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目的观察点穴疗法治疗不同月龄产伤性痉挛型脑瘫患儿的疗效。方法将59例产伤性痉挛型脑瘫患儿,按月龄分为2岁以下组(11～24个月)、4岁以下组(25～48个月)、4岁以上组(49～94个月)进行点穴治疗,每次30min,每周5次,共治疗8周。治疗前后分别记录患儿的智力、语音、流口水、手持物、拇指内收、翻身、坐、站立、行走、剪刀腿等10项主要症状的评分。结果治疗后2岁以下组、4岁以下组的主要症状评分均较治疗前有明显提高(P<0.05),而4岁以上组治疗后分值与治疗前比较差异无统计学意义(P>0.05);与4岁以上组治疗前后差值比较,2岁以下组、4岁以下组均有统计学意义(P<0.05或P<0.01),2岁以下组、4岁以下组治疗前后差值比较无统计学意义(P>0.05)。结论点穴疗法治疗产伤性痉挛型脑瘫患儿疗效确切,对48个月以下的患儿疗效明显优于49个月以上者。
Objective To observe the effect of acupuncture therapy on children with spastic cerebral palsy of different birthdays. Methods Fifty-nine children with spastic cerebral palsy were divided into 2-year-old group (11-24 months), 4-year-old group (25-48 months), 4-year-old group Month) acupuncture treatment, each 30min, 5 times a week for a total of 8 weeks. Before and after treatment were recorded in children with intelligence, voice, drooling, handholds, the thumb adduction, stand up, sit, stand, walking, scissors legs and other 10 major symptoms of the score. Results The score of main symptom of the patients under 2 years old and under 4 years old after treatment was significantly higher than that before treatment (P <0.05), but there was no significant difference between 4 years and above group after treatment (P> 0.05). Compared with the difference between before and after 4 years of treatment, the difference between before and after treatment in the group of 2 years old and under 4 years old were statistically significant (P <0.05 or P <0.01) The values were not statistically significant (P> 0.05). Conclusion acupuncture treatment of traumatic spastic cerebral palsy children with exact efficacy, efficacy of children under 48 months was significantly better than 49 months or more.