本文關(guān)鍵詞：針刺聯(lián)合運動療法治療痙攣性雙癱型腦癱臨床觀察　出處：《上海針灸雜志》2017年02期 　論文類型：期刊論文

  更多相關(guān)文章： 針刺 腦性癱瘓 運動療法 痙攣型雙癱 康復(fù)訓(xùn)練 Ashworth量表評分

【摘要】：目的觀察針刺聯(lián)合運動療法治療痙攣性雙癱型腦癱患者的臨床療效。方法將69例小兒腦癱患者隨機(jī)分成兩組,治療組35例給予針刺療法聯(lián)合運動療法,對照組34例給予單純運動療法,治療3個月后,觀察兩組患者雙下肢腓腸肌肌張力緩解情況(改良Ashworth量表評分和足背屈角角度)、站立與行走、跑等功能改善(GMFM的D、E區(qū)分?jǐn)?shù)變化)及日常生活能力改善情況(ADL評分)。結(jié)果兩組治療后雙下肢腓腸肌肌張力較治療前均降低,即Ashworth量表評分提高,足背屈角擴(kuò)大活動度明顯擴(kuò)大,差異有統(tǒng)計學(xué)意義(P0.05);兩組治療后分別在GMFM的D區(qū)、E區(qū)評分提高,差異具有統(tǒng)計學(xué)意義(P0.05);兩組治療后ADL評分較治療前明顯提高,差異具有統(tǒng)計學(xué)意義(P0.05)。兩組治療后相比,治療組Ashworth量表評分提高,足背屈角角度擴(kuò)大,均優(yōu)于對照組,兩組比較差異均有統(tǒng)計學(xué)意義(P0.05);治療組GMFM的D、E區(qū)功能區(qū)評分均優(yōu)于對照組,兩組比較差異均有統(tǒng)計學(xué)意義(P0.05);治療組ADL評分明顯優(yōu)于對照組,兩組比較差異均有統(tǒng)計學(xué)意義(P0.05)。結(jié)論針刺療法聯(lián)合運動療法治療痙攣性雙癱型腦癱患者療效確切。
[Abstract]:Objective To observe the clinical effects of acupuncture combined with exercise therapy for treatment of spastic diplegic cerebral palsy patients. Methods 69 cases of children with cerebral palsy were randomly divided into two groups, 35 cases in the treatment group were given acupuncture therapy combined with exercise therapy, 34 cases in the control group were treated with exercise therapy, after 3 months of treatment, observe two groups of patients with lower limb gastrocnemius muscular tension (modified Ashworth scale score and foot dorsiflexion angle), standing and walking, running and other functions to improve (GMFM D, E score change) and daily life ability improvement (ADL score). The results of the two groups after treatment of lower limbs gastrocnemius muscle tension were decreased significantly compared with before treatment. The Ashworth score increased, foot dorsiflexion angle expanding activity significantly increased, the difference was statistically significant (P0.05); the two groups after treatment respectively in the GMFM D area, E area were increased, the difference was statistically significant (P0.05); the two groups after treatment ADL score than cure Before treatment significantly improved, the difference was statistically significant (P0.05). The two groups after treatment compared with the treatment group Ashworth score increase, foot dorsiflexion angle enlargement, were better than the control group, with significant differences between the two groups (P0.05); treatment group GMFM D score, E zone was better than that of the control group, with significant differences between the two groups (P0.05); the ADL score of treatment group was significantly better than the control group, with significant differences between the two groups (P0.05). Conclusion acupuncture therapy combined with exercise therapy for treatment of spastic diplegic cerebral palsy patients with curative effect.

【作者單位】： 陜西省康復(fù)醫(yī)院;
【分類號】：R246.6
【正文快照】： 腦性癱瘓是一組持續(xù)存在的中樞性運動和姿勢發(fā)育障礙、活動受限癥候群,這種癥候群是由于發(fā)育中的胎兒或嬰幼兒腦部非進(jìn)行性損傷所致。腦性癱瘓的運動障礙常伴有感覺、知覺、認(rèn)知、交流和行為障礙,以及癲癇及繼發(fā)性肌肉骨骼問題。痙攣性腦癱在腦癱患者中占60%~70%[1],痙攣性雙

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