AMIE的方案治疗痉挛型脑瘫患儿运动功能障碍随机对照的研究.docVIP

AMIE的方案治疗痉挛型脑瘫患儿运动功能障碍随机对照的研究 　　文章编号：0255-2930(2007)11-0797-04 　　中图分类号：R 246.4文献标识码：A临床研究 　　 　　[摘 要] 目的：观察针灸推拿等综合疗法(AMIE方案)治疗痉挛型脑瘫患儿运动功能障碍的临床疗效。方法：采用随机、对照的试验方法，将120例痉挛型脑瘫患儿随机分为综合组60例，施行AMIE方案(针刺、推拿、穴位注射及五禽戏)；康复组60例，施行Bobath训练法治疗，均治疗60次。以治疗前后运动功能评分评价其临床疗效，并且随访12个月，了解患儿是否可以独立行走。结果：综合组总有效率76.7%，康复组58.4%，2组相比，P0.05；与治疗前比较，综合组和康复组运动功能评分差异均有显著性意义(P0.05)。1年后的随访比较，综合组治疗后可以独立行走人数为36例，明显多于康复组的24例，经统计学处理，差异有显著性意义(P0.05)。结论：AMIE方案治疗痉挛型脑瘫患儿运动功能障碍有效，近期疗效等同于Bobath训练法，远期疗效优于Bobath训练法。 　　[主题词] 脑性瘫痪/针灸疗法；脑性瘫痪/穴位疗法；运动障碍/针灸疗法；运动障碍/穴位疗法；小儿推拿；水针；随机对照试验；@AMIE方案 　　Randomized controlled study on AMIE methods for treatment of movement disorder in the child of convulsive cerebral palsy 　　HE Jing1，DONG Xiao-li2，DUAN Yu-hu3，ZHOU Hong-ling2，HUANG Chang-qiong1，LIU Yi1，ZHAO Yu1，CHEN Ming-jin1 (1.Rehabilitation and Acupuncture Center，Huaxi Hospital，Sichuan University，Chengdu 610041，China；2.The First People′s Hospital of Chengdu City；3.Affiliated Hospital of Sichuan Provincial Academy of TCM) 　　ABSTRACT Objective To observe the curative effect of AMIE methods on movement disorder in the child of convulsive cerebral palsy (CP). Methods One hundred and twenty cases of CP children were randomly divided into an integration treatment group and a rehabilitation group，60 cases in each group. The integration treatment group were treated with acupuncture (A)，massage (M)，injection (I)and five animal exercise (E) therapies for 60 times，and the rehabilitation group were treated with Bobath training therapy for 60 times. Scores for movement function before and after treatment were used for assessment of therapeutic effect. Twelve months later，understand whether or not the children can walk on one′s own. Results The total effective rate was 76.7% in the integration treatment group and 58.4% in the rehabilitation group，with no significant difference between the two groups (P0.05)；there were significant differences in the two groups in differences of movement function scores before and after treatment (P0.