中医临床研究
中醫臨床研究
중의림상연구
Clinical Journal of Chinese Medicine
2015年
29期
26-27
,共2页
小儿脑瘫%痉挛型%电针%华佗夹脊穴
小兒腦癱%痙攣型%電針%華佗夾脊穴
소인뇌탄%경련형%전침%화타협척혈
Children with cerebral palsy%Spastic%Acupuncture%The Huatuo Jiaji acupoint
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。
目的:觀察電針華佗夾脊穴配閤現代物理康複療法治療小兒腦癱肌痙攣的臨床療效。方法:對照組的患兒採用神經電刺激療法(使用痙攣肌治療儀)、水療法、溫熱療法等現代物理康複療法和常規的功能訓練,觀察組患兒在對照組治療方法的基礎上配閤電針華佗夾脊穴的方法。結果:治療過程中觀察組脫落2例,兩組患兒治療前、治療後3箇月的肌痙攣程度評分比較,顯示觀察組治療後平均評分明顯高于對照組,差異有明顯統計學意義(P<0.05)。GMFM 量錶總評分方麵,觀察組與對照組療效比較有明顯差異(x2=4.56,P<0.05)。結論:電針華佗夾脊穴在治療小兒痙攣型腦癱中療效顯著,可促進患兒腦代謝,併能改善四肢神經營養供應,促進肌張力的恢複,且針灸華佗夾脊穴經濟、有效,適閤臨床推廣。
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.