摘要
背景:寻找有效改善小儿脑性瘫痪(脑瘫)患儿独立步行能力的方法,提高患儿的生活质量是目前脑瘫治疗的热点题目。目的:观察针刺治疗小儿脑瘫对运动功能改善的效果。设计:自身前后对照的研究。单位:中山市博爱医院康复科。对象:中山市博爱医院收治的92例脑瘫患儿。方法:92例患儿随机分为针刺组72例,予针刺治疗,对照组20例,口服脑复康,1粒/次,3次/d,3个月为1个疗程,疗程结束后评定疗效。主要观察指标:①两组患儿显效率的比较。②治疗后两组患儿主要运动功能改善情况。结果:对92例脑瘫患儿研究结果表明:针刺组有效率79%,对照组有效率55%,针刺组疗效优于对照组,两组比较差异有显著性意义(χ2=4.74,P<0.05);3岁以下患儿,针刺组有效率为84%,对照组有效率54%,两组比较差异有显著性意义(χ2=5.12,P<0.05);大于3岁年龄,针刺组有效率57%,对照组有效率56%,两组比较差异无显著性意义(χ2=0.005,P>0.05)。针刺后患儿79%可翻身,62%可独坐,47%可膝爬,33%可独站,7%可独走。与针刺前比较,差异有非常显著性意义(χ2=14.5,11.1,16.2,10.2,5.17,P<0.05或P<0.01)。针刺组与对照组比较除独走项无差异外,差异均有显著性意义(χ2=4.74,4.81,4.78,4.33,1.46,P<0.05)。结论:年龄越小,疗效越好,3岁前是脑瘫患儿针刺的最佳治疗时机;CT?
BACKGROUND:To search for the effective method to promote the independent walking ability of children with cerebral paralysis so as to improve their living quality,which is the hot topic in the treatment of cerebral paralysis at present.OBJECTIVE:To observe the effects of acupuncture on the improvement of motor functions in infantile cerebral paralysis.DESIGN:Self-controlled study.SETTING:Rehabilitation Department of Bo'ai Hospital in Zhongshan City.PARTICIPANTS:Totally 92 children with cerebral paralysis treated in Bo'ai Hospital in Zhongshan City.INTERVENTIONS:Totally 92 cases of cerebral paralysis were randomized into acupuncture group,including 72 cases treated with acupuncture,and control group,including 20 cases treated by oral taking Piracetan,1 pill/time,3 times daily and 3 months made 1 course.The therapeutic effects were evaluated at the end of the course.MAIN OUTCOME MEASURES:①The comparison of the remarkable therapeutic effects in two groups.②Improvement of main motor functions of children in two groups after treatments.RESULTS:It was indicated from the results of the research on 92 cases of cerebral paralysis in children that:the effective rate was 79%in acupuncture group,55%in the control,the therapeutic effect of acupuncture group was superior to that of the control,reflecting significant difference(χ2=4.74,P< 0.05);for the children younger than 3 years old,the effective rate was 84%in acupuncture group,54%in the control,reflecting significant difference(χ2=5.12,P< 0.05);for the children elder than 3 years old,the effective rate was 57%in acupuncture group,56%in the control, reflecting no significant difference(χ2=0.005,P >0.05).After acupuncture,79%children were able to turning the body,62%to sit up independently,47%to climb on knees,33%to stand up independently,and 7%to walk independently.After acupuncture,the differences were very significant compared with the results before acupuncture(χ2=14.5,11.1,16.2,10.2,5.17,P< 0.05 or P< 0.01).By the comparison between acupuncture group and the control,except independent walking that had no difference in two group,(χ2=4.74, 4.81,4.78, 4.33,1.46,P< 0.05). CONCLUSION:The younger the children are,the better therapeutic effects will be.The treatment starting before 3 years is the best opportunity of acupuncture for cerebral paralysis of children.The motor disturbance of children with cerebral paralysis with abnormal CT results is obviously severe than that without CT abnormal.Motor disturbance is commonly seen in central atrophy,intelligent disturbance and aphasis are commonly in cortical atrophy.Acupuncture can possibly establish the main motor functions for children with cerebral paralysis earlier so as to lay a good foundation for walking independently in the children with cerebral paralysis.
出处
《中国临床康复》
CSCD
2004年第33期7603-7605,共3页
Chinese Journal of Clinical Rehabilitation
