针刺结合运动疗法治疗小儿脑性瘫痪粗大运动功能的疗效

目的观察针刺结合运动疗法对脑性瘫痪(CP)患儿粗大运动功能的影响。方法将60例CP患儿按年龄、临床表现和诊断分型进行近似配对分为对照组和观察组,每组30例。观察组患儿采用针刺配合运动疗法治疗,对照组患儿只采用运动疗法。治疗4个月后用粗大运动功能评定量表(GMFM-88)进行疗效比较。结果 2组患儿治疗后GMFM-88总百分比显著高于治疗前(P<0.01)。观察组患儿GMFM-88改善值和反映坐位、站立的能区(B区、D区)百分比均显著高于对照组(P<0.01)。结论针刺结合运动疗法可以显著改善CP患儿的粗大运动功能,疗效高于单纯运动疗法,尤其在改善患儿坐和站能力方面更有效。

Effect evaluation of acupuncture plus exercise therapy for treating gross motor function in children with cerebral palsy

Objective To investigate the effect of acupuncture plus exercise therapy for treating gross motor function in children with cerebral palsy（ CP）. Methods Sixty children with CP were approximately divided into control group and observation group according to age,clinical manifestation and diagnosis classification,thirty cases in each group. The patients in observation group was treated by acupuncture plus exercise therapy,while the patients in control group only treated by exercise therapy. Curative effect which was estimated by gross motor function measure（ GMFM-88） was compared four months after treatment. Results After treatment,the overall percentage of GMFM-88 in the two groups was significantly higher than that before treatment（ P〈0.01）. After treatment,the improvement of GMFM-88 and the scores of dimension sore（ B,D） which were tightly tied to sitting and standing of observation group were better than those of control group（ P〈0.01）. Conclusion Acupuncture plus exercise therapy can significantly improve the gross motor function of children with CP,and the curative effect is better than the pure exercise therapy,especially in improving the sitting and standing ability more effectively.