中医针刺结合康复训练对肝肾不足型小儿脑瘫的疗效分析  

Curative Effect of Acupuncture Combined with Rehabilitation Training on Children with Cerebral Palsy of Liver and Kidney Deficiency

作　　者：郭鑫[1] 张英英[1] 单海军[1] GUO Xin;ZHANG Yingying;SHAN Haijun(Children Encephalopathy Rehabilitation Department,Henan Provinical Hospital of TCM,Zhengzhou 450002,Henan,China)

机构地区：[1]河南省中医院儿童脑病康复科

出　　处：《辽宁中医杂志》2018年第8期1737-1739,共3页Liaoning Journal of Traditional Chinese Medicine

基　　金：河南省高等学校重点科研项目计划(15A360003)

摘　　要：目的：分析中医针刺结合康复训练对肝肾不足型小儿脑瘫的疗效。方法：选取于2015年6月—2016年12月本院收治的50例肝肾不足型小儿脑瘫作为本次研究对象。经数字随机表法分为观察组和对照组。对照组患儿在入组后采用Bobath疗法进行康复训练;观察组再次基础上加以中医针刺进行治疗。比较两组患儿的临床疗效,并参照改良Ashworth痉挛量表（MAS）和脑瘫患儿日常生活能力评价表（ADL）对两组患儿治疗前后的情况进行评分比较。结果：两组经治疗后针对疗效评价,观察组总有效率96.00%明显大于对照组总有效率76.00%,观察组临床疗效明显优于对照组（P〈0.05）。观察组患者MAS积分明显下降、ADL积分明显增加,且治疗2个月后观察组MAS积分显著低于对照组（P〈0.05）,观察组治疗1个月后ADL积分明显低于对照组（P〈0.05）。观察组治疗后认知、运动、自理评分明显高于对照组（P〈0.05）。结论：中医针刺结合康复训练对改善肝肾不足型小儿脑瘫具有良好治疗作用,能有效改善患儿临床症状并促进患儿脑发育。Objective：To analyze the curative effect of acupuncture combined with rehabilitation training on children with cerebral palsy of liver and kidney deficiency. Methods：Fifty cases of children with liver and kidney deficiency type of cerebral palsy treated in our hospital from June 2015 to December 2016 were selected as the subjects of this study. They were randomly divided into observation group and control group. Children in the control group were treated with Bobath therapy after entering the group,and the observation group was treated with acupuncture on the basis of traditional Chinese medicine. The clinical efficacies of the two groups were compared. According to the modified Ashworth spasticity scale（ MAS） and cerebral palsy children＇s daily living ability evaluation form（ ADL）,the scores of the two groups were compared before and after treatment. Results：After treatment,the total effective rate of the observation group（96%） was significantly higher than that of the control group（76%）. The clinical efficacy of the observation group was significantly better than that of the control group（ P〈0. 05）. The MAS score of the observation group was significantly decreased and the ADL score was significantly increased. After treatment for 2 months,the MAS score in observation group was significantly lower than that in control group（ P〈0. 05）. The ADL score of the observation group was significantly lower than that of the control group（ P〈0. 05） after 1 month of treatment. The cognitive,motor and self-care scores in the observation group were significantly higher than those in the control group（ P〈0. 05）. Conclusion：Acupuncture combined with rehabilitation training has a good therapeutic effect on improving cerebral palsy in children with liver and kidney deficiency. It can effectively improve the clinical symptoms of children and promote brain development in children.

关 键 词：中医针刺 康复训练 小儿脑瘫 肝肾不足 

分 类 号：R247.9[医药卫生—中医临床基础]