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題 名 | 針刺治療小兒腦性癱瘓69例臨床療效對照分析=The Clinical Research of Cerebral Palsy with Acupuncture |
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作 者 | 陳宜華; 賴新生; | 書刊名 | 臺灣中醫臨床醫學雜誌 |
卷 期 | 13:3 2007.10[民96.10] |
頁 次 | 頁181-196 |
分類號 | 413.74 |
關鍵詞 | 小兒腦性癱瘓; 針刺; 肌力; 肢體活動功能; 日常生活活動能力; Children cerebral palsy; Acupuncture; Muscle force; Motor function of limbs; Capability of activities of daily living; |
語 文 | 中文(Chinese) |
中文摘要 | 目的:研究針刺對小兒腦性癱瘓患兒的肌力、肢體運動功能、日常生活活動能力等方面的影響。方法:本研究將115例已確診的小兒腦癱患兒按3:2的比例分為針灸組、中藥組兩組,其中針灸組69例,中藥組46例。觀察兩組患兒治療前後的肌力、肢體運動功能(採用肢體運動功能評分)、日常生活活動能力(採用Barthel指數評分),比較兩組肌力改善情況、MAS評分及療效和Barthel指數評分及療效。結果:在兩組肌力比較中,治療後上、下肢肌力針灸組較中藥組為高,P值=0.000、0.000,差異有顯著性意義。兩組治療後MAS評分針灸組較中藥組高,兩組比較P值=0.000,差異有顯著性意義;兩組治療後MAS評分療效針灸組優於中藥組,兩組比較P值=0.000,差異有顯著性意義。兩組治療後Barthel 指數評分針灸組較中藥組高,兩組比較P值=0.000,差異有顯著性意義;兩組治療後Barthel指數評分療效針灸組優於中藥組,兩組比較P值=0.000,差異有顯著性意義。結論:本文研究結果表明針灸治療小兒腦性癱瘓具有顯著療效。其不僅可明顯改善患兒上下肢肌力(上下肢比較,肌力改善又以下肢明顯),促進患兒的肢體運動功能,還能在很大程度上提高患兒的日常生活活動能力。針灸療法治療小兒腦性癱瘓是安全的,無明顯不良反應。本研究對指導臨床選用最佳針灸治療小兒腦性癱瘓方案有極其重要的作用,也為今後進一步的機理探討奠定了基礎。 |
英文摘要 | Objective: To investigate the influence of acupuncture on the relevant indexes in Children with Cerebral Palsy, including muscle force, motor function of limbs, capability of activities of daily living. Method: In the research, 115 cases diagnosed Cerebral Palsy were assigned into two groups according to proportion of 3:2, 69 cases using acupuncture treatment, the other 46 cases taking Chinese traditional medicine. Then observe two group' muscle force, motor function of limbs (using motorasses-sment scale), capability of activities of daily living (using Barthel index scale) between pretherapy and post-treatment, comparing two group' improvement of muscle force, motorasses-sment scale and therapeutic effect, Barthel index scale therapeutic effect. Result: Comparing with muscle force of two groups, the group of acupuncture' motor function of limbs of post-treatment are better than group of Chinese traditional medicine. P=0.000、0.000. The difference was significant. Comparing with motorasses-sment scale of two groups, the group of acupuncture' motorasses-sment scale of post-treatment are better than group of Chinese traditional medicine. P=0.000. The difference was significant. Comparing with motorasses-sment scale therapeutic effect of two groups, the group of acupuncture' motorasses-sment scale therapeutic effect of post-treatment are better than group of Chinese traditional medicine. P=0.000. The difference was significant. Comparing with Barthel index scale of two groups, the group of acupuncture' Barthel index scale of post-treatment are better than group of Chinese traditional medicine. P=0.000. The difference was significant. Comparing with Barthel index scale therapeutic effect of two groups, the group of acupuncture' Barthel index scale therapeutic effect of post-treatment are better than group of Chinese traditional medicine. P=0.000. The difference was significant. Conclusion: This research showed that the treatment of acupuncture had significant therapeutic effect in treating Cerebral Palsy. It could not only improve muscle force (lower limb is better), but also enhance motor function of limbs, even more can elevate capability of activities of daily living in great degree. There was not obviously adverse effect. It showed that the treatment of acupuncture was a safe therapy. This research provided a good guidance to select the best acupuncture methods for Cerebral Palsy, as well as establishing a foundation for the further research on the mechanism of acupuncture in treating Cerebral Palsy. |
本系統中英文摘要資訊取自各篇刊載內容。