探讨针刺联合康复训练治疗小儿脑瘫的临床观察.docVIP

精品论文 参考文献 探讨针刺联合康复训练治疗小儿脑瘫的临床观察 1大庆油田总医院 163001；2哈尔滨儿童医院康复科 150001 【摘 要】目的 研究分析小儿脑瘫采用针刺联合康复训练的临床治疗效果。方法 此次研究的对象是选取2012年5月—2013年12月住院及门诊治疗的54例脑瘫患儿。将其临床资料进行回顾性分析，并按照随机数字表法将患儿分为观察组和对照组。对照组采用针刺治疗；观察组采用针刺联合康复训练治疗。观察两组患儿治疗前后粗大运动功能量表（GMFM）与Barthel指数评估情况。结果 两组治疗前GMFM评分和Barthel指数比较差异无统计学意义（Pgt;0.05）；治疗后，观察组GMFM评分和Barthel指数与对照组比较差异有统计学意义（Plt;0.05）。结论 相比单纯针刺治疗小儿脑瘫，针刺联合康复训练效果更佳，可改善患儿肢体运动功能，提高患儿日常生活质量。 　　【关键词】小儿脑瘫；针刺；康复训练；粗大运动功能量表；日常生活质量 　　Abstract：Objective To study the clinical therapeutic effect of acupuncture combined with rehabilitation training for children with cerebral palsy. Methods the study was to select 54 cases of cerebral palsy in children with cerebral palsy from December 2013 to May 2012. The clinical data were retrospectively analyzed and divided into the observation group and the control group according to the random number table method. The control group was treated with acupuncture，and the observation group was treated with acupuncture combined with rehabilitation training. The gross motor function scale（GMFM）and Barthel index of the two groups were observed before and after treatment. Results there was no significant difference between the two groups before treatment GMFM score and Barthel index（Pgt;0.05）. After treatment，the GMFM score and Barthel index of the observation group were significantly different from the control group（Plt;0.05）. Conclusion compared with simple acupuncture treatment of children with cerebral palsy，acupuncture combined with rehabilitation training effect is better，can improve the childrens limb motor function，improve the quality of daily life of children. Key words：children with cerebral palsy；acupuncture；rehabilitation training；gross motor function scale；daily life quality 脑瘫主要是指婴儿出生前到出生后1个月，因各种原因而导致非进行脑损害综合征[1]。患儿主要表现为先天性运动功能障碍和姿势异常等情况，同时还可伴有不同程度智力低下和语言障碍等。我国脑瘫发病率为0.18%～0.40%[2]。近年来，随着医学技术的快速发展，新生儿的成活率逐渐增加，同时小儿脑瘫患病率逐渐下降。小儿脑瘫不仅影响患儿的健康成长，还给社会和家庭带来极大的负担。目前国内及国际对小儿脑瘫尚缺乏有效的治疗药物，仍以康复治疗为主要手段，大量临床资料证明，传统医学中的针灸在小儿脑瘫中发挥重要作用。本研究旨