小针刀治疗痉挛型脑瘫疗效观察

目的 观察小针刀疗法降低痉挛型脑瘫患者肌张力的疗效。方法 105例痉挛型脑瘫患者随机分为A组（小针刀组35例）、B组（运动疗法组34例）和C组（小针刀加运动疗法36例）共3组。治疗前和治疗后1月时分别用改良的Ashworth肌张力评定量表进行评定。结果 A组有23例有效（65．71%），B组10例有效（29．41%）．C组有效28例（77．78％）。B组有效率明显低于A组（P=0．00313）和C组（P=0．00227）。结论 小针刀疗法在改善痉挛型脑瘫患者的肌张力方面明显优于运动疗法。

Effect of Acupotomy on Spasticity after Cerebral Palsy

ObjectiveTo observe the effect of Acupotomy on spastic cerebral palsy. Methods105 cases of spastic cerebral palsy were random divided into group A (35 cases with acupotomy), group B (34 cases with physical therapy) and group C (36 cases with acupotomy and physical therapy). Modified Ashworth Scale (MAS) was used to assess spasticity before and a month after therapy. ResultsEffective rate of group A was 65.71%, group B was 29.41%, group C was 77.78%, which of group B was significantly lower than those of group A of C. ConclusionAcupotomy can reduce muscular tension of spastic cerebral palsy, which seems more effective than physical therapy.