中国中西医结合杂志2017，Vol.37Issue(11)：1310-1314,5.DOI:10.7661/j.cjim.20170624.164
针推结合Bobath治疗痉挛性脑瘫随机对照试验
Randomized Controlled Trial on the Treatment of Spastic Cerebral Palsy by Acupuncture and Massage Combined with Bobath
摘要
Abstract
Objective To observe the clinical efficacy of triple therapy of acupuncture and massage combined with Bobath in the treatment of spastic cerebral palsy.Methods Totally 120 pediatric patients were randomized into 4 groups with 30 cases in each group.The treatment of “scalp acupuncture + body acupuncture” was adopted in acupuncture group.Manipulation maneuver of “dredging governor vessel for regulating mentality + local limbs” was adopted in massage group.The therapy of Bobath was adopted in exercise group.The therapy of “acupuncture + massage + Bobath” was adopted in triple therapy group.The therapeutic course for all was 3 months,after which the clinical efficacy was observed.The scores of modified Ashworth scale (MAS),gross motor function measure (GMFM) and activity of daily living scale (ADL) were observed before initiation and after 1,2,3 months and half a year of therapy,respectively.Results Total effective rate was 72.4％ (21/29) in acupuncture group,70.0％ (21/30) in massage group,70.0％(21/30) in exercise group,96.1％(68/29) in triple therapy group respectively.The best curative effect was found in triple therapy group (P ＜0.05).Compared with that before treatment,MAS score of four groups decreased (P ＜0.01) while the scores of GMFM and ALD increased (P ＜0.01) in the follow-up of one month to half a year after the treatment.Compared with the other 3 groups,in the triple therapy group,MAS decreased,ADL and GMFM increased in the follow-up of 2 months to half a year after the treatment (P ＜0.01,P ＜0.05).Conclusion Acupuncture and massage combined with Bobath is effective to improve the muscle tone,motor function and activity of living in children with spastic cerebral palsy,which is more effective than the single therapy.关键词
脑性瘫痪/痉挛型/针刺/推拿/Bobath疗法Key words
cerebral palsy/spastic/acupuncture/massage/bobath therapy引用本文复制引用
李菲,孙琦,刘海兵,谢晶军,马妍洁..针推结合Bobath治疗痉挛性脑瘫随机对照试验[J].中国中西医结合杂志,2017,37(11):1310-1314,5.基金项目
浙江省中医药科技计划资助项目(No.2014ZB117) （No.2014ZB117）
