浏览全部资源
扫码关注微信
1. 上海中医药大学附属普陀医院
2. 北京武警总医院,上海,200062
纸质出版日期:2007
移动端阅览
张宁霞, 刘桂珍, 孙克兴, 等. 热补针法结合康复训练对小儿脑瘫患儿功能影响的随机对照研究[J]. 针刺研究, 2007,(4):260-263.
ZHANG Ning-xia, LIU Gui-zhen, SUN Ke-xing, et al. Clinical Study on the Treatment of Infant Cerebral Palsy with Warm-reinforcing Needling Combined with Rehabilitation Training[J]. Acupuncture research, 2007, (4): 260-263.
张宁霞, 刘桂珍, 孙克兴, 等. 热补针法结合康复训练对小儿脑瘫患儿功能影响的随机对照研究[J]. 针刺研究, 2007,(4):260-263. DOI:
ZHANG Ning-xia, LIU Gui-zhen, SUN Ke-xing, et al. Clinical Study on the Treatment of Infant Cerebral Palsy with Warm-reinforcing Needling Combined with Rehabilitation Training[J]. Acupuncture research, 2007, (4): 260-263. DOI:
目的:探讨热补针法结合康复训练治疗小儿脑瘫的疗效。方法:将40例小儿脑瘫患儿随机分为康复组19例
针刺结合康复组21例
康复组患儿采用康复训练进行治疗
针刺结合康复组患儿采用热补针法结合康复训练治疗。针刺治疗体针取百会、哑门、曲池、环跳、三阴交等穴
施热补针法
不留针;头针取智三针、脑三针、运动区、平衡区等穴
不提插捻转
留针1 h。均隔日1次
3个月为1疗程
共治疗2个疗程。采用粗大运动功能评价量表(GMFM)和脑瘫患儿综合功能评定量表进行功能评定。结果:康复组与针刺结合康复组显效、无效和有效率分别为12(63.16%)
18(85.71%);7(36.84%)
3(14.29%);63.16%和85.71%
针刺结合康复治疗组的疗效显著优于单纯康复治疗组(P<0.05)。两组治疗前比较GMFM评分和脑瘫综合功能评分均无显著性差异(P>0.05)
两组治疗后比较GMFM评分和脑瘫综合功能评分均有显著增加(P<0.01);针刺结合康复治疗的增加幅度明显高于单纯康复组(P<0.01)。结论:针刺结合康复训练提高脑瘫患儿的综合功能的疗效明显优于单纯康复治疗。
Objective: To observe the therapeutic effect of warm-reinforcing needling combined with modern rehabilitation training for infant cerebral palsy(CP).Methods: Forty cases of cerebral palsy children were randomly divided into rehabilitation(Rehab
n=19) and acupuncture(Acup) +Rehab(n=21) groups.Body acupoints used were Baihui(GV 20)
Zusanli(ST 36)
Quchi(LI 11)
Huantiao(GB 30)
Yinlingquan(GB 34)
Sanyinjiao(SP 6)
etc.
and scalp-acupoints Zhisanzhen(the cross-point between the anterior hairline and the median line of the head
3 cun bilateral to the crossing point)
Naosanzhen [Naohu(GV 17)
1.5 cun bilateral to GV17]
Balance Zone
Motor Zone
etc..The treatment was conducted once every other day
with 3 months being a therapeutic course
2 courses altogether.Rehabilitation training included physical training(PT)
occupational therapy(OT) training
and speech training(ST)
5 times a week
with 3 months being a therapeutic course
2 courses altogether.Gross motor function measure(GMFM) and comprehensive function(CF
including cognition
speech
motor
self-care and social-adaptable abilities) were evaluated.Results: After the treatment
of the 19 and 21 cases in Rehab and Acup+Rehab groups
12(63.16%) and 18(85.71%) experienced marked improvement
7(36.84%) and 3(14.29%) failed
with the effective rates being 63.16% and 85.71% respectively.The therapeutic effect of Acup+Rehab group was markedly superior to that of Rehab group(P<0.05).Selfcomparison of two groups showed that the scores of CF and GMFM increased significantly in comparison with pre-treatment(P<0.01)
and the scores of CF and GMFM of Acup+Rehab group were obviously higher than those of Rehab group(P<0.01).Conclusion: Rehabilitation training combined with acupuncture can apparently improve CP children's motor and comprehensive functions
and the therapeutic effect of Acup+Rehab is evidently superior to that of simple rehabilitation training therapy.
0
浏览量
0
下载量
33
CNKI被引量
关联资源
相关文章
相关作者
相关机构