CAJ | 학술논문

目的：探讨皮肤针叩刺联合康复训练治疗小儿痉挛型脑性瘫痪临床疗效。方法选取2011年2月~2013年2月来我院就诊的65例小儿脑性瘫痪患儿，根据治疗方法的不同，分为观察组32例与对照组33例。对两组患者的临床疗效、治疗前后痉挛评分、关节活动度进行比较。结果观察组临床疗效的总有效率为93.75%，对照组总有效率为81.81%，两组比较，差异均有统计学意义（P＜0.05）。治疗前两组痉挛评分比较，差异无统计学意义（P＞0.05）；两组治疗前后痉挛评分比较，差异均有统计学意义（P＜0.05）。观察组痉挛评分下降程度明显优于对照组（P＜0.05）。观察组关节活动度的总有效率为84.38%，对照组总有效率为72.72%，两组比较，差异显著（P＜0.05）。结论对小儿痉挛型脑瘫采用皮肤针叩刺结合康复训练治疗，可明显降低患儿肌张力，减轻痉挛程度，提高临床疗效，值得临床推广应用。
목적：탐토피부침고자연합강복훈련치료소인경련형뇌성탄탄림상료효。방법선취2011년2월~2013년2월래아원취진적65례소인뇌성탄탄환인，근거치료방법적불동，분위관찰조32례여대조조33례。대량조환자적림상료효、치료전후경련평분、관절활동도진행비교。결과관찰조림상료효적총유효솔위93.75%，대조조총유효솔위81.81%，량조비교，차이균유통계학의의（P＜0.05）。치료전량조경련평분비교，차이무통계학의의（P＞0.05）；량조치료전후경련평분비교，차이균유통계학의의（P＜0.05）。관찰조경련평분하강정도명현우우대조조（P＜0.05）。관찰조관절활동도적총유효솔위84.38%，대조조총유효솔위72.72%，량조비교，차이현저（P＜0.05）。결론대소인경련형뇌탄채용피부침고자결합강복훈련치료，가명현강저환인기장력，감경경련정도，제고림상료효，치득림상추엄응용。
Objective To explore the clinical curative of skin needle tapping combined with rehabilitation training in the treatment of children with spastic cerebral palsy. Methods 65 children with spastic cerebral palsy from February 2011 to February 2013 in our hospital were collected, according to the different treatment methods, they were divided into the observation group of 32 cases and the control group of 33 cases. The clinical efficacy, spasticity score and joint movable degree before and after treatment of two groups were compared. Results The clinical efficacy rate of the observation group was 93.75%, that of the control group was 81.81%, the difference was statistically significant between the two groups(P < 0.05). There was not significant difference in the spasticity score before treatment between the two groups(P>0.05);The difference was statistically significant in the spasticity score of two groups between before and after treatment(P < 0.05). Compared with the control group, the spasticity score of the observation group decreased more significantly(P<0.05). The joint activity total efficiency of observation group was 84.38%, that of control group was 72.72%, the difference was statistically significant between the two groups(P<0.05). Conclusion Skin needle tapping combined with rehabilitation training for children with spastic cerebral palsy can significantly reduce muscle tension, relieve spasm, improve clinical efficacy, and is worthy of clinical application.