针刺治疗痉挛型脑瘫患儿生存质量的观察

目的探讨针刺治疗在脑瘫康复中的作用及价值。方法对100例2～7岁的痉挛型脑瘫患儿分别用针刺加康复训练（治疗组50例）和单纯康复训练（对照组50例），物理治疗选用Bobath与Vojta方法，根据病情程度，治疗3个月～1年。结果总有效率治疗组显著高于对照组（P〈0．01）；治疗后治疗组血管搏动指数低于对照组，发育商值治疗组高于对照组（均P〈0．01）。头颅CT脑发育不良、脑萎缩的好转率和脑灌流断层显影（emission computed tomography，ECT）恢复正常率治疗组高于对照组（P〈0．01）。结论针刺能促进脑功能的代偿作用，对提高脑瘫患儿生存质量有良好的作用。

Effects of Acupuncture on Quality of Life in Children with Spastic Cerebral Palsy

OBJECTIVE: To investigate the effect of acupuncture in children with spastic cerebral palsy (SCP). METHODS: One hundred SCP children, 2 to 7 years old, were randomly assigned to two groups equally. The control group was treated with rehabilitation training using Bobath and Vojta physical training methods and the acupuncture group treated also with the same training but with acupuncture conducted additionally. The therapeutic course was 3-12 months arranged according to the state of illness. RESULTS: The total effective rate, development quotient (DQ), improvement rate of brain hypogenesis and atrophy showed by skull CT, and recovery rate of cerebral emission computed tomography (ECT) were all higher in the acupuncture group than those in the control group (all P < 0.01). CONCLUSION: Acupuncture obviously promotes the compensation of cerebral function and shows a favorable effect in improving quality of life of the children with SCP.