《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (4): 322-324.

• 论文 • 上一篇    下一篇

早期针康法干预对脑瘫高危儿预后的临床观察

吴云鹏1,唐强2,张春燕2   

  1. 1.上海市中医医院康复科,上海市 200071;2.黑龙江中医药大学,黑龙江哈尔滨市 150040。
  • 收稿日期:2011-03-16 修回日期:1900-01-01 出版日期:2011-04-25 发布日期:2011-04-25
  • 通讯作者: 唐强

Effect of Cluster Needling of Scalp Acupuncture Combined with Rehabilitation on Prognosis of Children with High-risk of Cerebral Palsy at Early Stage

WU Yun-peng,TANG Qiang, ZHANG Chun-yan.   

  1. Shanghai Hospital of TCM, Shanghai 200071, China
  • Received:2011-03-16 Revised:1900-01-01 Published:2011-04-25 Online:2011-04-25

摘要: 目的探讨针康法作为早期干预手段对高危儿预后的影响。方法将2006年1月~2008年12月62例具有高危因素患儿分为干预组(n=32)和对照组(n=30),治疗前及3个月后对两组进行智能发育指数(MDI)、运动发育指数(PDI)评分并定期随访。结果治疗3个月后,两组患儿临床疗效、MDI和PDI评分均较治疗前有非常显著性差异(P<0.01),且干预组明显优于对照组(P<0.01)。在降低其他功能障碍上,干预组也明显优于对照组(P<0.01)。随访结果:干预组在降低脑瘫发生率上存在一定优势。结论针康法作为早期干预手段能提高脑瘫高危儿的运动功能和促进智能发育。

关键词: 脑性瘫痪, 高危儿, 针康法, 早期干预

Abstract: ObjectiveTo observe cluster needling of scalp acupuncture combined with rehabilitation(Tang's Approach) as an early intervention for the children with high-risk of cerebral palsy.Methods62 infants with high-risk of cerebral palsy in hospital from Jan. 2006 to Dec. 2008 were divided into the acupuncture with rehabilitation group and rehabilitation group. The scores of Mental Develop Mental Index (MDI) and Psycho-Motor Developmental Index (PDI) were assessed before and 3 months after the treatment. ResultsThe scores of MDI and PDI were better in acupuncture with rehabilitation group than in the rehabilitation group 3 months after the treatment (P<0.01). There were significant differences in reducing dysfunction in the acupuncture with rehabilitation group compared with the rehabilitation group (P<0.01). The follow-up result showed that there were certain advantages in reducing incidence of cerebral palsy by the acupuncture combined with rehabilitation. ConclusionAs an early intervention, Tang's Approach can improve motor function in children with high-risk cerebral palsy.

Key words: cerebral palsy, high-risk children, Tang's Approach, early intervention