[1]汪晓翠.针刺联合康复训练治疗小儿脑瘫的疗效观察及对脑血流的影响[J].中医儿科杂志,2017,(04):78-81.[doi:10.16840/j.issn1673-4297.2017.04.24]
 WANG Xiaocui.Clinical effect and influence on cerebral blood flow of children with cerebral palsy treated with acupuncture combined rehabilitation training[J].Journal of Pediatrics of Traditional Chinese Medicine,2017,(04):78-81.[doi:10.16840/j.issn1673-4297.2017.04.24]
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针刺联合康复训练治疗小儿脑瘫的疗效观察及对脑血流的影响
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《中医儿科杂志》[ISSN:/CN:62-1176/R]

卷:
期数:
2017年04期
页码:
78-81
栏目:
针灸推拿
出版日期:
2017-07-25

文章信息/Info

Title:
Clinical effect and influence on cerebral blood flow of children with cerebral palsy treated with acupuncture combined rehabilitation training
作者:
汪晓翠
桐庐县中医院针灸科, 浙江 桐庐 311500
Author(s):
WANG Xiaocui
Department of Acupuncture and Moxibusition, Tonglu Hospital of TCM, Tonglu, Zhejiang, 311500, China
关键词:
小儿脑瘫针刺康复训练临床观察
Keywords:
children with cerebral palsyacupuncturerehabilitation trainingclinical observation
分类号:
R255.6
DOI:
10.16840/j.issn1673-4297.2017.04.24
摘要:
目的 观察针刺联合康复训练治疗小儿脑瘫的临床疗效及对患儿肢体运动功能和脑血流的影响。方法 将2011年4月至2016年8月于我院针灸科就诊的81例脑瘫患儿随机分为对照组40例和治疗组41例,对照组采用康复训练治疗,治疗组在康复训练的基础上联合针刺治疗,2组均以3月为1个疗程,1个疗程后比较2组患儿的临床疗效。结果 治疗后2组粗大运动功能评估(GMFM)评分显著升高,肌张力评分显著下降,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组改善幅度大于对照组(P<0.05);治疗后2组大脑动脉血流速度(VP)显著增加,血管内皮生长因子(VEGF)水平显著下降,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组改善幅度大于对照组(P<0.05);对照组总有效率为75.00%,治疗组为92.68%,2组总有效率经统计学分析,差异有统计学意义(P<0.05)。结论 针刺联合康复训练治疗小儿脑瘫疗效显著,可更好地改善肢体运动功能和脑部血流速度,值得在临床上推广。
Abstract:
Objective To investigate the clinical effect of acupuncture combined with rehabilitation training on children with cerebral palsy and children’s limb movement and cerebral blood flow.Methods 81 cases with cerebral palsy from April,2011 to August,2016 in our hospital were randomly divided into two groups.Control group with 40 cases were treated with modern rehabilitation training treatment,and therapy group with 41 cases was given acupuncture based on the therapy of control group,3 months a course for both groups.Clinical effect of two groups was observed and compared after one course.Results After the treatment, GMFM levels were increased in two groups, but the muscle tension score was lower,there were significant differences comparing these before treatment (P<0.05),while the therapy group improved more significantly (P<0.05);levels of VEGF,VP were higher than before,but the therapy group improved more significantly (P<0.05);the total effective rate of the control group was 75.00%,and that of the therapy group was 92.68% with significant difference (P<0.05).Conclusion Acupuncture combined with rehabilitation training can treat children with cerebral palsy effectively and significantly by improving limb movement function and brain blood flow velocity,which is worth promoting.

参考文献/References:

[1] 朱静,邵湘宁,张立勇,等.刘氏小儿推拿为主治疗痉挛型小儿脑瘫30例疗效观察[J].湖南中医杂志,2014,30(4):86-88.
[2] 高志平.贾宁.小儿脑瘫病因学研究进展[J].中国妇幼保健,2012,27(1):149-150.
[3] 贾建平.神经病学[M].6版.北京:人民卫生出版社,2010:403.
[4] 胡莹媛,吴卫红,李燕春,等.残疾儿童综合功能评定法的研究:(一)设计[J].中国康复理论与实践,2001,7(3):108-112.
[5] 牛相来,林清,周钰,等.头针改善脑瘫患儿日常生活活动能力的临床观察[J].中国中西医结合急救杂志,2012,19(5):272-274.
[6] 杨杰,张燕君.神经节苷脂穴位注射对小儿脑瘫综合能力恢复的对照研究[J].中医儿科杂志, 2012,8(5):51-54.
[7] 李水琴.针刺联合康复训练治疗小儿脑瘫的临床疗效分析[J].中西医结合心脑血管病杂志,2015,13(2):185-187.
[8] 侯玉晋.儿童脑瘫的综合治疗体会与临床表现研究[J].中国现代药物应用,2015,9(1):235-236.

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备注/Memo

备注/Memo:
收稿日期:2017-01-04。
作者简介:汪晓翠(1984-),女,主治医师,医学学士,主要从事针灸临床工作。
更新日期/Last Update: 1900-01-01