健脾补肾通督醒窍法联合康复训练对痉挛型脑瘫患儿步态能力和智能发育的影响研究
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摘要
目的观察健脾补肾通督醒窍法联合康复训练对痉挛型脑瘫患儿步态能力和智能发育的影响。方法选取2016年8月至2018年2月在我院门诊和住院部就诊的痉挛型脑瘫患儿80例,随机分为对照组和治疗组,各40例。对照组给予康复训练治疗,如Bobath法、肢体运动功能训练、姿势异常训练、核心肌群训练等,以促进肢体运动功能;治疗组在对照组治疗方法的基础上给予健脾补肾通督醒窍法针刺治疗。2组均连续治疗2月后,观察并比较步长、步速、步宽及智能发育评分变化情况。结果与同组治疗前比较,2组相同年龄段患儿治疗后步长、步速及步宽均有改善,差异均有统计学意义(P<0.05);且相同年龄段治疗组各项评分变化均明显优于对照组(P<0.05)。与同组治疗前比较,2组相同年龄段患儿治疗后智力发育指数(MDI)和心理运动发育指数(PDI)评分均升高,差异均有统计学意义(P<0.05);且相同年龄段治疗组MDI、PDI评分均明显高于对照组(P<0.05)。结论健脾补肾通督醒窍法联合康复训练能有效改善痉挛型脑瘫患儿步态能力,提高患儿智能发育水平,值得临床借鉴。
Objective To observe the effect of the method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice on gait ability and intellectual development of children with spastic cerebral palsy.Methods Eighty cases of children with spastic cerebral palsy who were treated at the out-patient clinic or hospitalized in our hospital from August 2016 to February 2018 were chosen and randomly divided into control group and treatment group,with 40 cases in each.The control group was given rehabilitation training treatment,such as Bobath, limb motor function training,abnormal posture training,and training of core muscle group to promote limb movement function.On the basis of the control group,the treatment group was given acupuncture treatment of the method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice.Both groups were given consecutive treatment for 2 months.The changes of step length, leg speed and stride width and the changes of intelligent development scores of the 2 groups were observed and compared.Results Compared with those before treatment,the step length,leg speed and stride width of children of the same age bracket in the two groups all improved after treatment,and the difference was statistically significant(P<0.05).Moreover,the changes in scores of children of the same age bracket in the treatment group were significantly superior to those in the control group(P<0.05).Compared with those before treatment,mental development index(MDI) and psychomoter development index(PDI) scores of children of the same age bracket in both groups increased significantly after treatment,and the difference was statistically significant(P<0.05).Moreover,MDI and PDI scores of children of the same age bracket in the treatment group were significantly higher than those of the control group(P<0.05).Conclusion The method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice combined with rehabilitation training can effectively improve the gait ability of children with spastic cerebral palsy and improve the intellectual development level of children,which is worthy of clinical reference.
Objective To observe the effect of the method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice on gait ability and intellectual development of children with spastic cerebral palsy.Methods Eighty cases of children with spastic cerebral palsy who were treated at the out-patient clinic or hospitalized in our hospital from August 2016 to February 2018 were chosen and randomly divided into control group and treatment group,with 40 cases in each.The control group was given rehabilitation training treatment,such as Bobath, limb motor function training,abnormal posture training,and training of core muscle group to promote limb movement function.On the basis of the control group,the treatment group was given acupuncture treatment of the method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice.Both groups were given consecutive treatment for 2 months.The changes of step length, leg speed and stride width and the changes of intelligent development scores of the 2 groups were observed and compared.Results Compared with those before treatment,the step length,leg speed and stride width of children of the same age bracket in the two groups all improved after treatment,and the difference was statistically significant(P<0.05).Moreover,the changes in scores of children of the same age bracket in the treatment group were significantly superior to those in the control group(P<0.05).Compared with those before treatment,mental development index(MDI) and psychomoter development index(PDI) scores of children of the same age bracket in both groups increased significantly after treatment,and the difference was statistically significant(P<0.05).Moreover,MDI and PDI scores of children of the same age bracket in the treatment group were significantly higher than those of the control group(P<0.05).Conclusion The method of invigorating spleen and tonifying kidney as well as dredging governor vessel and awakening orifice combined with rehabilitation training can effectively improve the gait ability of children with spastic cerebral palsy and improve the intellectual development level of children,which is worthy of clinical reference.
引文
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[7]梁春光,孙军弟,王琦,等.针刀松解术配合常规康复训练治疗痉挛型脑瘫患儿双下肢运动功能障碍27例临床观察[J].中医儿科杂志,2014,10(4):39-42.
[2]中华医学会儿科学分会神经学组.小儿脑性瘫痪的定义、诊断条件及分型[J].中华儿科杂志, 2005,43(4):262.
[3]王金明.注射用鼠神经生长因子治疗小儿脑性瘫痪皮质盲的临床疗效[J].中国实用神经疾病杂志, 2014, 32 (20):110.
[4]于勰荔.中药联合康复训练治疗痉挛型脑瘫患儿40例临床观察及对步行功能的影响[J].中医儿科杂志, 2016,12(5):78-81.
[5]李晓捷.实用小儿脑性瘫痪康复治疗技术[M].北京:人民卫生出版社,2009:208.
[6]吴家满,卓缘圆,张谦,等.益肾通督针法配合康复训练对痉挛型脑性瘫痪患者智能发育的影响[J].上海针灸杂志,2014,33(3):203.
[7]梁春光,孙军弟,王琦,等.针刀松解术配合常规康复训练治疗痉挛型脑瘫患儿双下肢运动功能障碍27例临床观察[J].中医儿科杂志,2014,10(4):39-42.