腕踝针治疗儿童痉挛性脑瘫上肢功能障碍临床观察
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Clinical Observation on Wrist-ankle Acupuncture for Upper Extremity Function Disorder in Children with Spastic Cerebral Palsy
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    摘要:

    目的:探讨腕踝针治疗痉挛性脑瘫患儿上肢功能障碍的临床疗效。方法:将60例痉挛性脑瘫上肢功能障碍患儿随机分为对照组和观察组各30例。2组均予常规康复治疗,对照组联合传统针刺疗法,观察组联合腕踝针疗法。1疗程10天,2组均治疗3疗程。比较治疗前后改良Ashworth痉挛量表(MAS)评分和Peabody精细运动发育量表(PDMS-FM) 评分(包括抓握和视觉-运动整合评分)。结果:治疗后,2组MAS评分与治疗前比较均下降( P <0.05),观察组MAS评分较对照组下降更明显( P <0.05)。对照组抓握和视觉-运动整合评分与治疗前比较,差异无统计学意义(P>0.05);观察组抓握和视觉-运动整合评分较治疗前升高,与对照组评分比较亦升高,差异均有统计学意义( P <0.05)。结论:腕踝针治疗痉挛性脑瘫上肢功能障碍有良好的疗效,值得在临床推广应用。

    Abstract:

    Objective:To discuss the clinical effect of wrist-ankle acupuncture for upper extremity function disorder in children with spastic cerebral palsy.Methods:Divided 60 cases of children with spastic cerebral palsy into the control group and the observation group randomly,30 cases in each group.The two groups were given routine rehabilitation for treatment,and the control group additionally received traditional acupuncture,while the observation group additionally received wrist-ankle acupuncture.The two groups received treatment for three courses,ten days being one course.Compared scores of the modified Ashworth scale(MAS)and scores of Peabody developmentalmotor scale-fine motor(PDMS-FM)including scores of grasp and visual-motion integration before and after treatment.Results:After treatment,the MAS scores in the two groups were decreased when compared with those before treatment respectively( P <0.05).The MAS score in the observation group was decreased more significantly than that in the control group( P <0.05).Compared scores of grasp and visual-motion integration in the control group before and after treatment,there being no significance in the difference(P>0.05).Scores of grasp and visual-motion integration in the observation group were increased when compared with those before treatment,and were also increased when compared with those in the controlgroup,differences being significant(P <0.05).Conclusion:The wrist-ankle acupuncture is effective in improving the upper extremity function of spastic cerebral palsy,which is worthy of clinicalpromotion and application.

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贾倩芳,党长林,金炳旭.腕踝针治疗儿童痉挛性脑瘫上肢功能障碍临床观察[J].新中医,2018,50(7):198-200

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  • 在线发布日期: 2018-07-09
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