【摘要】：目的：觀察以風(fēng)府、啞門為主穴針刺治療小兒痙攣型腦癱的臨床療效。比較該方法與西醫(yī)常規(guī)治療加康復(fù)訓(xùn)練的臨床療效,并對兩組患兒的綜合功能、發(fā)育情況、肢體痙攣狀態(tài)的臨床觀察指標(biāo)進(jìn)行分析,為針刺治療小兒痙攣型腦癱確定方法標(biāo)準(zhǔn)并提供臨床研究依據(jù)。 方法：選取小兒痙攣型腦癱患者60例,使用隨機數(shù)字表分為治療組及對照組各30例。治療組采用以風(fēng)府、啞門為主穴針刺治療加康復(fù)訓(xùn)練,針刺每日1次,每周6次,2周為一療程,‘康復(fù)訓(xùn)練采用Bobath療法及Vjota療法,每日各訓(xùn)練1次,每次各30min,每周各6次,2周為一療程。對照組采用西醫(yī)常規(guī)治療加康復(fù)訓(xùn)練,注射用鼠神經(jīng)生長因子30μg+NS2ml im qd,單唾液酸四己糖神經(jīng)節(jié)苷酯鈉注射液,40mg+NS100ml ivgtt qd,上述兩種藥物分別為10日一療程�？祻�(fù)訓(xùn)練操作同治療組。兩組在治療三個療程后觀察各組治療前后綜合功能、發(fā)育情況及肢體痙攣狀態(tài)改變情況。 結(jié)果：治療組顯效7例,有效22例,無效1例,總有效率為96.7%；對照組顯效3例,有效21例,無效6例,總有效率為80.0%。發(fā)育商DQ分值：兩組均有提高,治療組與對照組比較,差異有統(tǒng)計學(xué)意義(P0.05)�！禛esell發(fā)展診斷量表》：兩組患兒在各項數(shù)據(jù)上均有提高,治療組與對照組比較,有顯著性差異(P0.01)。肢體痙攣狀態(tài)：兩組均有改善,治療組與對照組比較,差異有統(tǒng)計學(xué)意義(P0.05)。腦電圖：異常腦電波改善不明顯,其中治療組僅有4例,對照組僅有2例,由異�；謴�(fù)到邊緣狀態(tài)。 結(jié)論：治療組生存質(zhì)量優(yōu)于對照組,顯示以風(fēng)府、啞門為主穴針刺治療小兒痙攣型腦癱療效確實。
[Abstract]:Objective: to observe the clinical effect of acupuncture at Fengfu and Yumen in treating spastic cerebral palsy in children. The clinical efficacy of this method was compared with that of routine western medicine and rehabilitation training. The comprehensive function, development and clinical observation index of limb spasm were analyzed in the two groups. To provide clinical basis for acupuncture treatment of spastic cerebral palsy in children. Methods: 60 children with spastic cerebral palsy were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with Fengfu, Yumen as the main point acupuncture plus rehabilitation training, acupuncture once a day, 6 times a week for 2 weeks as a course of rehabilitation training, using Bobath therapy and Vjota therapy, once a day each training. Each time 30 minutes, 6 times a week for 2 weeks as a course of treatment. The control group was treated with routine western medicine and rehabilitation training. The rats were injected with NGF 30 渭 g NS2ml im qd, monosialate tetrahexosylganglioside sodium injection 40 mg NS100ml ivgtt qd, for 10 days respectively. The operation of rehabilitation training was the same as that of treatment group. After three courses of treatment, the comprehensive function, development and spasticity of limbs were observed before and after treatment. Results: in the treatment group, there were 7 cases of remarkable effect, 22 cases of effective and 1 case of ineffectiveness, the total effective rate was 96.7%, while in the control group, there were 3 cases of remarkable effect, 21 cases of effective and 6 cases of ineffectiveness, the total effective rate was 80.0%. Development quotient DQ score: the two groups increased, the treatment group compared with the control group, the difference was statistically significant (P0.05). < Gesell development diagnosis scale >: the two groups of children in the data were improved, treatment group and control group, there was significant difference (P0.01). Limb spasm: both groups were improved, treatment group and control group, the difference was statistically significant (P0.05). Electroencephalogram (EEG): abnormal EEG was not improved obviously in the treatment group (4 cases) and the control group (2 cases). Conclusion: the quality of life in the treatment group is better than that in the control group.
【學(xué)位授予單位】：山西中醫(yī)學(xué)院
【學(xué)位級別】：碩士
【學(xué)位授予年份】：2013
【分類號】：R246.4

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