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1、提要目的:觀察頭針配合體針為主對改善痙攣型腦癱患兒粗大運(yùn)動(dòng)功能的療效。方法:將小兒痙攣型腦性癱瘓患者60例,隨機(jī)分為針刺組和對照組,每組各30例。針刺組采用頭針加體針結(jié)合現(xiàn)代康復(fù)訓(xùn)練治療,對照組僅采用現(xiàn)代康復(fù)訓(xùn)練。所有納入病例每周治療5次,6個(gè)月為1個(gè)療程,療程結(jié)束后,采用中文譯本的粗大運(yùn)動(dòng)功能測試量表(GrossMotorFunctionMeasure,GMFM)88項(xiàng)版本進(jìn)行療效評估。結(jié)果:1、針刺組和對照組五個(gè)功能區(qū)的原始分,治療前、后經(jīng)統(tǒng)計(jì)學(xué)處理,均有顯著性差異(P<0.01)。2、針刺組和對照組五個(gè)功能區(qū)治療后的原始分,經(jīng)統(tǒng)計(jì)學(xué)處理,有顯著性差異(P<0.01)。結(jié)論:1、頭針、
2、體針結(jié)合現(xiàn)代康復(fù)訓(xùn)練的綜合康復(fù)治療模式和現(xiàn)代康復(fù)手段都能改善痙攣型腦癱患兒的粗大運(yùn)動(dòng)功能;2、頭針、體針結(jié)合現(xiàn)代康復(fù)訓(xùn)練的綜合康復(fù)治療模式在改善痙攣型腦癱患兒的粗大運(yùn)動(dòng)功能方面優(yōu)于現(xiàn)代康復(fù)手段,為痙攣型腦癱患兒的粗大運(yùn)動(dòng)功能康復(fù)提供了一種思路。關(guān)鍵詞頭針;體針;現(xiàn)代康復(fù)訓(xùn)練;小兒痙攣型腦癱;粗大運(yùn)動(dòng)功能ObservationoneffectofScalpacupunctureassistingorientedbodyacupunctureforimprovingGrossMotorFunctionofChildrenwithspasticcerebralpalsySpecialty:Acu
3、puncture,moxibustionandmassageAuthor:HuaiZhiyongTutor:YangDianhuiAbstractObjective:ToobservethetherapeuticeffectofscalpacupunctureassistingorientedbodyacupuncturefortreatmenttowardsGrossMotorFunctionofChildrenwithspasticcerebralpalsy.Meathod:60casesofChildrenwithspasticcerebralpalsywererandomlydiv
4、idedintoanacupuncturegroupandacontrolgroup,eachgroupincludes30cases.Theacupuncturegroupweretreatedwithscalpacupunctureandbodyacupuncturecombinedwithmodernrehabilitationtrainingtreatment,whilethecontrolgroupweretreatedonlywithmodernrehabilitationtraining.Allcasesweretreated5timesaweek,6monthconstit
5、utingacourse.Afterthecoursewasfinished,ChineseversionofGrossMotorFunctionMeasure(GMFM)88editionwasusedtoevaluethecurativeeffect.Results:1.Thescoresoforigin,pre-treatedandafter-treatedofeachgroup’s5functionalareasshowedthesignificantdifferencesafterbeingStatisticallyprocessed(P<0.01).2.Theoriginals
6、coresofeachgroup’s5functionalareasshowedsignificantdifferencesafterbeingStatisticallyprocessed(P<0.01).Conclusion:1.ThepatternofscalpacupunctureandbodyacupuncturecombinedwithmodernrehabilitationtrainingtreatmentandthetreatmentofthemodernrehabilitationtrainingbothhavepositiveeffectsontheGrossMotorf
7、unctionalimprovementofChildrenwithspasticcerebralpalsy;2.Comparedtothemethodsofmodernrehabilitation,thepatternofscalpacupunctureandbodyacupuncturecombinedwithmodernrehabilitationtrainingtreatmenthadapriorimprovem