健脾补肾通督醒窍法联合康复训练对痉挛型脑瘫患儿步态能力和智能发育的影响研究  

Effect of combined rehabilitation training with the method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice on gait ability and intellectual development of children with spastic cerebral palsy

作　　者：许胜 钱月芳 吕晓丹 时宽 XU Sheng;QIAN Yuefang;LYU Xiaodan;SHI Kuan(Rehabilitation Department,Jinhua the Second Hospital,Jinhua,Zhejiang,321000,China)

机构地区：[1]金华市第二医院康复科,浙江金华321000

出　　处：《中医儿科杂志》2019年第2期78-81,共4页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察健脾补肾通督醒窍法联合康复训练对痉挛型脑瘫患儿步态能力和智能发育的影响。方法选取2016年8月至2018年2月在我院门诊和住院部就诊的痉挛型脑瘫患儿80例,随机分为对照组和治疗组,各40例。对照组给予康复训练治疗,如Bobath法、肢体运动功能训练、姿势异常训练、核心肌群训练等,以促进肢体运动功能;治疗组在对照组治疗方法的基础上给予健脾补肾通督醒窍法针刺治疗。2组均连续治疗2月后,观察并比较步长、步速、步宽及智能发育评分变化情况。结果与同组治疗前比较,2组相同年龄段患儿治疗后步长、步速及步宽均有改善,差异均有统计学意义(P<0.05);且相同年龄段治疗组各项评分变化均明显优于对照组(P<0.05)。与同组治疗前比较,2组相同年龄段患儿治疗后智力发育指数(MDI)和心理运动发育指数(PDI)评分均升高,差异均有统计学意义(P<0.05);且相同年龄段治疗组MDI、PDI评分均明显高于对照组(P<0.05)。结论健脾补肾通督醒窍法联合康复训练能有效改善痉挛型脑瘫患儿步态能力,提高患儿智能发育水平,值得临床借鉴。Objective To observe the effect of the method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice on gait ability and intellectual development of children with spastic cerebral palsy.Methods Eighty cases of children with spastic cerebral palsy who were treated at the out-patient clinic or hospitalized in our hospital from August 2016 to February 2018 were chosen and randomly divided into control group and treatment group,with 40 cases in each.The control group was given rehabilitation training treatment,such as Bobath, limb motor function training,abnormal posture training,and training of core muscle group to promote limb movement function.On the basis of the control group,the treatment group was given acupuncture treatment of the method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice.Both groups were given consecutive treatment for 2 months.The changes of step length, leg speed and stride width and the changes of intelligent development scores of the 2 groups were observed and compared.Results Compared with those before treatment,the step length,leg speed and stride width of children of the same age bracket in the two groups all improved after treatment,and the difference was statistically significant(P<0.05).Moreover,the changes in scores of children of the same age bracket in the treatment group were significantly superior to those in the control group(P<0.05).Compared with those before treatment,mental development index(MDI) and psychomoter development index(PDI) scores of children of the same age bracket in both groups increased significantly after treatment,and the difference was statistically significant(P<0.05).Moreover,MDI and PDI scores of children of the same age bracket in the treatment group were significantly higher than those of the control group(P<0.05).Conclusion The method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice combined with rehabi

关 键 词：脑瘫 小儿 痉挛型 针刺 健脾补肾通督醒窍法 步态能力 智能发育 

分 类 号：R255.6[医药卫生—中医内科学]