71.93±8.24)分和(59.28±11.42)分,都明显高于治疗前的(45.22±9.42)分和(45.11±10.49)分(P<0.05),且治疗后观察组比对照组高(P<0.05)。经过治疗,观察组与对照组的痉挛评分与智力发育评分都明显高于治疗前(P<0.05),同时治疗后观察组的痉挛评分与智力发育评分也明显高于对照组(P<0.05)。结论:针刺结合棍棒操在痉挛性脑瘫患儿的应用能缓解患儿的下肢运动功能障碍,改善患儿的痉挛状态,提高智力发育,从而提高治疗效果。Objective: To investigate the effects of acupuncture combined with club-swinging training on lower limb motor function in children with spastic cerebral palsy( SCP). Methods: 72 children patients with SCP were randomly divided into the observation group( n = 36) and the control group( n = 36). The control group was given club-swinging training; on which basis,the observation group was also treated with acupuncture; all children were treated for three months. Results: The total effective rate of the observation group was 97. 2%,which was significantly higher than 77. 8% of the control group( P < 0. 05). In terms of the scores of the lower limb motor function,they were 71. 93 ± 8. 24 and 59. 28 ± 11. 42 respectively in the observation group and the control group after the treatment,which were significantly higher than 45. 22 ± 9. 42 and 45. 11 ± 10. 49 in the corresponding group before the treatment( P < 0. 05); and the scores of the observation group was remarkably higher than those of the control group after the treatment( P < 0. 05). In terms of the scores of spasticity and intelligence development,they were increased significantly after the treatment in both groups( P < 0. 05); in which,the observation group improved more than the control group( P < 0. 05). Conclusion: The therapy of acupuncture combined with club-swinging training can relieve the motor dysfunction of the lower limbs in SCP children,reduce the spasticity and improve their intelligence development,so as to increase the therapeutic effect.

关 键 词：针刺 棍棒操 痉挛性脑瘫 下肢运动功能障碍 智力发育 

分 类 号：R246.4[医药卫生—针灸推拿学]