穴位注射加针刺及康复训练治疗痉挛型小儿脑瘫

常永霞1,张佩瑶2,戈蕾1,孔令霞1,贺鹏1,崔万森1

(1.河北北方学院附属第一医院康复医学科,河北 张家口 075000；

2.张家口市妇幼保健院康复理疗科，河北 张家口 075000)

摘要：目的探讨穴位注射加针刺结合康复训练治疗痉挛型小儿脑瘫临床效果。方法选取2012年5月—2014年5月我市妇幼保健院康复理疗科收治的痉挛型小儿脑瘫患儿为研究对象，随机分为观察组和对照组，对照组行传统康复训练，观察组在对照组基础上结合穴位注射加针刺治疗，6个月后对比2组临床疗效。结果观察组患儿治疗后关节活动度、痉挛程度及步行能力均较对照组改善明显，差异有统计学意义(P<0.05);观察组总有效率为92.86%，明显高于对照组的53.57%，2组比较差异有统计学意义(P<0.05)。结论穴位注射、针刺结合康复训练治疗痉挛型小儿脑瘫延长穴位刺激时间，能有效的解除痉挛，有效的改善患儿关节活动度、痉挛程度及步行能力。

关键词：痉挛型小儿脑瘫；穴位注射；穴位针刺；康复训练

DOI:10.13463/j.cnki.jlzyy.2015.08.032

中图分类号：R245文献标志码： A

文章编号：1003-5699(2015)08-0858-03

基金项目:张家口市科技攻关项目(1101125D)。

作者简介:常永霞(1974-)，女，硕士，副主任技师，主要从事临床康复研究。

收稿日期:(责任编辑：赵玉芝2015-06-06)

Acupoint injection and acupuncture with rehabilitationtraining in treating

children with spastic cerebral palsy

CHANG Yongxia1,ZHANG Peiyao2,GE Lei1,KONG Lingxia1,HE Peng1,CUI Wansen1

(1.Department of Rehabilitation Medicine,The First Hospital Affiliated to Hebei North University,

Zhangjiakou 075000,Hebei Province,China;

2.Department of Rehabilitation and Physiotherapy,Maternal and Child Health Hospital of Zhangjiakou City,

Zhangjiakou 075000,Hebei Province,China)

Abstract:ObjectiveTo explore the clinical effect of acupoint injection and acupuncture in combined with rehabilitation training in treating children with spastic cerebral palsy.MethodsChildren with spastic cerebral palsy who were admitted in the Department of Rehabilitation and Physiotherapy,Maternal and Child Health Hospital of Zhangjiakou City from May,2012 to May,2014 were included in the study and randomized into the observation group and the control group.The patients in the control group were given traditional rehabilitation training,while the patients in the observation group were given acupoint injection and acupuncture on the basis of rehabilitation training.The clinical efficacy after 6 months between the two groups was compared.ResultsThe range of motion (ROM),spasm degree,and walking ability after treatment in the observation group were significantly improved when compared with those in the control group (P<0.05).The total effective rate in the observation group (92.86%) was significantly higher than that in the control group (53.57%),differences in 2 growps was statistically significant(P<0.05).ConclusionAcupoint injection and acupuncture in combined with rehabilitation training in treating children with spastic cerebral palsy can effectively relieve spasm,and improve ROM,spasm degree,and walking ability.

Keywords:children with spastic cerebral palsy;acupoint injection;acupoint acupuncture;rehabilitation training

小儿脑性瘫痪是指在妊娠到新生儿期间某种原因所致的以脑非进行性病变为基础，形成永存并可以变化的运动与姿势异常的疾病，多伴有癫痫、行为异常、智力低下等表现[1]。痉挛型脑瘫约占小儿脑性瘫痪的60%～70%,是一种儿童时期常见的致残性疾病，在大脑未成熟时期某种原因作用下发育不全导致非进行性损伤，引起永久性运动和姿势的异常，其病变在锥体，以伸张反射亢进为特征，长期肌张力亢进，出现姿势异常，活动受限，甚至关节挛缩变形[2-3]。……