ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2022, Vol. 14 ›› Issue (2): 175-177.

• 中医应用研究 • 上一篇    下一篇

针灸加电针改善偏侧痉挛型脑性瘫痪上肢功能的疗效观察

  

  • 出版日期:2022-04-25 上线日期:2023-12-01

Effect of acupuncture plus electroacupuncture in improving upper limb function of hemispastic cerebral palsy

  • Published:2022-04-25 Online:2023-12-01

摘要: 目的 观察针灸加电针在提高偏侧痉挛型脑性瘫痪患儿上肢功能中的疗效观察。方法 选择2015年6月至2020年12月在我科住院治疗的偏侧痉挛型脑性瘫痪患儿40例为研究对象,随机分为观察组和对照组各20例。对照组予作业疗法,每日2次,每次30 min,每周治疗5 d。观察组在对照组治疗基础上予针灸加电针治疗,留针30 min,每日1次,每周5 d。治疗前及治疗3个月后观察两组治疗精细运动评分、适应能力评分;两组适应能力、精细能力的相当月龄;两组精细运动能力测试量表(FMFM)评分。结果 两组精细能力平均分、适应能力平均分、精细能力及适应能力相当月龄、FMFM评分较治疗前有显著增加,且治疗后观察组较对照组显著提高,差异有统计学意义(P<0.05)。结论 针灸加电针结合作业疗法与单纯进行作业疗法能更好地提高偏侧痉挛型脑性瘫痪的上肢功能

关键词:

偏侧痉挛型脑性瘫痪, 上肢功能, 针灸, 电针, 作业疗法

Abstract:

ObjectiveTo observe the effect of acupuncture plus electroacupuncture in improving upper limb function of children with hemispastic cerebral palsy.MethodsA total of 40 children with hemispastic cerebral palsy hospitalized in our department from June 2015 to December 2020 were randomly divided into observation group(n=20) and control group(n=20). The control group was treated with occupational therapy twice a day, 30 minutes each time,for 5 days a week. The observation group was treated with acupuncture plus electroacupuncture in addition to the treatment for the control group. The needle and the electricstimulation were kept for 30 minutes, once a day, 5 days a week. The two groups were observed for the following items before treatment and 3 months after treatment:scores in fine motion and adaptability,the months corresponding to the fine motion and adaptability,and the FMFM scores.ResultsAfter 3 months of treatment, the mean scores of adaptability and fine motion, the months corresponding to fine motion and adaptability and the FMFM scores were significantly higher than those before treatment,and the observation group was significantly higher than the control group(P<0.05).ConclusionAcupuncture plus electroacupuncture and occupational therapy can improve the upper limb function of hemispastic cerebral palsy better than occupational therapy alone.

Key words:

Hemispastic cerebral palsy, Upper limb function, Acupuncture, Electroacupuncture, Occupational therapy