针刺夹脊穴治疗痉挛型脑瘫的临床观察

作者	单位
周君	南华大学附属第一医院儿科
刘红英	南华大学附属第一医院儿科
邓晖	南华大学附属第一医院儿科
张翠莲	南华大学附属第一医院儿科
刘木金	南华大学附属第一医院儿科

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中文摘要:

目的观察针刺夹脊穴治疗痉挛型脑瘫(spastic cerebral palsy,SCP)的临床疗效。方法将62例SCP患儿随机分成2组,治疗组采用针刺夹脊穴,对照组采用假针刺,每天针刺1次,10次为1个疗程,共治疗6个疗程,两组均配合常规康复治疗。同时以修订的Ashworth量表(MAS)、粗大运动功能量表(GMFM)、儿童功能独立检查(WeeFIM)作观察指标,观察评定两组的治疗结果。结果在治疗结束、随访0.5、1年时治疗组MAS评分均较治疗前明显降低(P<0.01),对照组治疗结束时MAS评分明显降低(P<0.01),但随访0.5、1年时MAS评分与治疗前比较,差异无统计学意义(P>0.05),而治疗组MAS评分在治疗结束、随访0.5、1年时明显低于对照组(P<0.05,P<0.01);两组患者GMFM评分、WeeFIM评分在治疗结束、随访0.5、1年时均较治疗前显著提高(P<0.01),且治疗组GMFM评分、WeeFIM评分明显高于同期对照组(P<0.01,P<0.05)。结论针刺夹脊穴治疗痉挛型脑瘫患儿的临床疗效良好。

英文摘要:

Objective To observe the clinical effects of Jiaji(EX-B2) needling for treatment of spastic cerebral palsy(SCP).Methods Sixty-two SCP patients were randomized into two groups,the treatment group treated by needling,and the control group treated by sham-acupuncture,once every day for 60 times totally.The clinical effect was assessed with scoring by the modified Ashworth’s scale(MAS),gross motor function measuring scale(GMFM) and WeeFIM at the end of treatment(T1),half-year(T2) and 1-year(T3) after treatment. Results Clinical effectiveness assessment showed that MAS scores in the treatment group reduced significantly and steadily at all the time points(P<0.01 ),while in the control group,it reduced significantly at T1(P<0.01),but raised again at T2 and T3 to higher than that in the treatment group(P<0.05,P<0.01),approaching the baseline level(P>0.05).GMFM and WeeFIM scores increased in both groups at all the three assessing time points(P<0.01),but the increments in the treatment group were higher than those in the control group respectively(P<0.01,P<0.05).Conclusion Jiaji(EX-B2) needling could achieve good clinical therapeutic effects on SCP.

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