摘要
Abstract
BACKGROUND: To search for the effective method to promote the independent walking ability of children with cerebral paralysis so as to improve their living quality, which is the hot topic in the treatment of cerebral paralysis at present.OBJECTIVE: To observe the effects of acupuncture on the improvement of motor functions in infantile cerebral paralysis.DESIGN: Self-controlled study.SETTING: Rehabilitation Department of Bo' ai Hospital in Zhongshan City.PARTICIPANTS: Totally 92 children with cerebral paralysis treated in Bo' ai Hospital in Zhongshan City.INTERVENTIONS: Totally 92 cases of cerebral paralysis were randomized into acupuncture group, including 72 cases treated with acupuncture, and control group, including 20 cases treated by oral taking Piracetan, 1 pill/time,3 times daily and 3 months made 1 course. The therapeutic effects were evaluated at the end of the course.children in two groups after treatments.RESULTS: It was indicated from the results of the research on 92 cases of cerebral paralysis in children that: the effective rate was 79% in acupuncture group, 55% in the control, the therapeutic effect of acupuncture group was superior to that of the control, reflecting significant difference(x2 = 4.74, P ＜ 0. 05); for the children younger than 3 years old, the effective rate was 84% in acupuncture group, 54% in the control, reflecting significant difference(x2 =5.12, P ＜ 0.05); for the children elder than 3 years old, the effective rate was 57% in acupuncture group, 56% in the control, reflecting no significant difference(x2 = 0. 005, P ＞ 0. 05) . After acupuncture, 79% children were able to turning the body, 62% to sit up independently, 47% to climb on knees, 33% to stand up independently, and 7% to walk independently. After acupuncture, the differences were very significant compared with the results before acupuncture(x2 = 14. 5, 11.1, 16.2, 10.2,5.17, P ＜ 0.05 or P ＜ 0.01 ) . By the comparison between acupuncture group and the control, except independent walking that had no difference in two group, (x2 =4.74, 4. 81,4.78, 4.33, 1.46, P ＜0.05).CONCLUSION: The younger the children are, the better therapeutic effects will be. The treatment starting before 3 years is the best opportunity of acupuncture for cerebral paralysis of children. The motor disturbance of children with cerebral paralysis with abnormal CT results is obviously severe than that without CT abnormal. Motor disturbance is commonly seen in central atrophy, intelligent disturbance and aphasis are commonly in cortical atrophy. Acupuncture can possibly establish the main motor functions for children with cerebral paralysis earlier so as to lay a good foundation for walking independently in the children with cerebral paralysis.关键词
针刺疗法/脑性瘫痪/功能恢复分类
医药卫生
