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《中西醫(yī)結(jié)合康復(fù)對(duì)小兒腦性癱瘓?jiān)缙诟深A(yù)的臨床療效評(píng)價(jià).doc》由會(huì)員上傳分享，免費(fèi)在線閱讀，更多相關(guān)內(nèi)容在學(xué)術(shù)論文-天天文庫(kù)。
1、中西醫(yī)結(jié)合康復(fù)對(duì)小兒腦性癱瘓?jiān)缙诟深A(yù)的臨床療效評(píng)價(jià)作者：張巧鳳 馬廉 史雪川 李麗燕 葛佳 【摘要】目的觀察中西醫(yī)結(jié)合康復(fù)對(duì)小兒腦性癱瘓?jiān)缙诟深A(yù)的臨床療效及中醫(yī)針刺按摩對(duì)療效的影響。方法將48例小兒腦性癱瘓?jiān)缙诨純弘S機(jī)分為對(duì)照組和治療組，對(duì)照組給予功能訓(xùn)練及電刺激治療，治療組在對(duì)照組治療的同時(shí)再予以進(jìn)行針刺及手法按摩，分別在治療前1d、治療后1、3、6個(gè)月進(jìn)行GMFM評(píng)估，對(duì)比兩組療效，比較視性立直、軀干立直、降落傘反射的出現(xiàn)時(shí)間。結(jié)果治療組三項(xiàng)姿勢(shì)反射的出現(xiàn)時(shí)間先于對(duì)照組(P<0．01)，GMFM評(píng)分高于對(duì)照組(P<0．01)，正常化率74．1%高于對(duì)照組42．9%(P&l
2、t;0．05)，治療組有效率(96．3%)與對(duì)照組(95．2%)比較差異無統(tǒng)計(jì)學(xué)意義(P>0．05)。結(jié)論中西醫(yī)結(jié)合康復(fù)療效優(yōu)于單純功能訓(xùn)練及電刺激治療，中醫(yī)針刺按摩可以提高小兒腦性癱瘓?jiān)缙诟深A(yù)的臨床療效，促進(jìn)腦癱患兒正?；l(fā)育，早期中西醫(yī)結(jié)合康復(fù)是小兒腦性癱瘓理想的治療方案。 【Keywords】腦性癱瘓/中西醫(yī)結(jié)合；針刺；按摩；康復(fù) 【Abstract】ObjectiveToobservetheclinicaltherapeuticeffectofChineseandWesternmedicineinrehabilitationinterveningearlyinf
3、antswithcerebralpalsyandtheaffectionoftraditionalChinesemedicineacupunctureandmassageontheclinicaltherapeuticeffect.Methods48infantswithcerebralpalsyweredividedrandomlyintotreatmentgroupandcontrolgroupgivensamplytunctiontrainingandelectrictreatment，besidesit，acupunctureandmassageappliedtotreatmen
4、tgroup.Thegrossmotorfunctionmeasurechangewasassessedonthedaybeforetreatmentandaftertreatmentforonemonth，threemonthsandsixmonths，theassessmentresultsandthetherapeuticeffectcomparedrespectivelybetweenthetwogroups，thetimetheeyerightingreflexhappeninginvestigatedaswellasthebodyrightingreflexandthepar
5、achutereflex.ResultsThescoreofthegrossmotorfunctionmeasurewashigherthanthatofcontrolgroup(P<0．01)，thetimeoftreatmentgroupthethreeposturereflexeshappeningwasobviouslyfasterthanthatofcontrolgroup(P<0．01)，normalizedrate74．1%washigherthancontrolgroup42．9%(P<0．05),effectiveratewasunobviousbet
6、weenthetreatmentgroup96．3%andcontrolgroup95．2%(P>0．05).ConclusionThetreatmentgrouphadtheadvantageofthecontrolgroup.ThetraditionalChinesemedicineacupunctureandmassagemayincreasetheclinicaltherapeuticeffectofearlyinterventiononinfantswithcerebralpalsy,andpromotethenormalizeddevelopmentofinfantsw
7、ithcerebralpalsy，ChineseandWesternmedicineinrehabilitationinterventingearlyoninfantswithcerebralpalsyisanidealrehabilitationtreatmentmethodforinfantswithcerebralpalsy. 【Keywords】Cerebralpalsy/ChineseandWestern5medici
