针刺、推拿联合康复训练对痉挛型脑性瘫痪患儿临床症状及下肢功能的影响

摘要

Objective To study the influence of acupuncture and massage combined with rehabilitation training on the clinical symptoms and lower limb function in children with spastic cerebral palsy.Methods 90 children with spastic cerebral palsy treated at our hospital from May,2011 to May,2014 were selected as study objects and were randomly divided into a control group and an experimental group.The control group received rehabilitation training and the experimental group acupuncture and massage combined with rehabilitation training.Three months after treatment,Ash-worth and GMFM-88 were used to evaluate the influence of these two treatment methods on the clinical symptoms and lower limbs function in the children with spastic cerebral palsy.Results After treatment,the total effective rate was 84.44％ in the experimental group and 62.22％ in the contrast group,with a statistical difference (P＜0.05).The total GMFM-88 percentage was (68.94±4.75)％ in the experimental group and (60.13±4.86)％ in the control group,with a statistical difference (P＜0.05).Conclusions Acupuncture and massage combined with rehabilitation training can significantly improve the clinical symptoms and recover the lower limbs function in children with spastic cerebral palsy,so it is worth being generalized.%目的 研究针刺、推拿联合康复训练对痉挛型脑性瘫痪患儿临床症状及下肢功能的影响.方法 选择2011年5月至2014年5月来本院就诊的90例痉挛型脑性瘫痪患儿作为研究对象,随机分为两组,对照组给予康复训练治疗,实验组给予针刺、推拿联合康复训练治疗.治疗3个月后,采用改良Ash-worth量表和粗大运动功能评定量表(GMFM-88)评估量表评价两种治疗方案对痉挛型脑性瘫痪患儿临床症状和下肢功能的影响.结果 治疗后实验组总有效率为84.44％,显著高于对照组的62.22％,差异具有统计学意义(P＜0.05).实验组GMFM-88总百分比为(68.94±4.75)％,显著高于对照组的(60.13±4.86)％,差异具有统计学意义(P＜0.05).结论 针刺、推拿联合康复训练可显著改善痉挛型脑性瘫痪患儿的临床症状,恢复患儿下肢功能,疗效显著,值得推广.