针刀松解术配合常规康复训练治疗痉挛型脑瘫患儿双下肢运动功能障碍27例临床观察

目的 观察针刀微创治疗痉挛型脑瘫患儿双下肢运动功能障碍的临床疗效。方法 将54例痉挛型脑瘫患儿按就诊顺序随机分为对照组和治疗组各27例,2组患儿均接受常规康复治疗,治疗组在常规康复治疗的基础上配合针刀微创技术对患儿双下肢进行切割松解。每月1次,3次为1个疗程,连续治疗2个疗程。比较治疗前后及随访1年3个时间段的腓肠肌肌张力评分、足背屈角及粗大运动功能量表（GMFM）评分。结果 治疗后及随访1年,2组腓肠肌肌张力评分及足背屈角均较同组治疗前显著降低,GMFM评分显著升高,差异有统计意义（P〈0.05或P〈0.01）;2组治疗后及随访1年比较,治疗组腓肠肌肌张力评分及足背屈角显著低于对照组,GMFM评分显著高于对照组,2组比较差异有统计意义（P〈0.05或P〈0.01）。结论 针刀微创技术配合常规康复训练治疗痉挛型脑瘫患儿双下肢运动功能障碍能够迅速取得显著的疗效,同时针刀微创治疗简便、安全,值得在临床中推广应用。

Clinical observation of acupotomology combined with conventional rehabilitation training in the treatment of 27 cases pediatric spastic cerebral palsy lower limb motor dysfunction

Objective To observe the effect of acupotomologic minimally invasive treatment of pediatric spastic cerebral palsy acupuncture limb motor dysfunction. Methods 54 patients with spastic cerebral palsy were randomly divided into control group and treatment group with 27 cases in each group, 2 groups were received conventional rehabilitation therapy, the treatment group was additionally treated with aeupotomologic minimally invasive technique to double lower limbs, 1 time a month, 3 times a course for 2 courses. Gastrocnemius muscle tension score, foot dorsiflexion angle and GMFM score were compared before and after treatment, and 3 times follow-up in 1 year. Results After the treatment and 1 year follow-up, 2 groups of gastrocnemius muscle tension score and foot dorsiflexion angles were significantly reduced, GMFM score increased significantly, the difference was statistically significant （P〈0. 05 or P〈0.01 ） ; gastrocnemius muscle tension score and foot dorsiflexion angle in the treatment group was significantly lower than in the control group, GMFM score was significantly higher than that in the control group, the difference between the 2 groups was statistically significant （ P〈0.05 or P〈0.01 ）. Conclusion Acu- potomologic minimally invasive technique combined with routine rehabilitation training in treating pediatric spastic cerebral palsy lower limb motor dysfunction can rapidly achieve significant results, at the same time, which is simple, safe, worth clinical application.