针刺联合中药外洗治疗小儿痉挛型脑瘫86例

目的：观察针刺联合中药外洗治疗小儿痉挛型脑瘫的临床疗效。方法：采取随机数字表法将173例痉挛型脑瘫患儿分为2组,对照组给予常规的脑瘫康复治疗,治疗组在对照组基础上配合针刺联合补肝益肾方外洗治疗,2组均治疗30d为1个疗程,3个疗程后对比肌张力变化情况和粗大运动发育情况。结果：3个疗程结束后,治疗组肌张力变化情况和粗大运动发育情况与对照组比较,具有统计学意义（P〈0.01）;总有效率94.1%,与对照组的总有效率83.8%比较,具有统计学意义（P〈0.01）。结论：针刺联合中药外洗治疗小儿痉挛型脑瘫能够有效降低患儿肌张力,促进大运动的发育,改善病情效果显著,从而有效提高患儿生活自理能力,减轻家庭社会负担。

Observation on Therapeutic Effect of Acupuncture Combined with External Washing of Chinese Medicine in Treating Children with Spastic Cerebral Palsy

Objective： To study the clinical efficacy of acupuncture combined with external washing of Chinese medicine in treating children with spastic cerebral palsy. Methods： A random number table was used to divide 173 children suffered from spastic cerebral palsy into two groups. Patients in the control group received conventional cerebral palsy rehabilitation therapies,and the treatment group gave patients extra acupuncture treatment and external washing of Tonifying Liver and Benefiting Kidney Formula apart from the same therapies as the control group. After three treatment courses （ 30 days as a course） ,the changes in muscle tone and gross motor development were compared between the two groups. Results： At the end of the third course,there were significant differences between the treatment group and control group in changes of muscle tone and gross motor development （ P 0. 01） ; the total effective rate in treatment group was 94. 1% ,which also showed significant differences compared with the 83. 8% effective rate in control group （ P 0. 01） . Conclusion： Acupuncture combined with external washing of traditional Chinese medicine can effectively reduce muscle tension in children with spastic cerebral palsy,and promote the development of the movement,so as to effectively improve children’s living skills,and reduce the burden on the family.