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张红英

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热补针法结合Bobath疗法的个性化治疗方案对脑瘫患儿运动发育功能的影响:随机对照研究被引量:40
2014年
目的:探讨热补针法结合康复训练对脑瘫患儿运动发育功能的影响。方法:将60例脑瘫患儿随机分为康复组和热补针法结合康复组,每组30例。康复组患儿只接受Bobath康复手法训练,热补针法结合康复组患儿在采用热补针法治疗的同时结合Bobath康复手法训练。体针治疗辨证取穴结合局部取穴神门、华佗夹脊、肩髃、曲池、合谷、阳陵泉、阴陵泉、绝骨、足三里、三阴交、承山、太冲、太溪,其中在曲池、合谷、阳陵泉、阴陵泉、足三里、三阴交、承山等穴施热补针法,不留针,每日治疗1次;头针取穴百会、四神聪、智三针、脑三针、颞三针、运动区,不提插捻转,留针60min,隔日治疗1次。均3个月为一疗程,共治疗2个疗程。治疗前、治疗3个月及6个月采用Peabody运动发育评定量表(PDMS-2)对脑瘫患儿进行评估。结果:两组总有效率分别为70.00%(21/30)和60.00%(18/30),热补针法结合康复组显著优于康复组(P<0.05)。热补针法结合康复组患儿治疗6个月姿势、移动、实物操作、抓握评分分别与治疗前及治疗3个月比较,均显著升高(P<0.05),视觉-运动整合评分与治疗前比较明显升高(P<0.05);康复组患儿治疗6个月姿势、移动、抓握评分与治疗前比较均升高(P<0.05),实物操作评分与治疗前及治疗3个月比较显著升高(P<0.05);针刺结合康复组患儿治疗6个月姿势、移动、实物操作、抓握评分与康复组比较均明显升高(P<0.05)。结论:热补针法结合现代Bobath疗法对脑瘫患儿粗大运动功能和精细运动能力均有明显改善作用。
张宁霞王翔宇刘桂珍李匀博张红英
关键词:针刺干预热补针法
Effects of individualized therapeutic porgram with heatreinforcing needling in combination with Bobath therapy on gross motor dysfunction in children with cerebral palsy:a randomized controlled trial被引量:7
2014年
Objective To explore the effect of heat-reinforcing acupuncture combined with Bobath rehabilita on training for the gross motor func on measurement(GMFM) in children with cerebral palsy. Methods Sixty cases of cerebral palsy were randomized into a heat-reinforcing acupuncture combined with rehabilitation training group(group A) and a rehabilitation group(group B),30 cases in each group. Rehabilitation training was applied in group B and heat-reinforcing acupuncture was added in group A. Jiāji(夹脊 EX-B 2),Jiānyú(肩髃 LI 15),Qūchí(曲池 LI 11),Hégi(合谷 LI 4),Yánglíngquán(阳陵泉 GB 34),Yīnlíngquán(阴陵泉 SP 9),Xuánzhōng(悬钟 GB 39),Zúsānli(足三里 ST 36),Sānyīnjiāo(三阴交 SP 6),Chéngshān(承山 BL 57),Tài chōng(太冲 LR 3),Tàixī(太溪 KI 3) and Shénmén(神门 HT 4) were chosen in group A and the heat-reinforcing acupuncture was applied once a day. For scalp acupuncture,Biihuì(百会 GV 20),Sìshéncōng(四神聪 EX-HN 1),Zhìsānzhēn(智三针),Nǎosānzhēn(脑三针),Nièsānzhēn(颞三针) and motor area(运动区) were punctured without any manipulation,once every other day,3 months as a treatment course and 2 courses were needed. GMFM were selected to assess the children with cerebral palsy before treatment,a er 3 months treatment and a er 6 months treatment. Results The total eff ec ve rate in group A was 70.00%(21/30),which is superior to that of 60.00%(24/30) in group B(P0.05). In group A,the GMFM scores of decubitus position and turn-over of body,creeping and kneeling,sitting,standing,walking,running and jumping after6 months treatment were significantly improved compared with that before treatment and after 3 months treatment(all P0.05). In group B,above indices a er 6 months treatment were significantly improved compared with those before treatment,the standing score after 6 months treatment was significantly improved compared with that a er 3 month
张宁霞王翔宇李匀博刘桂珍张红英
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