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目的:观察针刺结合肌电生物反馈治疗痉挛性脑瘫患儿智力及运动功能的影响。方法:选取2014年2月至2017年2月间,于本院确诊并接受治疗的痉挛性脑瘫患儿共205例,随机分为采用针刺结合肌电生物反馈治疗法的治疗组102例和单纯采用肌电生物反馈治疗法的对照组103例,对比两组治疗效果。结果:治疗后两组患儿的GMFM表评分、综合功能量表评分和Ashworth痉挛评定量表分级相对于治疗前都有显著的改善,差异有统计学意义(P<0.05),两种治疗方法都取得了显著的治疗效果;治疗后治疗组患儿的GMFM表评分、综合功能量表评分和Ashworth痉挛评定量表分级情况要优于对照组,差异有统计学意义(P<0.05);治疗组的综合功能量表评分改善有效率93.1%优于对照组的59.2%,差异有统计学意义(P<0.05);治疗组的痉挛症状改善有效率83.4%优于对照组的50.5%,差异有统计学意义(P<0.05)。结论:用针刺结合肌电生物反馈疗法治疗小儿痉挛性脑瘫取得了显著的治疗效果,患儿的智力和运动功能都得到了明显的改善。
Objective: To observe the effects of acupuncture combined with electromyography on mental and motor function in children with spastic cerebral palsy. Methods: A total of 205 children with spastic cerebral palsy diagnosed and treated in our hospital from February 2014 to February 2017 were randomly divided into treatment group (n = 102) and acupuncture combined with electromyography Simple control using electromyography biofeedback therapy in 103 cases, the treatment effect of two groups were compared. Results: After treatment, the GMFM score, comprehensive functional scale score and Ashworth spasticity rating scale in both groups were significantly improved compared with before treatment, the difference was statistically significant (P <0.05), two treatment methods All achieved significant therapeutic effect. The GMFM score, comprehensive functional scale score and Ashworth spasticity rating scale in the treatment group were better than those in the control group after treatment, the difference was statistically significant (P <0.05); treatment The improvement rate of the comprehensive functional scale score was 93.1%, which was significantly higher than that of the control group (59.2%, P <0.05). The improvement rate of the spasm symptom in the treatment group was 83.4%, which was higher than that in the control group (50.5% There was statistical significance (P <0.05). Conclusion: Acupuncture combined with myoelectricity biofeedback therapy in pediatric patients with spastic cerebral palsy has achieved remarkable therapeutic effect. The mental and motor functions of children have been significantly improved.