头针配合体针为主对改善痉挛型脑瘫患儿粗大运动功能的疗效观察Effect of scalp acupuncture and body acupuncture on improvement of gross motor in children with spastic cerebral palsy.pdfVIP

提 要 目的：观察头针配合体针为主对改善痉挛型脑瘫患儿粗大运动功能的疗效。方法： 将小儿痉挛型脑性瘫痪患者 60 例，随机分为针刺组和对照组，每组各 30 例。针刺 组采用头针加体针结合现代康复训练治疗，对照组仅采用现代康复训练。所有纳入病 例每周治疗5次，6个月为1个疗程，疗程结束后，采用中文译本的粗大运动功能测 试量表(Gross Motor Function Measure，GMFM)88项版本进行疗效评估。结果：1、 针刺组和对照组五个功能区的原始分，治疗前、后经统计学处理，均有显著性差异（P ＜0.01）。2、针刺组和对照组五个功能区治疗后的原始分，经统计学处理，有显著性 差异（P＜0.01）。结论：1、头针、体针结合现代康复训练的综合康复治疗模式和现 代康复手段都能改善痉挛型脑瘫患儿的粗大运动功能；2、头针、体针结合现代康复 训练的综合康复治疗模式在改善痉挛型脑瘫患儿的粗大运动功能方面优于现代康复 手段，为痉挛型脑瘫患儿的粗大运动功能康复提供了一种思路。 关键词 头针；体针；现代康复训练；小儿痉挛型脑瘫；粗大运动功能 Observation on effect of Scalp acupuncture assisting oriented body acupuncture for improving Gross Motor Function of Children with spastic cerebral palsy Specialty ：Acupuncture,moxibustion and massage Author: Huai Zhiyong Tutor: Yang Dianhui Abstract Objective：To observe the therapeutic effect of scalp acupuncture assisting oriented body acupuncture for treatment towards Gross Motor Function of Children with spastic cerebral palsy.Meathod ：60 cases of Children with spastic cerebral palsy were randomly divided into an acupuncture group and a control group,each group includes 30 cases.The acupuncture group were treated with scalp acupuncture and body acupuncture combined with modern rehabilitation training treatment,while the control group were treated only with modern rehabilitation training.All cases were treated 5 times a week,6 month constituting a course.After the course was finished,Chinese version of Gross Motor Function Measure(GMFM) 88 edition was used to evalue the curative effect.Results ： 1.The scores of origin,pre-treated and after-treated of each group’s 5 functional areas showed the significant differences after being Statisti