目的 评估中医穴位疗法结合康复护理对脑瘫患儿的积极价值。方法 选取某社会福利院康复医院2024年12月至2025年12月间儿科收治的40例脑瘫患儿，通过随机数字表分为两组，对照组（20例）接受常规康复护理，观察组（20例）则联合应用中医穴位疗法，对比两种方案的康复效果。结果 观察组患儿的临床痉挛指数（包括肢体腱反射、肌张力及阵挛等维度）评分低于对照组，差异具统计学意义（P<0.05）；观察组血清CD4+和CD4+/CD8+免疫功能指标均高于对照组（P<0.05）；观察组在躯干控制测量量表（TCMS）、儿童睡眠习惯问卷（CSHQ）评估中的分数改善较对照组更优（P<0.05）。结论 将中医穴位疗法融入康复护理，对脑瘫患儿实施综合干预，有助于优化其睡眠质量，减轻肌张力异常，提升免疫力和平衡功能，为其康复提供有效支持。

目的 评估中医穴位疗法结合康复护理对脑瘫患儿的积极价值。方法 选取某社会福利院康复医院2024年12月至2025年12月间儿科收治的40例脑瘫患儿，通过随机数字表分为两组，对照组（20例）接受常规康复护理，观察组（20例）则联合应用中医穴位疗法，对比两种方案的康复效果。结果 观察组患儿的临床痉挛指数（包括肢体腱反射、肌张力及阵挛等维度）评分低于对照组，差异具统计学意义（P<0.05）；观察组血清CD4+和CD4+/CD8+免疫功能指标均高于对照组（P<0.05）；观察组在躯干控制测量量表（TCMS）、儿童睡眠习惯问卷（CSHQ）评估中的分数改善较对照组更优（P<0.05）。结论 将中医穴位疗法融入康复护理，对脑瘫患儿实施综合干预，有助于优化其睡眠质量，减轻肌张力异常，提升免疫力和平衡功能，为其康复提供有效支持。

目的 将悬吊运动+感觉统合训练联合应用在脑瘫患儿的治疗当中,探讨该治疗方式对患儿运动功能(站立、步行)的影响。方法 将2021年3月—2022年3月作为时间区间,于该区间内摘选78例脑瘫患儿,将其随机分为A组和B组(n=39)。A组予以常规的运动训练,B组予以悬吊运动+感觉统合训练,对比分析2组患儿的粗大运动功能(站立、行走与跑跳能力)、平衡控制功能与步态参数。结果 2组患儿在治疗前的运动功能评分、平衡控制功能评分方面基本相同,经过治疗后,B组在站立、行走、跑跳方面的功能评分高于A组,在步态参数方面高于A组(P＜0.05)。治疗之前的2组患儿在步态方面的各项参数大致相同,治疗后的B组在步长和步行速度方面出现了增长,步行宽度有了一定的减小(P＜0.05)。结论 将悬吊运动+感觉统合训练联合应用在脑瘫患儿的治疗当中,不仅可以帮助患儿改善站立、步行以及跑跳的功能,同时也能强化患儿躯体的平衡控制功能,促进康复训练效果的有效提升,值得在临床上推广与应用。

目的 初步探究针刺数量对小儿脑瘫肌张力及粗大运动功能的影响。方法 选取我院2017年1月—2019年11月接收的脑瘫患儿78例,以随机数表法分组,常规针刺组39例,采用一般治疗加常规针刺穴位;增穴针刺组39例,在常规针刺组治疗基础上增加13个穴位治疗。对比2组患儿三个疗程后的肌张力及粗大运动功能。结果 治疗三个疗程后,常规针刺组肌张力评分稍低于增穴针刺组,粗大运动功能量表(GMFM-88)评分稍低于增穴针刺组,但差异没有统计学意义(P＞0.05)。结论 针刺疗法可以有效辅助脑瘫患儿治疗,但是增多穴位不一定能明显改善患儿肌张力和粗大运动功能。

Objective To explore the effect of acupuncture quantity on muscle tension and gross motor function in children with cerebral palsy. Methods From January 2017 to November 2019, 78 children with cerebral palsy who were treated in our hospital were collected. 78 children with cerebral palsy were randomly divided into two groups. The conventional acupuncture group (39 cases) were treated with general treatment and conventional acupuncture points. And the more-needle acupuncture group (39 cases) were treated with adding another 13 more acupuncture points. Muscle tension and gross motor function were compared between the two groups after three courses of treatment. Results After three courses of treatment, the muscle tension score of the conventional acupuncture group was slightly lower than that of the more-needle acupuncture group, and the gross motor function scale (GMFM-88) score was slightly lower than that of the more-needle acupuncture group, but the difference was not statistically significant (P>0.05). Conclusion Acupuncture therapy can effectively assist the treatment of children with cerebral palsy, but increasing acupoints may not improve the muscle tension and gross motor function of children with cerebral palsy.

