| ObjectiveBy observing the clinical curative effect of "Jin's four items" in treating children's cerebral palsy,this study objectively evaluated the clinical efficacy of "Jin's four items" for the treatment of cerebral palsy in children and provided reference for its application and promotion in clinical treatment.MethodsThe clinical trials were conducted from November 2015 to February 2017 in Yuexiu District children's Hospital in Guangzhou and Shenzhen children's Hospital in Shenzhen.According to the standard of admission,a total of 84 qualified treatment groups were included,and 1 cases were removed and eliminated in the implementation of the subject,and 83 cases were completed.A controlled trial was conducted in the rehabilitation training center of Shenzhen children's hospital.A total of 61 children were selected and assessed.According to the standard of admission,61 qualified subjects were included.There were no cases of exfoliation and elimination in the implementation of the subject,and 61 cases were actually completed.The treatment group adopted the main points: "Jin's scalp acupuncture four items"(four mental needles,three intelligent needles,three temporal needles and three brain needles).The control group was treated with Bobath and NDT physiotherapy(PT).3,6,9,and 12 months after treatment and 3 months,6 months,9 months and 12 months were used to combine the comprehensive function assessment scale of disabled children with the Chinese Rehabilitation Research Center Hu Yingyuan,respectively.The brain stem auditory evoked potential(BAEP)and transcranial Doppler(TCD)were detected before treatment and 6 months after treatment.The serum TNF-alpha and IL-6 content of the children were detected by ELISA.After collecting and sorting out the data.Finally,SPSS19.0 software was used for data statistical analysis.Results This study included 145 eligible subjects,including 84 in the treatment group and 61 in the control group.In the implementation of the observation,the treatment group dropped and removed 1,and actually completed 83.The control group did not appear to fall off and eliminate the disease position,actually completed 61,so the final entry into the statistical analysis of the total number of 144.In the comparability analysis of the two groups,the difference was statistically significant except the difference between the two groups of TCM syndrome differentiation and syndrome differentiation.There were no significant differences between the two groups of age,sex,Zang Fu syndrome differentiation and the degree of disease;the GMFM scale,PD-FMFM scale and the comprehensive function assessment scale of disabled children and the total divide and treatment The difference between the two groups before treatment was not statistically significant,indicating that the treatment group had better comparability with the control group.After the first course of treatment(3 months of treatment),all the patients(144)received the GMFM scale and the comprehensive functional assessment of disabled children,and 130 were evaluated by the PD-FMFM scale.The results showed that the results showed that two groups of GMFM scales and total scores were compared for 3 months,each P < 0.05,the difference was statistically significant;two groups of disability scales and total scores were compared for 3 months,exercise ability,P < 0.05,and the rest of the P>0.05;two groups of PD-FMFM scales were treated for 3 months after treatment.There was no significant difference in P>0.05 between the two groups.The results of the above statistics showed that after 3 months of treatment,the difference between the two groups in improving the gross motor function and exercise ability of the children was statistically significant.The treatment group was better than the control group in the treatment group,but the two groups were improved in cognitive function,speech work ability,self-care ability,social adaptation ability and reduction.There was no significant difference in treatment efficacy between low disability level and fine motor functionimprovement.After second courses of treatment(6 months),a total of 122 received GMFM scale and comprehensive evaluation of disabled children,and 109 received PD-FMFM scale.The results showed that two groups of GMFM scales and total scores were compared for 6 months,and each P < 0.05,the difference was statistically significant;the two groups of disability scales and total scores were compared for 6 months,exercise ability,P < 0.05,and the rest of the P>0.05;the two groups of PD-FMFM scales were compared before treatment,There was no statistical difference in various P>0.05.The results of the above statistics showed that after 6 months of treatment,the difference between the two groups in improving the gross motor function and exercise ability of the children was statistically significant.The treatment group was better than the control group in the treatment group,but the two groups were improved in cognitive function,speech work ability,self-care ability,social adaptation ability and reduction.There was no significant difference in treatment efficacy between low disability level and fine motor function improvement.After third courses of treatment(9 months),a total of 75 received GMFM scale and comprehensive evaluation of disabled children,and 67 received PD-FMFM scale.The results showed that two groups of GMFM scales and total scores were compared for 9 months,and each P < 0.05,the difference was statistically significant;the two groups of disability scales and total scores were compared for 9 months,exercise ability,P < 0.05,and the rest of the P>0.05;the two groups of PD-FMFM scales were compared before treatment,There was no statistical difference in various P>0.05.The results of the above statistics showed that after 9 months of treatment,the difference between the two groups in improving the gross motor function and exercise ability of the children was statistically significant.The treatment group was better than the control group in the treatment group,but the two groups were improved in cognitive function,speech work ability,self-care ability,social adaptation ability and reduction.There was no significant difference in treatment efficacy between low disability level and fine motor function improvement.After fourth courses of treatment(1 years),a total of 51 received GMFM scale and comprehensive evaluation of disabled children,and 46 received PD-FMFM scale.The results showed that two groups of GMFM scales and total scores werecompared for 1 years,each P < 0.05,the difference was statistically significant;two groups of disability scales and total scores were compared for 1 years,exercise ability,P < 0.05,and the rest of the P>0.05;the two groups of PD-FMFM scales were compared before treatment,P>0.05,the difference was not statistically significant.The results of the above statistics showed that after 1 years of treatment,the difference between the two groups in improving the gross motor function and exercise ability of the children was statistically significant.The treatment group was better than the control group in the treatment group,but the two groups were improved in cognitive function,speech function,self-care ability,social adaptability,and reduction.There was no significant difference in the degree of disability and the improvement of fine motor function.The results of the four courses of statistics showed that the difference between the treatment group and the control group in improving the gross motor function and exercise ability of the children was statistically significant.The treatment group was better than the control group in the treatment group,but the two groups improved cognitive ability,speech function,self-care ability and society.There was no significant difference in the therapeutic effect of adaptation,reduction of disability and improvement of fine motor function.Combined with the above analysis,the effect of "Jin three needle therapy" combined with functional rehabilitation training on improving the gross motor function and overall movement ability of children with cerebral palsy is better than that of functional rehabilitation training.Clinical observation found that the severity of the disease will affect the quality of treatment.Therefore,according to the severity of the disease,the two groups were stratified once again to compare the therapeutic effect.In the 145 place.Conclusion"Jin three needle therapy" combined with functional rehabilitation training is superior to functional rehabilitation training in the treatment of cerebral palsy in children. |
PDF Full Text Request