针刺联合运动疗法治疗痉挛性双瘫型脑瘫临床观察

发布时间：2018-01-02 10:52

本文关键词：针刺联合运动疗法治疗痉挛性双瘫型脑瘫临床观察　出处：《上海针灸杂志》2017年02期 　论文类型：期刊论文

【摘要】：目的观察针刺联合运动疗法治疗痉挛性双瘫型脑瘫患者的临床疗效。方法将69例小儿脑瘫患者随机分成两组,治疗组35例给予针刺疗法联合运动疗法,对照组34例给予单纯运动疗法,治疗3个月后,观察两组患者双下肢腓肠肌肌张力缓解情况(改良Ashworth量表评分和足背屈角角度)、站立与行走、跑等功能改善(GMFM的D、E区分数变化)及日常生活能力改善情况(ADL评分)。结果两组治疗后双下肢腓肠肌肌张力较治疗前均降低,即Ashworth量表评分提高,足背屈角扩大活动度明显扩大,差异有统计学意义(P0.05);两组治疗后分别在GMFM的D区、E区评分提高,差异具有统计学意义(P0.05);两组治疗后ADL评分较治疗前明显提高,差异具有统计学意义(P0.05)。两组治疗后相比,治疗组Ashworth量表评分提高,足背屈角角度扩大,均优于对照组,两组比较差异均有统计学意义(P0.05);治疗组GMFM的D、E区功能区评分均优于对照组,两组比较差异均有统计学意义(P0.05);治疗组ADL评分明显优于对照组,两组比较差异均有统计学意义(P0.05)。结论针刺疗法联合运动疗法治疗痉挛性双瘫型脑瘫患者疗效确切。
[Abstract]:Objective To observe the clinical effects of acupuncture combined with exercise therapy for treatment of spastic diplegic cerebral palsy patients. Methods 69 cases of children with cerebral palsy were randomly divided into two groups, 35 cases in the treatment group were given acupuncture therapy combined with exercise therapy, 34 cases in the control group were treated with exercise therapy, after 3 months of treatment, observe two groups of patients with lower limb gastrocnemius muscular tension (modified Ashworth scale score and foot dorsiflexion angle), standing and walking, running and other functions to improve (GMFM D, E score change) and daily life ability improvement (ADL score). The results of the two groups after treatment of lower limbs gastrocnemius muscle tension were decreased significantly compared with before treatment. The Ashworth score increased, foot dorsiflexion angle expanding activity significantly increased, the difference was statistically significant (P0.05); the two groups after treatment respectively in the GMFM D area, E area were increased, the difference was statistically significant (P0.05); the two groups after treatment ADL score than cure Before treatment significantly improved, the difference was statistically significant (P0.05). The two groups after treatment compared with the treatment group Ashworth score increase, foot dorsiflexion angle enlargement, were better than the control group, with significant differences between the two groups (P0.05); treatment group GMFM D score, E zone was better than that of the control group, with significant differences between the two groups (P0.05); the ADL score of treatment group was significantly better than the control group, with significant differences between the two groups (P0.05). Conclusion acupuncture therapy combined with exercise therapy for treatment of spastic diplegic cerebral palsy patients with curative effect.

【作者单位】：陕西省康复医院;
【分类号】：R246.6
【正文快照】： 脑性瘫痪是一组持续存在的中枢性运动和姿势发育障碍、活动受限症候群,这种症候群是由于发育中的胎儿或婴幼儿脑部非进行性损伤所致。脑性瘫痪的运动障碍常伴有感觉、知觉、认知、交流和行为障碍,以及癫痫及继发性肌肉骨骼问题。痉挛性脑瘫在脑瘫患者中占60%~70%[1],痉挛性双

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