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电针结合综合康复技术治疗小儿脑瘫68例疗效观察
引用本文:王敏,;董继革. 电针结合综合康复技术治疗小儿脑瘫68例疗效观察[J]. 中医儿科杂志, 2014, 0(6): 48-51
作者姓名:王敏,  董继革
作者单位:[1]中国中医科学院针灸研究所,北京100700; [2]首都医科大学宣武医院康复医学科,北京100053
摘    要:
目的探讨电针结合综合康复技术治疗小儿脑瘫的临床疗效。方法将118例脑瘫患儿随机分为2组,治疗组68例,对照组50例。2组患儿均以西药鼠神经生长因子、神经节苷脂(GM-I)、卵磷脂等治疗,同时采用传统及现代康复训练结合的综合康复技术进行训练,治疗组在此基础上加用电针疗法治疗。1月为1个疗程,记录整个临床治疗过程,6个疗程后观察2组的综合治疗效果,并分析比较治疗组3-12月、13-24月、25-36月3个年龄段的疗效。结果治疗组总有效率为83.82%,对照组为68.00%,2组比较差异有统计意义(P〈0.05),说明电针结合综合康复疗法针对3岁以内脑瘫患儿的疗效优于传统及现代康复疗法;治疗组3个年龄段总有效率分别为92.31%,72.22%,72.73%,3-12月的患儿治疗效果与其他2组比较最为显著(P〈0.05)。结论电针配合综合康复疗法对改善3岁以内脑瘫患儿的症状有较好的疗效,并且患儿年龄越小临床疗效越显著。

关 键 词:电针  综合康复治疗  小儿脑瘫  临床疗效

The effect observation of electric acupuncture and comprehensive rehabilitation therapy on 68 cases of children with cerebral palsy
Affiliation:Wang Min , Dong Jige (1. Acupuncture Institute of China Academy of Traditional Chinese Medicine, Beijing, 100700, China; 2. Department of Rehabilitation Medicine, Xuanwu Hospital Attached to the Capital Medical University, Beijing,100053, China)
Abstract:
Objective To explore the effect of electric acupuncture and comprehensive rehabilitation technology for treatment of children with cerebral palsy. Methods 118 children with cerebral palsy were randomized into 2 groups,68 cases in the treatment group,50 cases in the control group. Both groups were treated with mice nerve growth factor,Ganglioside(GM-I),lecithin,comprehensive rehabilitation techniques of traditional rehabilitation training and modern rehabilitation training. The treatment group was additionally treated with electroacupuncture,1 month for a course. Compare the comprehensive effect of the 2 groups after 6 courses,analyze and compare the effect of treatment group according to 3-12 months,13- 24 months,25- 36 months. Results The total effective rate was 78. 82% in the treatment group,61. 45% in the control group,and the total effective rate difference was statistically significant between the 2 groups(P〈0. 05). Electroacupuncture combined with comprehensive rehabilitation therapy for cerebral palsy children less than 3 years old was superior to traditional and modern rehabilitation therapy; in the treatment group,total effect in the 3 groups of age was 91. 30%,77. 27%,and 70. 14% respectively. 3-12 months group had better effect compared with other 2 groups(P〈0. 05). Conclusion Electroacupuncture combined with comprehensive rehabilitation therapy has good effect on improving the symptoms of cerebral palsy children less than 3 year of age,and the disease should be treated as early as possible.
Keywords:electroacupuncture  comprehensive rehabilitation therapy  cerebral palsy  clinical effect
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