| Objective:To observe the integral changes of modified Ashworth spasm scale (MAS) an d Activities of daily living score table(ADL)before and after Acupuncture treatment in sp astic cerebral palsy children;to explore the effectiveness by using tonifying kidney-strengt hening brain acupuncture therapy combined with rehabilitation training to treat the spastic cerebral palsy children of liver and renal insufficiencyMethods:To use a randomized approach. With SAS statistical analysis system to produc ethe60cases accepted by the subjects randomly assigned to processing, lists the serial n umber of01to60corresponding to the treatment allocation. Cases were divided into tre atment group (n=30), control group,(n=30), the treatment group off one case, includ ed29cases in the statistics,30cases in the control group. Treatment group by using to nifying kidney-strengthening brain combined with rehabilitation training, the control group were treated with rehabilitation training, rehabilitation treatment as the same as the treat ment group. To observe the difference of spasticity improved and cerebral palsy activities of daily living between the two groups by using the modified Ashworth spastic scale a nd activities of daily living assessment form (ADL), at the time of before treatment, on emonth after, two months after, three months after.Result:(1) According the change of MAS integra before and after treatment, there were r emarkable differences between two groups; Before treatment, there were non-significant di fference between before treatment and two months after (P>0.05); before treatment and3months after had remarkable differences (P<0.01);The control group had non-significan t differences after two and three month (P>0.05); It means that tonifing Kidney-Strength ening brain acupuncture therapy combined with rehabilitation training can improve spastic ity in children with cerebral palsy, earlier and more effective than simple rehabilitation tr aining.(2) According the change of ADL scale, the two groups can both improve activities of d aily living of cerebral palsy (P<0.01), but the treatment’s curative effect were superior t o the control group (P<0.01). the treatment group can obviously improve activities of d aily living of cerebral palsy. And it show statistical significance after fist month (P<0.05). The difference was significant difference at3months (P<0.01). It means that the on set time is earlier than the control group, and the larger changes of the onset were at t wo month. And the more longer course of treatment, the more obvious curative effect (P <0.01). Compared with control group,After two months, the improvement on gross moto r show significant difference (P<0.05), It indicating a better therapeutic effect of treatme nt group on gross motor. (3) Compared with two groups’clinical efficacy, the total effective rate of treatment grou p was100%, the total remarkable effective rate was72.41%; the total effective rate of t he control group was83.33%, the total remarkable effective rate is43.33%.The two gro ups total efficiency and total remarkable effective rate were significant differences (P<0.05); It means that tonifing Kidney-Strengthening brain acupuncture therapy combined with rehabilitation training is more effective than simple rehabilitation training. Compared with the control group, the treatment group’s onset time was earlier, most of them onset in one month; Gross motor and additional features of the onset time is earlier than the cont rol group (P<0.05). onset mostly in one month; Treatment group’s effect of the station, walk up and down stairs, understanding, walking ability and standing balance were in on e month that as early as in the control group; station, walk up and down stairs most on set one month after; Understand, walking ability and standing balance were onseting two or three month after. The cure rate of ADL single score factor such as climb, stand, tra nsfer, walking, understanding, expression, walking ability were superior to the control gro up.Conclusion:Tonifying kidney-strengthening brain acupuncture therapy combined with reha bilitation training for treating spastic cerebral palsy children had a definite clinical effect. It can improved spasticity and daily living activities of children quickly, especially the b ody of daily living activities.Thereby,improving the quality of life, to reduce the burden on parents. The treatment is effective, fast,safe, cheap and avoids the side effects of dru gs,therefore worthy of promotion. |
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