针灸推拿医学（英文版）
針灸推拿醫學（英文版）
침구추나의학（영문판）
JOURNAL OF ACUPUNCTURE AND TUINA SCIENCE
2015年
3期
150-155
,共6页
符文杰%金炳旭%赵勇%刘振寰
符文傑%金炳旭%趙勇%劉振寰
부문걸%금병욱%조용%류진환
针刺疗法%电刺激疗法%足畸形%脑性瘫痪%痉挛%儿童, 学龄前
針刺療法%電刺激療法%足畸形%腦性癱瘓%痙攣%兒童, 學齡前
침자요법%전자격요법%족기형%뇌성탄탄%경련%인동, 학령전
Acupuncture Therapy%Electric Stimulation Therapy%Foot Deformities%Cerebral Palsy%Spasm%Child,Preschool
目的：观察针刺结合低频电刺激对痉挛型脑瘫患儿尖足畸形的影响。方法：选取以双下肢痉挛为主的脑瘫患儿60例,根据随机数字随机分为两组,每组30例。对照组患儿给予体疗训练和按摩、水疗治疗。观察组在对照组治疗基础上加用针刺及低频电刺激治疗,针刺选足三里、三阴交、阳陵泉、解溪、承山、脑清、跟平穴，隔日1次,10次为1疗程；低频电刺激选择胫骨前肌,1星期6次,20次为1疗程。疗程间休息15-20 d,连续治疗3个疗程。治疗前后分别对患儿下肢进行改良Ashworth量表(modified Ashworth scale, MAS）及综合痉挛量表(composite spasticity scale, CSS)评分,并进行足背屈角测量。结果：治疗后足背屈角及CSS评分观察组优于对照组，差异存在统计学意义(P＜0.05)。以 MAS 评分方法评估有效率,观察组有效率高于对照组,差异存在统计学意义(P＜0.05)；以足背屈角评估有效率,观察组有效率高于对照组,差异存在统计学意义(P＜0.05)。结论：康复训练基础上加用针刺及低频电刺激可改善痉挛型脑瘫患儿尖足畸形,疗效优于单纯康复训练。
目的：觀察針刺結閤低頻電刺激對痙攣型腦癱患兒尖足畸形的影響。方法：選取以雙下肢痙攣為主的腦癱患兒60例,根據隨機數字隨機分為兩組,每組30例。對照組患兒給予體療訓練和按摩、水療治療。觀察組在對照組治療基礎上加用針刺及低頻電刺激治療,針刺選足三裏、三陰交、暘陵泉、解溪、承山、腦清、跟平穴，隔日1次,10次為1療程；低頻電刺激選擇脛骨前肌,1星期6次,20次為1療程。療程間休息15-20 d,連續治療3箇療程。治療前後分彆對患兒下肢進行改良Ashworth量錶(modified Ashworth scale, MAS）及綜閤痙攣量錶(composite spasticity scale, CSS)評分,併進行足揹屈角測量。結果：治療後足揹屈角及CSS評分觀察組優于對照組，差異存在統計學意義(P＜0.05)。以 MAS 評分方法評估有效率,觀察組有效率高于對照組,差異存在統計學意義(P＜0.05)；以足揹屈角評估有效率,觀察組有效率高于對照組,差異存在統計學意義(P＜0.05)。結論：康複訓練基礎上加用針刺及低頻電刺激可改善痙攣型腦癱患兒尖足畸形,療效優于單純康複訓練。
목적：관찰침자결합저빈전자격대경련형뇌탄환인첨족기형적영향。방법：선취이쌍하지경련위주적뇌탄환인60례,근거수궤수자수궤분위량조,매조30례。대조조환인급여체료훈련화안마、수료치료。관찰조재대조조치료기출상가용침자급저빈전자격치료,침자선족삼리、삼음교、양릉천、해계、승산、뇌청、근평혈，격일1차,10차위1료정；저빈전자격선택경골전기,1성기6차,20차위1료정。료정간휴식15-20 d,련속치료3개료정。치료전후분별대환인하지진행개량Ashworth량표(modified Ashworth scale, MAS）급종합경련량표(composite spasticity scale, CSS)평분,병진행족배굴각측량。결과：치료후족배굴각급CSS평분관찰조우우대조조，차이존재통계학의의(P＜0.05)。이 MAS 평분방법평고유효솔,관찰조유효솔고우대조조,차이존재통계학의의(P＜0.05)；이족배굴각평고유효솔,관찰조유효솔고우대조조,차이존재통계학의의(P＜0.05)。결론：강복훈련기출상가용침자급저빈전자격가개선경련형뇌탄환인첨족기형,료효우우단순강복훈련。
Objective:To observe the clinical effect of acupuncture combined with low-frequency electric stimulation on scissor gait in children with spastic cerebral palsy. Methods:A total of 60 spastic cerebral palsy kids were allocated into two groups by random number table, 30 in each group. Cases in the control group were treated with physical exercise therapy, massage and hydrotherapy. Based on the therapies given to the control group, cases in the observation group were supplemented with acupuncture combined with low-frequency electric stimulation. Selected points included Zusanli (ST 36), Sanyinjiao (SP 6), Yanglingquan (GB 34), Jiexi (ST 41), Chengshan (BL 57), Naoqing [Extra, locates at 2 cun directly above Jiexi (ST 41)] and Genping (Extra, locates at the midpoint of the line connecting medial and lateral malleolus). The treatment was done once every other day and 10 d made up a treatment course. The low-frequency electric stimulation was applied to anterior tibia, 6 times a week and 20 times made up a treatment course. Cases were treated for a total of 3 courses and there was a 15-20 d interval between two courses. The low limb functions were assessed before and after treatment using the modified Ashworth scale (MAS) and composite spasticity scale (CSS). In addition, the ankle dorsiflexion angles were measured before and after treatment. Results:After treatment, the ankle dorsiflexion angles and CSS scores in the observation group were better than those in the control group, showing statistical significances (P<0.05); the effective rate in the observation group calculated by MAS and ankle dorsiflexion angle were both higher than that in the control group, showing a statistical significance (P<0.05). Conclusion:Rehabilitation training combined with acupuncture and low-frequency electric stimulation can achieve better effect than rehabilitation training alone in improving scissor gait in kids with spastic cerebral palsy.