目的 分析基于中医针灸的康复训练对小儿脑瘫的临床疗效。方法 选择我院2016年2月—2017年3月接受治疗的脑瘫患儿88例,根据患儿入院接受疗法不同分为研究组(n=45)和对照组(n=43)。对照组给予康复训练治疗,研究组给予康复训练联合中医针灸治疗。比较两组患者治疗3个月后的临床效果,以及治疗前后粗大运动功能、生活质量评分变化。结果 治疗3个月后,研究组总有效率95.56 %明显高于对照组69.76 %(P<0.05);两组患儿粗大运动功能、生活质量、认知功能及自理动作评分均有提高,但研究组以上指标评分明显高于对照组(P<0.05)。结论 基于康复训练联合针灸干预脑瘫患儿可改善患儿粗大运动功能,提高患儿生活质量,效果显著。

目的 观察家庭式康复教育结合模式对脑瘫儿童发育情况的影响。方法 采用随机数字表法将38例脑瘫患儿分为实验组及对照组。2组患儿均给予常规日常康复,康复治疗师、引导式教师、特殊教育教师组成的团队共同对实验组内儿童功能情况进行评估,设计引导式教育课程,对无康复教育知识背景的专职护理人员进行课程培训,完成培训的护理员具体执行引导式教育课程,每天2次,每次60min,每周介入6日,持续半年。于治疗前、治疗后采用Gesell发展量表进行评测。结果 治疗前,两组患儿适应性行为、大运动、精细动作、语言、个人-社会行为5个领域指标组间差异无统计学意义（P>0.05）;经介入半年后,两组患儿的适应性行为、大运动、精细动作、语言、个人-社会行为5个领域评分均优于组内治疗前水平（P <0.05）,且实验组优于对照组（P <0.05）。结论 家庭式康复教育结合模式,对改善脑瘫患儿的多方面功能发展有重要意义,值得在专业人才资源缺乏的机构和社会中推广、应用。

Objective To observe the effect of the model of family rehabilitation education on the development of children with cerebral palsy. Methods 38 children with cerebral palsy were divided into experimental group and control group by random digital table method. Two groups of children were given routine daily rehabilitation. A team of rehabilitation therapists,guided teachers and special education teachers assessed the children's function in the experimental group,and designed guiding education course. The team offered curriculum training for full-time nurses without background knowledge of rehabilitation education,and the trained nurses implemented the guiding education course twice each day,60 minutes each time,6 days per week. The training lasted for six months. The Gesell development scale was used for evaluation before and after treatment. Results Before treatment,there was no statistically difference between 2 groups of children in 5 areas of adaptive behavior,exercise,fine motor,language and personal social behavior （P >0.05）. After six months' intervention,2 groups of children were better than the pre-treatment level （P <0.05）. The experimental group was superior to the control group （P <0.05）. Conclusion The model of family rehabilitation education is of great significance to the improvement of the multifaceted function of children with cerebral palsy. It is worthy of popularization and application in institutions and societies which are lack of professional talent resources.

目的 通过测试获取脑瘫外翻足患儿的足底压力参数特征,为设定步态康复训练方案提供参考。方法 根据纳入和排除标准,选择脑瘫患儿和健康儿童各15人,通过足底压力测试仪测得足底各部位压力分布、区域压力峰值及步态时相百分比,将两组结果进行统计学比较。结果 比较发现在足底接触面积、足底压力值,以及步态时相所占时间长短三方面均有指标存在差异,均有统计学意义(P<0.05)。结论 足底压力测试技术可使临床步态分析更加量化、精确化,为设定更有针对性的康复训练提供依据。

Objective Through the assessment to get the plantar pressure features of cerebral palsy children with talipes valgus, in order to design suitable treatment plan. Methods According to the inclusion criteria and exclusion criteria, we chose 15 cerebral palsy children with talipes valgus in experimental group, and 15 healthy children in control group. Through the test to get the plantar contact area, pressure parameters and the percent of gait phase. the two groups were compared with statistics method. Results There were significant differences between two groups on the plantar contact area, pressure parameters and the percent of gait phase. Conclusion Plantar pressure measurement makes clinic gait analysis more quantized and accurate, it will provide the evidence to plan the suitable treatment plan.