《中国康复理论与实践》

《中国康复理论与实践》 ›› 2015, Vol. 21 ›› Issue (03): 334-337.

• 临床研究 • 上一篇    下一篇

针刺推拿对痉挛型脑性瘫痪尖足的影响

向俊璐，周文智，田萍，杨力，杨霞
   

  1. 成都市妇女儿童中心医院，四川成都市610000。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2015-03-25 发布日期:2015-03-25

Effect of Acupuncture and Massage on Tiptoe in Children with Spastic Cerebral Palsy

XIANG Jun-lu, ZHOU Wen-zhi, TIAN Ping, YANG LI, YANG Xia
   

  1. The Rehabilitation Department of Chengdu Women's and Children's Central Hospital, Chengdu, Sichuan 610000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2015-03-25 Online:2015-03-25

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摘要： 目的观察针刺推拿治疗痉挛型脑瘫尖足的临床疗效。方法纳入的49 例患儿按就诊先后顺序分为治疗组(n=24)和对照组(n=25)。对照组接受常规康复训练，治疗组在常规康复训练的同时给予针刺推拿治疗，共3 个月。治疗前后采用综合痉挛量表(CSS)和踝关节被动背屈角度测量进行评定。结果治疗后两组患儿踝关节被动背屈角度、CSS 评分结果显著优于治疗前(P<0.001)；治疗组显著优于对照组(P<0.001)。治疗组总有效率95.6%，对照组总有效率78.26% (P<0.05)。结论在常规康复训练基础上配合针刺推拿，可更有效改善痉挛型脑瘫尖足。

关键词: 脑性瘫痪, 痉挛型, 尖足, 针刺, 推拿

Abstract: Objective To observe the effect of acupuncture and massage on tiptoe in children with spastic cerebral palsy. Methods 49 children with spastic cerebral palsy were divided into treatment group (n=24) and control group (n=25) in accordance with the order of visiting. The control group accepted routine rehabilitation, and the treatment group accepted acupuncture and massage in addition. They were assessed with Composite Spasticity Scale (CSS), the angle of ankle passive dorsiflexion before and after treatment. Results The scores of CSS and the angle of ankle passive dorsiflexion improved in both groups after treatment (P<0.001), and improved more in the treatment group than in the control group (P<0.001). The rate of improvement was 95.6% in the treatment group, and 78.26% in the control group (P<0.05). Conclusion Acupuncture and massage may further improve the correcting of the tiptoe in children with spastic cerebral palsy.

Key words: cerebral palsy, spastic, tiptoe, acupuncture, massage