康复治疗配合针灸治疗用于小儿脑瘫运动功能障碍者的优势评价

文章信息/Info

• Title:康复治疗配合针灸治疗用于小儿脑瘫运动功能障碍者的优势评价

• 卷期:2024年22卷14期

• 作者:刘雪梅 梁艳

• 兴国县人民医院儿科 江西兴国 342400

• Author(s):Liuxuemei liangyan

• Department of Pediatrics, Xingguo County People's Hospital 342400

• 关键词康复治疗；针灸；小儿脑瘫运动功能障碍；中医证候积分

• Keywords:rehabilitation therapy; Acupuncture; Motor dysfunction in children with cerebral palsy; TCM syndrome score

• 摘要:目的 探讨康复治疗配合针灸治疗在小儿脑瘫运动功能障碍中的应用优势。方法 回顾性分析我院于2020年2月至2022年2月收治的66例脑瘫运动功能障碍患儿，将32例采用康复治疗方案治疗的患儿纳入对照组，34例应用康复治疗配合针灸治疗的患儿则归为研究组。治疗3个月后，评估两组临床疗效，并比较其中医证候积分及粗大运动功能量表（GMFM）、精细运动功能量表（FMFM）、功能独立性量表（WeeFIM）评分。结果 研究组治疗总有效率较对照组高（P＜0.05）；研究组发育缓慢、肢体僵硬、反应迟钝评分较对照组低（P＜0.05）；研究组GMFM、WeeFIM、FMFM评分高于对照组（P＜0.05）。结论 为脑瘫运动功能障碍患儿提供康复治疗及针灸可获得理想临床疗效，对各项症状的改善有重要意义，并可实现对运动功能的优化，应用优势明显。                                                                                                                                                                                

• AbstractTo explore the application advantages of rehabilitation therapy combined with acupuncture in the treatment of motor dysfunction in children with cerebral palsy. Methods A retrospective analysis was performed on 66 children with cerebral palsy motor dysfunction admitted to our hospital from February 2020 to February 2022. 32 children receiving rehabilitation therapy were included in the control group, and 34 children receiving rehabilitation therapy combined with acupuncture therapy were included in the study group. After 3 months of treatment, the clinical efficacy of the two groups was evaluated, and the TCM syndrome scores, Gross Motor Function Scale (GMFM), Fine Motor Function Scale (FMFM) and Functional Independence Scale (WeeFIM) scores were compared. Results The total effective rate of the study group was higher than that of the control group (P < 0.05). The scores of slow growth, limb stiffness and unresponsiveness in the study group were lower than those in the control group (P < 0.05). The scores of GMFM, WeeFIM and FMFM in the study group were higher than those in the control group (P < 0.05). Conclusion Providing rehabilitation treatment and acupuncture and moxibustion for children with cerebral palsy motor dysfunction can obtain ideal clinical efficacy, which is of great significance for the improvement of various symptoms, and can realize the optimization of motor function, with obvious application advantages.

  小儿脑瘫作为非进行性脑损伤所引发的综合征，以运动功能障碍为主要表现，如行走、站立困难等，导致其自理能力下降，严重阻碍患儿正常的学习、生活。目前，康复训练是治疗小儿脑瘫的主要方案，其能通过持续性规范干预改善其肢体僵硬情况，但是，康复训练见效较慢，且治标不治本，难以取得理想治疗效果。中医认为[1]，小儿脑瘫属于“五硬”、“五迟”范畴，其病机为先天不足、后天失养或病后失调，其治法应为调理脏腑、活血通络。针灸作为中医常用外治法，经辨证取穴、施针后可对特定神经进行刺激，能为局部血运、脑功能代谢的改善提供助力[2]。