文章摘要
抑木扶土汤联合易化针刺对痉挛性脑瘫患儿肢体运动及平衡功能影响研究
投稿时间:2021-02-06  录用日期:2021-03-16
DOI:
中文关键词: 关键词 痉挛  脑瘫  抑木扶土汤  易化针刺
英文关键词: 
基金项目:
作者单位邮编
翟红印* 河南省中医药大学第三附属医院 450000
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中文摘要:
      摘要 目的 观察抑木扶土汤联合易化针刺对痉挛性脑瘫患儿肢体运动及平衡功能影响 方法 72例痉挛性脑瘫患儿随机分为A组36例(常规肢体运动训练),B组36例(常规肢体运动训练基础上配合抑木扶土汤及易化针刺),评价两组患儿治疗后临床疗效,并于治疗前、后及疗程结束后3月比较两组患儿精细运动发育量表(PDMS-FM)评分、粗大运动功能评估表(GMFM-88)评分、Berg 平衡量表评分及髓鞘碱性蛋白(MBP)、神经元特异性烯醇化酶(NSE)水平差异。结果 ①A组总有效率为38.9%,B组总有效率为58.3%,B组明显优于A组(P<0.05),差异具有统计学意义。②治疗结束后及结束后3月与本组治疗前比较PDMS-FM、GMFM-88及Berg评分显著升高,B组较A组更加明显(P<0.05),差异具有统计学意义。③与本组治疗前比较两组患儿治疗结束后及3月随访MBP、NSE水平均下降,B组较A组更加明显(P<0.05),差异具有统计学意义。结论 抑木扶土汤联合易化针刺可有效改善痉挛性脑瘫患儿肢体运动及平衡功能,改善大脑微环境,促进患儿康复。
英文摘要:
      Abstract Objective To observe the effect of Yimu Futu Decoction combined with facilitated acupuncture on limb movement and balance function in children with spastic cerebral palsy. 72 children with spastic cerebral palsy were randomly divided into group A with 36 cases (conventional limb exercise training) and group B with 36 cases Example (on the basis of routine exercise training with Yimu Futu Decoction and Facilitated Acupuncture), evaluate the clinical efficacy of the two groups of children after treatment, and compare the fine movements of the two groups before, after and 3 months after the end of the treatment Developmental scale (PDMS-FM) score, gross motor function assessment (GMFM-88) score, Berg balance scale score, and differences in levels of myelin basic protein (MBP) and neuron-specific enolase (NSE).Results ① The total effective rate of group A was 38.9%, the total effective rate of group B was 58.3%, group B was significantly better than group A (P<0.05), and the difference was statistically significant. ②The PDMS-FM, GMFM-88 and Berg scores increased significantly after the treatment and 3 months after the treatment compared with those before the treatment. Group B was more significant than group A (P<0.05), and the difference was statistically significant. ③Compared with this group before treatment, the MBP and NSE levels of the two groups of children decreased after treatment and in the 3-month follow-up, group B was more obvious than group A (P<0.05), the difference was statistically significantConclusion Yimu Futu Decoction combined with Facilitated Acupuncture can effectively improve the limb movement and balance function of children with spastic cerebral palsy, improve the brain microenvironment, and promote the recovery of children.
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