电头针对痉挛型脑瘫患儿运动功能的影响

目的：探讨电头针治疗痉挛型脑瘫(CP)患儿的疗效,为临床治疗该病提供新的方案。方法：将近两年我院收治的痉挛型脑瘫患儿88例随机分为两组,每组44例,对照组采用常规康复训练,观察组在对照组基础上采用电头针治疗,2组均治疗8周,观察对比两组脑瘫患儿治疗前后粗大运动功能量表(GMFM-88)评分、双下肢主要肌肉肌张力评分及生活质量水平变化。结果：①治疗8周后,2组患者的粗大运动功能评分均较治疗前明显增加(P<0.01),与对照组相比,观察组的评分均显著增加(P<0.01);②治疗结束后,两组患者下肢内收肌群、腓肠肌、腘绳肌肌张力均较治疗前明显降低(P<0.01),与对照组相比,观察组内收肌肌张力差异无统计学意义,腓肠肌、腘绳肌肌张力显著降低(P<0.01)；③治疗后两组患者生活质量水平均较治疗前升高(P<0.05),观察组更高于对照组(P<0.01)。结论：电头针能显著改善痉挛型脑瘫患儿的临床症状,降低肌肉张力,促进粗大运动功能的恢复,提高患儿的生活质量,值得应用及推广。

Effect of electric scalp-acupuncture therapy on motor function in children with spastic cerebral palsy

Abstract Objective: To investigate the effect of electric scalp-acupuncture on children with spastic cerebral palsy (CP), and to provide a new scheme for clinical treatment of CP. Methods: our hospital last two years of cerebral palsy children with spastic type 88 cases randomly divided into two groups, each group of 44 cases, control group using conventional rehabilitation training, the observation group in the control group on the basis of the dateline needle treatment, two groups were treated for eight weeks, observed compared two groups of children with cerebral palsy before and after the treatment of gross motor function scale (GMFM - 88) score, score and quality of life of the major muscles of lower limbs muscle tension levels change. Results: After 8 weeks of treatment, the scores of gross motor function in both groups were significantly increased compared with those before treatment (P<0.01), and those in the observation group were significantly increased compared with those in the control group (P<0.01). After the treatment, the lower extremity adductor muscle group, gastrocnemius and hamstring muscle tension of the two groups were significantly lower than that before the treatment (P<0.01). Compared with the control group, the difference in adductor muscle tension of the observation group was not statistically significant, but the tension of gastrocnemius and hamstring muscle was significantly reduced (P<0.01). After treatment, the quality of life of patients in both groups was higher than that before treatment (P<0.05), and that of the observation group was higher than that of the control group (P<0.01). Conclusion:electric scalp-acupuncture therapy can significantly improve the clinical symptoms of children with spasmodic cerebral palsy, reduce muscle tone, promote the recovery of gross motor function, and improve the quality of life of children, which is worthy of application and promotion