CAJ | 학술논문

目的：观察电针华佗夹脊穴配合现代物理康复疗法治疗小儿脑瘫肌痉挛的临床疗效。方法：对照组的患儿采用神经电刺激疗法（使用痉挛肌治疗仪）、水疗法、温热疗法等现代物理康复疗法和常规的功能训练，观察组患儿在对照组治疗方法的基础上配合电针华佗夹脊穴的方法。结果：治疗过程中观察组脱落2例，两组患儿治疗前、治疗后3个月的肌痉挛程度评分比较，显示观察组治疗后平均评分明显高于对照组，差异有明显统计学意义（P<0.05）。GMFM 量表总评分方面，观察组与对照组疗效比较有明显差异（x2＝4.56，P<0.05）。结论：电针华佗夹脊穴在治疗小儿痉挛型脑瘫中疗效显著，可促进患儿脑代谢，并能改善四肢神经营养供应，促进肌张力的恢复，且针灸华佗夹脊穴经济、有效，适合临床推广。
목적：관찰전침화타협척혈배합현대물리강복요법치료소인뇌탄기경련적림상료효。방법：대조조적환인채용신경전자격요법（사용경련기치료의）、수요법、온열요법등현대물리강복요법화상규적공능훈련，관찰조환인재대조조치료방법적기출상배합전침화타협척혈적방법。결과：치료과정중관찰조탈락2례，량조환인치료전、치료후3개월적기경련정도평분비교，현시관찰조치료후평균평분명현고우대조조，차이유명현통계학의의（P<0.05）。GMFM 량표총평분방면，관찰조여대조조료효비교유명현차이（x2＝4.56，P<0.05）。결론：전침화타협척혈재치료소인경련형뇌탄중료효현저，가촉진환인뇌대사，병능개선사지신경영양공응，촉진기장력적회복，차침구화타협척혈경제、유효，괄합림상추엄。
Objective: To observe clinical effects of acupuncturing the Huatuo Jiaji acupoint plus modern physical rehabilitation therapy on spastic cerebral palsy. Methods: Patients in the control group were treated with electrical nerve stimulation therapy (with spastic muscle therapy instrument), hydrotherapy, thermotherapy and other modern physical rehabilitation therapy and the conventional functional training. The observation group received acupuncturing the Huatuo Jiaji acupoint more. Results: During the treatment, 2 patients did not complete the clinical trials. In 3 months, average muscle spasticity score in the observation group was much higher. The difference was statistically significant. GMFM scale total score in the observation group was statistically significant too (x2=4.56,P<0.05). Conclusion: Treating spastic cerebral palsy by acupuncturing the Huatuo Jiaji acupoint showed a significant effect, could promote brain metabolism in children with spastic cerebral palsy, improve the limbs neurotrophic supply, and promote the recovery of muscle tension, was economical and effective, and worthy of promotion.