目的：探寻降低痉挛型脑瘫患儿内收肌肌张力的有效疗法。方法：选取140例符合纳入标准的痉挛型脑瘫患儿随机分为观察组和对照组,每组70例。对照组采用常规物理疗法（Bobath疗法和上田正下肢法）及头针疗法（智七针、运动区、感觉区、足运感区、平衡区）;观察组在对照组治疗方法基础上予针刺＂痉挛三针＂（解剪、血海上、后血海）。物理疗法每日1次,针刺隔日1次,20天为一疗程,疗程间休息15~20天,共治疗3个疗程。分别于治疗前、治疗后采用改良Ashworth量表评定内收肌肌张力得分、粗大运动功能评估（gross motor function measure,GMFM-88）的D区及E区评分,并测量内收肌角度。结果：治疗后两组患儿的内收肌肌张力评分均有不同程度降低（均P〈0.01）,内收肌角度均较治疗前增大（均P〈0.01）,GMFM-88的D区及E区评分均有提高（均P〈0.01）,且观察组比对照组更显著（均P〈0.01）。结论：＂痉挛三针＂能有效降低痉挛型脑瘫患儿内收肌肌张力,改善髋关节的活动度,提高患儿的独立行走及跑跳功能。
Objective To observe clinical efficacy of acupuncture at ]ing-well point combined with educational training for the treatment of children with severe mental retardation. Methods Sixty children with severe mental retar...
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Objective To observe clinical efficacy of acupuncture at ]ing-well point combined with educational training for the treatment of children with severe mental retardation. Methods Sixty children with severe mental retardation were randomly divided into ]ing-well point acupuncture plus simple special education and language training group （group A） and simple special education and language training group （group B） with 30 child patients in each group according to registration order. All the patients were treated once every other day, 10 times as a course of treatment. There were 20 days of interval between each course of treatment. Curative effect was analyzed after 3 courses of treatment. Gesell Developmental Scale test was conducted for all children before and after treatment. Development quotient at the functional area of social adaptability, large motor, fine motor, language skill and social behavior of individuals was recorded and compared between groups and before and after treatment to evaluate the curative effect. Results Social adaptability and fine motor of children were improved in the group B after treatment. And in the group A, social adaptability, fine motor, language skill and social behavior of individuals were improved after treatment. Meanwhile, the group A was superior to the group B in curative effect of overall social adaptability and language skill （both P〈0.05）. The overall response rate in group B was 23.3% （7/30） and in group A was 46.6% （14/30, P〈0.05）. Conclusion Acupuncture at jing-well point combined with educational training can effectively improve the intelligence level of children with severe mental retardation and its curative effect is better than that of simply education and training.
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