针刺结合坐位训练治疗脑瘫患儿坐位功能异常的临床研究.pdf

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1、针刺研究2013年10月第38卷第5期·403·针刺结合坐位训练治疗脑瘫患儿坐位功能异常的临床研究张红运杜菲(重庆医科大学附属儿童医院康复科，重庆400014)【摘要】目的：观察针刺结合坐位训练治疗脑瘫患儿坐位功能异常的疗效。方法：将120例患儿随机分为针刺组和对照组，每组60例，均使用坐位训练的方法治疗，针刺组加用腰背部局部电针，针刺命门、脊中、肾俞和脾俞。采用粗大运动功能评定量表2O项坐位功能评分对不同组另1】、不同脑瘫类型惠儿治疗前后的疗效进行评价；采用尼莫地平法统计两组惠儿治疗后的显效率和总有效率。结果：两组惠儿坐位功能得分与治疗前比较均显著提高(P

2、分高于对照组(P

3、iningforCerebralPalsyChildrenwithParafunctiOnalSittingPositionZHANGHong—yun，DUFei(RehabilitationDepartment，Children’sHospitalofChongqingMedicalUniversity，Chongqing400014，China)[ABSTRACT]0bjectiveToobservetheclinicalefectofelectroacupuncture(EA)combinedwithsittingtrainingforcere—bralpalsy(CP)children

4、withparafunctienalsittingpositionMethodsAtotalof120parafunctionalsittingOPchildpatientswererandomlyandequallydividedintosittingtraining(contro1)groupandEAplussittingtraining(EA)groupThesittingtrainingincludedassistant—sitting，legs—crossing—sitting·sittingwithone-legextending，long—termsitting，balanci

5、ng-sitting，chair-climbing，andpronandhand—supporting，twicedaily．EA(4Hz，atolerablestrength)wasappliedtoMingmen(GV4)，Jizhong(GV6)，Shenshu(BL23)，andPishu(BL20)for30min，oncedailyBothsittingtrainingandEAtreatmentwereconducted5timesaweekandcontinuouslyforamonthTwenty—itemsofsittingfunctions(0—3pointscaling

6、)ofGrossMotorFunctionMeasure(GMFM)wereusedtoevaluatetheinfantilepatients’motorfunctionandNimodipine-methodwasemployedtoassessthecurativeefectResultsThesittingfunctionscoresweresignificantlyincreasedinbothcontrolandEAgroupscomparedwithpre-treat·mentinthesameonegroup(P

7、heEAgroupthaninthecontrolgroup(P