针刺丘墟透照海联合运动发育推拿法治疗小儿痉挛性脑瘫临床研究
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R742.3;R246.4

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Clinical Study on Acupuncture at Qiuxu Point Through Zhaohai Point Combined with Motor-Development Massage for Children with Spastic Cerebral Palsy
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    摘要:

    目的:观察针刺丘墟透照海联合运动发育推拿法对小儿痉挛性脑瘫患者运动发育及肌张力的影响。 方法:选取痉挛性脑瘫患儿90例作为研究对象,采用随机数字表法分为对照组和观察组各45例。2组均采用 运动发育推拿法,观察组加用针刺丘墟透照海治疗。评价2组临床疗效,比较2组治疗前后运动发育、肌张力、 运动功能、日常生活活动能力、F波波幅、刺激阈值。结果:观察组总有效率为88.89%,高于对照组71.11%, 差异有统计学意义(P<0.05)。治疗后, 2 组Peabody 运动发育量表(PDMS-2) 评分、粗大运动功 能(GMFM88) 量表评分、日常生活活动能力评分均高于治疗前(P<0.05),且观察组各项评分均高于对照 组(P<0.05)。治疗后,2组改良Ashworth痉挛量表评分均低于治疗前(P<0.05),且观察组低于对照组(P< 0.05)。治疗后,2组F波波幅低于治疗前,刺激阈值高于治疗前(P<0.05);且观察组F波波幅低于对照组, 刺激阈值高于对照组(P<0.05)。结论:针刺丘墟透照海联合运动发育推拿法治疗小儿痉挛性脑瘫效果明显, 可有效改善运动发育,降低肌张力,提高日常生活活动能力。

    Abstract:

    Abstract: Objective: To observe the effect of the therapy of acupuncture at Qiuxu Point (GB40) through Zhaohai Point (KI16) combined with motor-development massage on the motor development and muscle tonus of children with spastic cerebral palsy. Methods:A total of 90 children with spastic cerebral palsy were selected as the study subjects and divided into the control group and the observation group according to the random number table method,with 45 cases in each group. The two groups were given the motor-development massage,and the observation group was additionally treated with acupuncture at Qiuxu Point through Zhaohai Point. The clinical effects in the two groups were evaluated; the motor development, muscle tonus, motor function, activities of daily living, F wave amplitude and stimulus threshold were compared before and after treatment between the two groups. Results:The total effective rate was 88.89% in the observation group,higher than that of 71.11% in the control group,the difference being significant (P<0.05). After treatment,the scores of Peabody Development Motor Scales (PDMS-2), Gross Motor Function Measure 88 (GMFM88) and activities of daily living in the two groups were higher than those before treatment (P<0.05), and the above three scores in the observation group were higher than those in the control group (P<0.05). After treatment, the scores of Modified Ashworth Scale in the two groups were lower than those before treatment (P<0.05), and the above score in the observation group was lower than that in the control group (P<0.05). After treatment,the F wave amplitude in the two groups was lower than that before treatment, and the stimulus threshold was higher than that before treatment (P<0.05); the F wave amplitude in the observation group was lower than that in the control group, and the stimulus threshold was higher than that in the control group (P<0.05). Conclusion: The therapy of acupuncture at Qiuxu Point through Zhaohai Point combined with motor-development massage has a significant curative effect on children with spastic cerebral palsy, which can effectively improve the motor development,decrease the muscle tonus and enhance the activities of daily living.

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李杰,余素芳,江瑞娟.针刺丘墟透照海联合运动发育推拿法治疗小儿痉挛性脑瘫临床研究[J].新中医,2024,56(7):120-124

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  • 在线发布日期: 2024-04-11
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