痉挛型脑性瘫痪患儿下肢内收肌肌紧张过度的针刺疗效①.pdfVIP

中国康复理论与实践2014年1月第20卷第1期 ChinJRehabilTheoryPract,Jan.2014,Vol.20,No.1 - 73 - DOI: 10.3969/j.issn. 1006-9771.2014.01.020 ·临床研究 · 痉挛型脑性瘫痪患儿下肢内收肌肌紧张过度的针刺疗效① 王立苹，吴青伟，孙奇峰，杨本利 [摘要] 目的 观察针刺治疗痉挛型脑性瘫痪患儿下肢内收肌高张力的临床效果。方法 痉挛型脑瘫患儿100例，随机分为实 验组(n=50)和对照组(n=50) 。对照组采用常规康复治疗，实验组在此基础上加针刺治疗。治疗前和治疗3 个月后，分别用关节量角 器法测量内收肌角度，评定粗大运动功能测量(GMFM-88) D 区、E 区分值。结果 治疗后两组上述指标均较治疗前改善(P0.05) ， 实验组优于对照组(P0.05) 。结论 针刺能缓解痉挛型脑瘫患儿下肢内收肌高张力，并改善患儿粗大运动功能。 [关键词] 脑性瘫痪；痉挛型；针刺；内收肌；肌张力；粗大运动功能；下肢 Effects of Acupuncture on Lower Extremities Adductors Strain for Children with Spastic Cerebral Palsy WANG Li- ping, WU Qing-wei, SUN Qi-feng, et al. Rehabilitation Medicine College of Jiamusi University, Jiamusi 154003, Heilongjiang, China Abstract: Objective To observe the effects of the acupuncture on muscle strain of lower extremities adductors for children with spastic cerebral palsy. Methods 100 children with spastic cerebral palsy were divided into treatment group (n=50) and control group (n=50) random- ly. The control group accepted routine rehabilitation, and the treatment group accepted acupuncture in addition. The passive range of motion (ROM) of adductor angle, D and E domains of Gross Motor Function Measure (GMFM-88) were observed before and after treatment. Re- sults ROM and GMFM- 88 improved after treatment (P0.05), and improved more in the treatment group than in the control group (P 0.05). Conclusion Acupuncture can release muscle strain of lower extremities adductors of children with spastic cerebral palsy and improve the motor function. Key words: cerebral palsy; spastic; acupuncture; adductor; muscle tone; gross motor function; lower extremities [中图分类号] R742.3 [文献标识码] A [文章编号] 1006-9771(2014)01-0073-03 [本文著录格式] 王立苹，吴青伟，孙奇峰，等. 痉挛型脑性瘫痪患儿下肢内收肌