健脑益智散结合针灸对小儿脑瘫患儿运动能力、语言能力及日常生活能力的影响
Effects of Jiannao Yizhi Powder Combined with Acupuncture on Athletic Ability， Language Ability and Daily Living Ability of Children with Cerebral Palsy
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摘要: 探讨小儿脑瘫应用健脑益智散结合针灸治疗对患儿运动能力、语言能力及日常生活能力的影响。选取我院2014年1月-2016年10月收治的86例脑瘫患儿，按照随机数字表法均分为2组，对照组采取常规综合康复方案治疗，观察组在此基础上加用健脑益智散结合针灸治疗。记录比较2组治疗前后88项粗大运动功能量表（GMFM-88）评分、盖塞尔（Gesell）语言发育商（DQ）评分、日常生活能力评估（ADL）量表评分、脑血流灌注、CT变化情况及不良反应。结果 与治疗前相比，2组患儿治疗3、6月后GMFM-88、Gesell语言DQ评分，均显著升高（P<0.01），且观察组上升较对照组更显著，差异有统计学意义（P<0.01）。与治疗前比较，2组患儿治疗3、6月后ADL评分，均显著降低（P<0.01），且观察组下降较对照组更显著（P<0.01）。治疗6月后，观察组总有效率达90.7%，对照组总有效率72.1%，差异有统计学意义（P<0.05）。2组不良反应比较，差异无统计学意义（P>0.05）。治疗6月后，观察组大脑中动脉血流速度（VP）、血流阻力指数（RI）均显著降低（P<0.01），疗效优于对照组（P<0.01）。结论 小儿脑瘫应用健脑益智散结合针灸治疗更能有效促进患儿大脑的整体发育，提高其运动能力、语言能力及日常生活能力，疗效显著且安全性高。Abstract: OBJECTIVE To study the effects of Jiannao Yizhi powder combined with acupuncture on athletic ability， language ability and daily living ability of children with cerebral palsy. METHODS From January 2014 to October 2016， 86 children with cerebral palsy admitted in our hospital were selected as the subjects， and they were divided into two groups by random digital table method. The control group was treated with general comprehensive rehabilitation program， on the basis of this， the observation group was also treated with Jiannao Yizhi powder combined with acupuncture. 88 large motor function scale (GMFM-88) score， Gesell language development quotient (DQ) score， assessment daily life (ADL) score， cerebral blood flow perfusion， CT changes， clinical effect and adverse effects in two groups were recorded and compared before and after treatment. RESULTS GMFM-88 and Gesell DQ scores of children in two group were significantly increased after 3-month and 6-month treatment compared with those of the pre-treatment (P<0.01)， and the observation group increased more significantly than the control group， the difference was statistically significant (P<0.01). ADL scores of children in two groups were significantly decreased after 3-month and 6-month treatment compared with those of the pre-treatment (P<0.01)， and the observation group decreased more significantly than the control group (P<0.01). After 6 months of treatment， the total effective rate of the observation group was 90.7%， while that of the control group was 72.1%， the difference was statistically significant (P<0.05). There was no significant difference in adverse reactions between the 2 groups (P>0.05). After 6 months of treatment， the blood flow velocity (VP) and blood flow resistance index (RI) of the middle cerebral artery in the observation group were significantly decreased (P<0.01)， and the curative effect was better than that in the control group (P<0.01). CONCLUSION For children with cerebral palsy， Jiannao Yizhi powder combined with acupuncture can effectively improve the overall development of the brain， improve their athletic ability， language ability and daily living ability with significant efficacy and high safety.
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