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头皮针结合运动疗法对小儿痉挛型脑瘫的治疗效果

[Therapeutic effect of scalp-acupuncture combined with exercise therapy on spastic cerebral palsy of the child].

作者信息

Ji Yu-Hong, Sun Bao-Dong, Zhang Jing, Zhang Ru, Ji Yuan-Hong

机构信息

Rehabilitation Section, Tangshan Rehabilitation Medical Center, Tangshan, Hebei 063000, China.

出版信息

Zhongguo Zhen Jiu. 2008 Oct;28(10):723-6.

Abstract

OBJECTIVE

To observe clinical therapeutic effect of scalp-acupuncture combined with exercise therapy on spastic cerebral palsy.

METHODS

Eighty children of spastic cerebral palsy were randomly divided into a scalp-acupuncture plus exercise therapy group and a exercise therapy group, 40 cases in each group. The scalp-acupuncture plus exercise therapy group were treated with scalp-acupuncture and exercise therapy, with Yundongqu (the motor area), Pinghengqu (the balance area), Ganjuequ (the sensory area), etc. selected for scalp-acupuncture, and puncture at main points Baihui (GV 20) and Sishencong (EX-HN 1) and exercise therapy. The exercise therapy group were treated by exercise therapy. Changes of GMFM scores and WeeFIM scores before and after treatment were compared.

RESULTS

There were significant differences in GMFM scores and WeeFIM scores before and treatment in the scalp-acupuncture plus exercise therapy group (P < 0.001) and in the exercise therapy group (P < 0.05), the former being better than the later (P < 0.05); the total effective rate was 92.5% in the scalp-acupuncture plus exercise therapy group and 72.5% in the exercise therapy group with a significant difference between the two groups (P < 0.05), the former being significantly higher than the later.

CONCLUSION

The scalp-acupuncture combined with exercise therapy can improve motor function of limits of children with spastic cerebral palsy, with therapeutic effect better than that of simple exercise therapy.

摘要

目的

观察头针结合运动疗法对痉挛型脑瘫的临床治疗效果。

方法

将80例痉挛型脑瘫患儿随机分为头针加运动疗法组和运动疗法组,每组40例。头针加运动疗法组采用头针和运动疗法治疗,头针选取运动区、平衡区、感觉区等,针刺百会(GV 20)、四神聪(EX-HN 1)等主穴并结合运动疗法。运动疗法组单纯采用运动疗法治疗。比较两组治疗前后GMFM评分和WeeFIM评分的变化。

结果

头针加运动疗法组治疗前后GMFM评分和WeeFIM评分差异有统计学意义(P < 0.001),运动疗法组治疗前后GMFM评分和WeeFIM评分差异有统计学意义(P < 0.05),头针加运动疗法组优于运动疗法组(P < 0.05);头针加运动疗法组总有效率为92.5%,运动疗法组总有效率为72.5%,两组比较差异有统计学意义(P < 0.05),头针加运动疗法组显著高于运动疗法组。

结论

头针结合运动疗法可改善痉挛型脑瘫患儿的运动功能,疗效优于单纯运动疗法。

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