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智能康复训练联合穴位注射治疗痉挛型脑性瘫痪的临床研究 被引量:1

Clinical study on intelligent rehabilitation training combined with acupuncture point injection in treatment of spastic type cerebral palsy
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摘要 目的探讨智能康复训练联合穴位注射治疗痉挛型脑性瘫痪的临床疗效。方法选取2015年3月-2017年3月在该院康复科就诊的50例脑性瘫痪患儿为研究对象,将患儿随机分为对照组与研究组,每组25例。对照组采用传统康复训练联合穴位注射治疗,研究组采用智能康复训练联合穴位注射治疗,均治疗3个月。治疗前及治疗3个月后采用改良Ashworh痉挛量表(MAS)、日常生活能力评价表(ADL)、粗大运动功能88项评定量表(GMFM)、粗大运动功能分级系统(GMFCS)进行评估,分析结果。结果两组治疗前MAS、ADL评分比较,差异无统计学意义(P〉O.05);治疗后评分较治疗前有所下降(P〈0.05),且研究组治疗后MAS、ADL评分低于对照组(P〈O.05);两组治疗前GMFM中的仰卧位与俯卧位、坐位、爬和跪、站立、走跑跳评分比较,差异无统计学意义(P〉O.05),治疗后以上项目评分较治疗前升高(P〈O.05),研究组治疗后以上项目评分低于对照组(P〈0.05);治疗前两组患儿GMFCS分级比较,差异无统计学意义(P〉0.05),治疗后分级较治疗前有所下降(P〈0.05),研究组治疗后GMFCS分级低于对照组(P〈0.05)。结论智能康复训练联合穴位注射治疗痉挛型脑性瘫痪可有效降低肌张力及改善患儿肢体运动功能,提高日常生活能力。 Objective To explore the clinical efficacy of intelligent rehabilitation training combined with acupuncture point injection in treatment of spastic type cerebral palsy. Methods Fifty cerebral palsy children treated in Department of Child Rehabilitation in the hospital from March 2015 to March 2017 were selected and randomly divided into control group and study group, 25 children in each group. The chil- dren in control group were treated by traditional rehabilitation training combined with acupuncture point injection, and the children in study group were treated by intelligent rehabilitation training combined with acupuncture point injection, the children in the two groups were treated for three months. Before treatment and at three months 'after treatment, Modified Ashworth Scale ( MAS), Activities of Daily Living ( ADL), Gross Motor Function Measure (GMFM) , and Gross Motor Function Classification System (GMFCS) were used to evaluate the children, then the results were analyzed. Results There was no statistically significant difference in the scores of MAS and ADL before treatment between the two groups ( P〉0. 05 ) ; after treatment, the scores of MAS and ADL decreased significantly ( P〈0. 05 ) ; the scores of MAS and ADL af- ter treatment in study group were statistically significantly lower than those in control group ( P〈O. 05) . Before treatment, there was no sta- tistically significant difference in the scores of supine position, prone position, sitting position, climbing and kneeling, standing, walking, running, and jumping of GMFM between the two groups (P〉O. 05) ; after treatment, the scores of supine position, prone position, sitting position, climbing and kneeling, standing, walking, running, and jumping of GMFM were statistically significantly higher than those before treatment (P〈0.05), and the scores after treatment in study group were statistically significantly lower than those in control group (P〈 O. 05 ) . Before treatment, there was no stat
作者 何燕萍 HE Yan-Ping. Department of Child Rehabilitation, Guigang Maternal and Child Health Care Hospital, Guigang, Guangxi 537100, China
出处 《中国妇幼保健》 CAS 2017年第20期5138-5141,共4页 Maternal and Child Health Care of China
基金 贵港市科学研究与技术开发计划项目(1504038).
关键词 脑性瘫痪 智能康复训练 穴位注射 Cerebral palsy Intelligent rehabilitation training Acupuncture point injection
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