实用医学杂志
實用醫學雜誌
실용의학잡지
THE JOURNAL OF PRACTICAL MEDICINE
2014年
6期
973-976
,共4页
汤健%徐怡%张跃%朱敏%傅大林%李红英%赵晓科%杜森杰%张玲%张丽
湯健%徐怡%張躍%硃敏%傅大林%李紅英%趙曉科%杜森傑%張玲%張麗
탕건%서이%장약%주민%부대림%리홍영%조효과%두삼걸%장령%장려
针灸疗法%脑性瘫痪%GMFM%VEP
針灸療法%腦性癱瘓%GMFM%VEP
침구요법%뇌성탄탄%GMFM%VEP
Acupuncture therapy%Cerebral palsy%GMFM%VEP
目的：以粗大运动功能评定量表（GMFM）及视觉诱发电位（VEP）的客观指标评估针灸治疗在脑性瘫痪患儿康复中的作用及价值。方法：对60例1～7岁的伴随视觉障碍的痉挛型脑瘫患儿进行了针灸治疗的临床研究。针灸组20例，选用头针和体针治疗。康复训练组20例，用Bobath 方法进行物理治疗。针灸＋康复训练组20例。结果：针灸组与针灸＋康复训练组的总有效率均显著高于康复训练组。治疗后GMFM针灸组、针灸＋康复训练组总有效率高于康复训练组。 VEP好转率，针灸组、针灸＋康复训练组显著高于康复训练组（P＜0．05～0．01）。结论：针灸能显著提高脑性瘫痪患儿运动能力，改善对脑组织的修复及功能的可塑性以及改善视觉障碍有一定的促进作用。
目的：以粗大運動功能評定量錶（GMFM）及視覺誘髮電位（VEP）的客觀指標評估針灸治療在腦性癱瘓患兒康複中的作用及價值。方法：對60例1～7歲的伴隨視覺障礙的痙攣型腦癱患兒進行瞭針灸治療的臨床研究。針灸組20例，選用頭針和體針治療。康複訓練組20例，用Bobath 方法進行物理治療。針灸＋康複訓練組20例。結果：針灸組與針灸＋康複訓練組的總有效率均顯著高于康複訓練組。治療後GMFM針灸組、針灸＋康複訓練組總有效率高于康複訓練組。 VEP好轉率，針灸組、針灸＋康複訓練組顯著高于康複訓練組（P＜0．05～0．01）。結論：針灸能顯著提高腦性癱瘓患兒運動能力，改善對腦組織的脩複及功能的可塑性以及改善視覺障礙有一定的促進作用。
목적：이조대운동공능평정량표（GMFM）급시각유발전위（VEP）적객관지표평고침구치료재뇌성탄탄환인강복중적작용급개치。방법：대60례1～7세적반수시각장애적경련형뇌탄환인진행료침구치료적림상연구。침구조20례，선용두침화체침치료。강복훈련조20례，용Bobath 방법진행물리치료。침구＋강복훈련조20례。결과：침구조여침구＋강복훈련조적총유효솔균현저고우강복훈련조。치료후GMFM침구조、침구＋강복훈련조총유효솔고우강복훈련조。 VEP호전솔，침구조、침구＋강복훈련조현저고우강복훈련조（P＜0．05～0．01）。결론：침구능현저제고뇌성탄탄환인운동능력，개선대뇌조직적수복급공능적가소성이급개선시각장애유일정적촉진작용。
Objective To assess the role and value of acupuncture therapy in rehabilitation of children with spastic cerebral palsy by using the Gross Motor Function Measure (GMFM 88) and visual evoked potential (VEP). Methods Sixty children with spastic cerebral palsy aged 1 to 7 included in the study. The acupuncture group (n = 20) received scalp and body acupuncture; the rehabilitation training group (n = 20) received physical therapy with the Bobath method; and acupuncture and rehabilitation training group (n = 20) received combination therapy. Results The total effectiveness rate was significantly higher in both acupuncture group and acupuncture and rehabilitation training group than in rehabilitation training group. GMFM was higher in both acupuncture group and acupuncture and rehabilitation training group than in rehabilitation training group. Improvement rate of VEP was significantly greater in both acupuncture group and acupuncture and rehabilitation training group than in rehabilitation group (P < 0.05 and P < 0.01). Conclusions Acupuncture can significantly improve brain cell metabolism in children with spastic cerebral palsy , partially even fully compensate brain function, and promote brain tissue repair and functional plasticity.
