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靳三针疗法结合康复训练治疗痉挛型脑瘫患儿的临床研究.doc

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靳三针疗法结合康复训练治疗痉挛型脑瘫患儿的临床研究.doc

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靳三针疗法结合康复训练治疗痉挛型脑瘫患儿的临床研究.doc

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文档介绍:靳三针疗法结合康复训练治疗痉挛型脑瘫患儿的临床研究
【摘要】【目的】观察靳三针疗法结合康复训练对痉挛型脑瘫患儿的治疗作用及其机制。【方法】采用简单随机法将135例患儿随机分为3组。治疗组45例给予靳三针疗法结合康复训练治疗,对照1组45例单纯以靳三针疗法治疗,对照2组45例则以康复训练治疗。观察3组患儿的症状改善、日常生活活动能力(ADL)及事件相关电位(ERP)P300潜伏期(tPL)和波幅(VAMP)的改变情况。【结果】治疗后3组的ADL评分均明显提高(与治疗前比较,P<005或P<001)。对照1、2组与治疗组治疗后比较,差异有显著性意义(P<001);对照1组与对照2组治疗后比较,差异也有显著性意义(P<005),提示靳三针疗法结合康复训练对于痉挛型脑瘫患儿日常生活活动能力的改善明显优于单纯靳三针疗法或康复训练。治疗组ERP P300潜伏期及波幅的改善均明显优于对照1、2组(P<005或P<001)。【结论】靳三针疗法结合康复训练治疗痉挛型脑瘫有显著疗效。
【关键词】脑性瘫痪/针灸疗法靳三针/治疗应用康复训练日常生活活动能力/针灸效应诱发电位/针灸效应
Abstract: ObjectiveTo observe the therapeutic effect of Jins threeneedle bined with rehabilitation training on spastic cerebral palsy children, and to explore its therapeutic mechanism. MethodsOne hundred and
thirtyfive spastic cerebral palsy children were equally randomized into three groups: the treatment group was given Jins threeneedle bined with rehabilitation training, control group 1 given Jins threeneedle manipulation, and the control group 2 given rehabilitation training. The improvement of symptoms, activities of daily living (ADL) and eventrelated potentials (ERP) P300 were observed in the three groups. ResultsADL score was increased in the three groups after treatment(P<005 or P<0pared with that before treatment).ADL score in the treatment group was superior to that in the two control groups(P<001),and the difference was significant bet