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| 头皮针联合推拿对小儿脑瘫运动功能、痉挛状态及平衡能力的影响 |
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| 投稿时间：2026-10-08 修订日期：2026-10-08 |
| DOI： |
| 中文关键词: 小儿脑瘫 头皮针 推拿 运动功能 痉挛 |
| 英文关键词: pediatric cerebral palsy scalp acupuncture Tuina motor function spasticity |
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| 中文摘要: |
| 目的 观察头皮针联合推拿对小儿脑瘫运动功能、痉挛状态及平衡能力的改善作用。方法 选取2024年1月至2025年12月收治的98例脑瘫患儿,按随机数字表法分为观察组与对照组,每组49例。两组均接受常规康复训练,对照组在此基础上给予中医辨证推拿,观察组在对照组基础上联合头皮针治疗。两组均连续治疗6个月。比较两组治疗前后粗大运动功能评定量表D区、E区评分,简式Fugl-Meyer运动功能量表评分,临床痉挛指数,Berg平衡量表评分,10 m最大步行速度,日常生活活动能力评分及临床疗效、不良反应发生情况。结果 治疗后,观察组总有效率高于对照组(95.92% vs 81.63%,P<0.05)。两组治疗后GMFM-D、GMFM-E、FMA、BBS、10 mMWS、ADL评分均较治疗前升高,CSI较治疗前降低,且观察组上述指标改善程度均优于对照组(P<0.05)。治疗期间两组均未发生严重不良反应。结论 头皮针联合推拿可有效改善脑瘫患儿运动功能,缓解肢体痉挛,提高平衡能力与步行能力且安全性较好,值得在儿童康复中进一步应用。 |
| 英文摘要: |
| ObjectiveTo observe the effects of scalp acupuncture combined with Tuina on motor function, spasticity, and balance in children with cerebral palsy.MethodsA total of 98 children with cerebral palsy treated from January 2024 to December 2025 were selected and divided into an observation group and a control group by the random number table method, with 49 cases in each group. Both groups received conventional rehabilitation training. On this basis, the control group was given Tuina based on traditional Chinese medicine syndrome differentiation, and the observation group was additionally treated with scalp acupuncture. Both groups were treated continuously for 6 months. The scores of dimensions D and E of the Gross Motor Function Measure-88 (GMFM-D and GMFM-E), simplified Fugl-Meyer Motor Function Assessment (FMA) score, Clinical Spasticity Index (CSI), Berg Balance Scale (BBS) score, 10-meter maximum walking speed (10mMWS), and Activities of Daily Living (ADL) score before and after treatment, as well as clinical efficacy and adverse reactions, were compared between the two groups.ResultsAfter treatment, the total effective rate in the observation group was higher than that in the control group (95.92% vs 81.63%, P<0.05). After treatment, the GMFM-D, GMFM-E, FMA, BBS, and ADL scores and the 10mMWS were higher than those before treatment, while CSI was lower than that before treatment in both groups; moreover, the improvements in the above indicators in the observation group were superior to those in the control group (P<0.05). No serious adverse reactions occurred in either group during treatment.ConclusionScalp acupuncture combined with Tuina can effectively improve motor function, relieve limb spasticity, and enhance balance ability and walking ability in children with cerebral palsy, with good safety. It is worthy of further application in pediatric rehabilitation. |
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