“尖足三针”对痉挛型脑性瘫痪患儿尖足畸形的效果

发布时间：2018-06-28 04:14

  本文选题：脑性瘫痪 + 痉挛　； 参考：《中国康复理论与实践》2017年10期

【摘要】：目的观察"尖足三针"针刺治疗对改善痉挛型脑瘫患儿尖足畸形的临床疗效。方法 2016年1月至12月,本科就诊的120例1~6岁脑瘫患儿随机分为对照组(n=60)和观察组(n=60)。两组均采用常规康复治疗,观察组加用尖足三针针刺治疗。分别于治疗前、后采用粗大运动功能测试(GMFM)、足背屈角、表面肌电均方根值(RMS)进行评估。结果治疗后,观察组GMFM的B、C、D、E四个能区评分及总分显著高于治疗前(t4.325,P0.001),且明显高于对照组(t2.711,P0.01);观察组足背屈角显著减小(t=17.627,P0.001),且显著小于对照组(t=15.416,P0.001)。观察组治疗后踝关节主动跖屈、被动背屈时腓肠肌RMS均明显改善(t≥3.058,P0.01),被动背屈时腓肠肌RMS优于对照组(t=-2.199,P0.05)。结论尖足三针针刺治疗能有效地降低腓肠肌肌张力,且不降低腓肠肌肌力,有效改善脑瘫患儿足背屈能力,促进患儿获得站位运动功能。
[Abstract]:Objective to observe the clinical effect of acupuncture therapy on children with spastic cerebral palsy. Methods from January to December 2016, 120 children with cerebral palsy aged 1 to 6 were randomly divided into control group (n = 60) and observation group (n = 60). Both groups were treated with routine rehabilitation and the observation group were treated with three-point acupuncture. Before and after treatment, gross motor function test (GMFM), dorsal flexion angle of foot and surface electromyography root mean square (RMS) were used to evaluate. Results after treatment, the scores and total scores of the four energy regions of GMFM in the observation group were significantly higher than those in the control group (t 4.325 P 0.001) and significantly higher than those in the control group (t 2.711 P 0.01), and the dorsal flexion angle of foot in the observation group was significantly lower than that in the control group (t = 17.627, P 0.001), and was significantly lower than that in the control group (t 15.416, P 0.001). The RMS of gastrocnemius muscle in the treatment group was significantly improved after treatment (t 鈮，

本文编号：2076685