针刺联合中药熏洗对痉挛型脑瘫患儿运动功能的改善研究

发布时间：2019-01-18 20:10

【摘要】：目的探讨针刺联合中药熏洗对痉挛型脑瘫患儿运动功能的改善效果。方法将96例患儿分为对照组和观察组,两组均采用Bohath疗法和Vojta术等进行康复训练。对照组采用针刺疗法,观察组采用针刺联合中药熏洗,疗程均为12周。进行治疗前后运用粗大运动功能(GMFM)量表、Ashworth量表、精细运动功能评估表(FMFM)、Peabody精细运动发育量表(PDMS FM)进行评价。结果治疗后两组患儿GMFM量表A、B、C、D、E区和总分均较治疗前明显升高(P0.01),观察组患儿GMFM量表各维度评分及总分均高于对照组(P0.01);治疗后两组患儿FMFM量表A、B、C、D、E区和总分均较治疗前明显升高(P0.01),观察组患儿FMFM量表除A区外,其他各维度评分及总分均高于对照组(P0.01);治疗后两组患儿Ashworth量表评分和PDMS FM量表的GR、VI评分以及总分均较治疗前明显升高(P0.01),观察组患儿Ashworth量表评分、GR、VI评分和总分均高于对照组(P0.01)。结论针刺联合中药熏洗能改善痉挛型脑瘫患儿的肌力,提高患儿的粗大运动功能和精细运动功能。
[Abstract]:Objective to investigate the effect of acupuncture combined with Chinese medicine fumigation on motor function of children with spastic cerebral palsy. Methods 96 children were divided into control group and observation group. Both groups were treated with Bohath and Vojta. The control group was treated with acupuncture, the observation group was treated with acupuncture combined with traditional Chinese medicine fumigation, the course of treatment was 12 weeks. Before and after treatment, the gross motor function scale (GMFM), the Ashworth scale and the fine motor function evaluation form (FMFM), Peabody), (PDMS FM) were used to evaluate them. Results after treatment, the area and total score of GMFM were significantly higher in the two groups than before (P0.01). The scores and total scores of GMFM in the observation group were higher than those in the control group (P0.01). After treatment, the FMFM scores and total scores of FMFM were significantly higher than those before treatment (P0.01). The scores and total scores of FMFM in the observation group were higher than those in the control group except area A (P0.01). After treatment, the GR,VI score and total score of Ashworth scale and PDMS FM scale in the two groups were significantly higher than those before treatment (P0.01). The Ashworth scale, GR,VI score and total score in the observation group were higher than those in the control group (P0.01). Conclusion Acupuncture combined with traditional Chinese medicine fumigation can improve muscle strength, coarse motor function and fine motor function of children with spastic cerebral palsy.
【作者单位】：河南省中医院小儿康复中心;
【基金】：“十一五”国家科技支撑计划(2008BAI53B066)
【分类号】：R246.6

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