针刺治疗痉挛型脑瘫患儿生存质量的观察

作者	单位
刘振寰	广州中医药大学附属南海妇儿医院脑瘫康复中心广东佛山 528200
潘佩光	广州中医药大学附属南海妇儿医院脑瘫康复中心广东佛山 528200
马美美	广州中医药大学附属南海妇儿医院脑瘫康复中心广东佛山 528200
钱旭光	广州中医药大学附属南海妇儿医院脑瘫康复中心广东佛山 528200
符文杰	广州中医药大学附属南海妇儿医院脑瘫康复中心广东佛山 528200
张宏雁	广州中医药大学附属南海妇儿医院脑瘫康复中心广东佛山 528200
张春涛	广州中医药大学附属南海妇儿医院脑瘫康复中心广东佛山 528200

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中文摘要:

目的探讨针刺治疗在脑瘫康复中的作用及价值。方法对100例2～7岁的痉挛型脑瘫患儿分别用针刺加康复训练(治疗组50例)和单纯康复训练(对照组50例),物理治疗选用Bobath与Vojta方法,根据病情程度,治疗3个月～1年。结果总有效率治疗组显著高于对照组(P＜0．01);治疗后治疗组血管搏动指数低于对照组,发育商值治疗组高于对照组(均P＜0．01)。头颅CT脑发育不良、脑萎缩的好转率和脑灌流断层显影(emission computed tomography,ECT)恢复正常率治疗组高于对照组(P＜0．01)。结论针刺能促进脑功能的代偿作用,对提高脑瘫患儿生存质量有良好的作用。

英文摘要:

Objective To investigate the effect of acupuncture in children with spastic cerebral palsy (SCP).Methods One hundred SCP children,2 to 7 years old,were randomly assigned to two groups equally. The control group was treated with rehabilitation training using Bobath and Vojta physical training methods and the acupuncture group treated also with the same training but with acupuncture conducted additionally.The therapeutic course was 3-12 months arranged according to the state of illness.Results The total effective rate,development quotient (DQ),improvement rate of brain hypogenesis and atrophy showed by skull CT,and recovery rate of cerebral emission computed tomography (ECT) were all higher in the acupuncture group than those in the control group (all P＜0.01 ).Conclusion Acupuncture obviously promotes the compensation of cerebral function and shows a favorable effect in improving quality of life of the children with SCP.

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