Clinical observation on Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy complicated with intellectual disabilities

Objective

To observe the clinical efficacy of Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy (CP) complicated with intellectual disabilities.

Methods

A total of 300 CP cases aged between 1 and 5 years were randomly allocated into a treatment group (n=150) and a control group (n=150). Patients in the treatment group were treated with Governor Vessel-unblocking and brainrefreshing scalp acupuncture combined with rehabilitation training, whereas patients in the control group received rehabilitation training alone. The Beijing Gesell developmental (Gesell) scale and gross motor function measure (GMFM) scale were used to assess the motor and intellectual development before and 3 months after the treatment. In addition, the head CT/MRI examination was applied to assess the brain nerve repair before and after the treatment.

Results

After the treatment, the total effective rate in the treatment group was 78.0%, versus 42.7% in the control group, showing a statistical significance (P<0.05). As for scores of five subscales in the Gesell scale, there were significant intra-group differences in the treatment group (all P<0.05); and the scores in the treatment group were significantly better than those in the control group (all P<0.05). As for scores of five dimensions in GMFM scale, there were significant intra-group differences in the treatment group (all P<0.05); and the scores in the treatment group were significantly better than those in the control group (all P<0.05). According to the head CT/MRI findings, the total effective rate was 73.3% in the treatment group, versus 62.0% in the control group, showing a statistical significance (P<0.05).

Conclusion

When used in combination with rehabilitative training, Governor Vessel-unblocking and brain-refreshing scalp acupuncture can significantly improve the clinical efficacy for cerebral palsy complicated with intellectual disabilities. It can also improve the patients’ motor function, intelligence and language ability.

     

升降散穴位贴敷治疗腹泻型IBS临床观察与护理

目的 :观察升降散穴位贴敷治疗腹泻型肠易激综合征的临床疗效。方法 :将60例腹泻型肠易激综合征患者随机分为治疗组和对照组(其中治疗组30例,对照组30例)。对照组采用马来酸曲美布汀胶囊口服治疗,治疗组在口服药的基础之上配合升降散穴位贴敷治疗,1日1次,10次为1个疗程,共治疗2个疗程。两组均在2个疗程结束后,记录改善情况并进行统计学处理。结果 :2个疗程结束后,两组的有效率比较差异显著(P<0.05)。结论 :升降散穴位贴敷治疗腹泻型肠易激综合征有良好疗效,具有一定的临床应用价值。     

穴位特异性研究概况

穴位的功能特异性主要指穴位与非穴位或某穴位与它穴位在针刺效应和主治功用方面的不同特点,即穴位对其相应内脏器官、组织的功能所具有的某种独特的影响。从临床研究和实验研究两方面对穴位特异性功能作用特点的研究现状进行了综述。参考文献24篇。     

针刺配合耳穴贴压治疗腰椎间盘突出症60例

目的:观察针刺配合耳压治疗腰椎间盘突出症的临床疗效。方法:将60例腰椎间盘突出症患者随机分为治疗组和对照组(其中治疗组31例,对照组29例)。对照组采用单纯针刺方法治疗,治疗组在针刺的基础之上配合耳穴贴压治疗,每日1次,10次为1疗程,共治疗2个疗程。两组均在2个疗程结束后,记录改善情况并进行统计学处理。结果:2个疗程结束后,两组的痊愈率比较有统计学差异(P<0.05)。结论:针刺配合耳压治疗腰椎间盘突出症有良好疗效,具有一定的临床价值。     

个体化营养管理在脑性瘫痪患儿中的应用

目的观察个体化营养管理对脑性瘫痪(简称脑瘫)患儿的影响。方法对37例脑瘫患儿建立营养管理档案及综合营养评价,进行为期3个月的个体化营养干预治疗,比较营养干预治疗前后年龄别身长(HAZ)、身长别体质量(WHZ)、年龄别体质量(WAZ)、年龄别体质量指数(BMIZ)等测量指标。结果 37例患儿中消瘦率为43%,生长迟缓率为38%,低体质量率为30%。根据WHZ值将患儿分为营养良好组、轻度营养不良组及中-重度营养不良组。干预治疗后,营养良好组WHZ(0.4±0.8)及BMIZ(0.6±0.8)均较治疗前提高,差异有统计学意义(P0.05);轻度营养不良组及中-重度营养不良组WHZ(-0.8±0.6;-1.5±1.0)、WAZ(-1.6±0.9;-2.4±1.0)及BMIZ(-0.7±0.7;-1.1±0.9)均较治疗前提高,差异均有统计学意义(P0.05)。结论营养不良在脑瘫患儿中发生率高,个体化营养干预治疗可有效改善其近期营养状况。     

Clinical observation on acupuncture at thirteen ghost acupoints for children with autism spectrum disorder

Objective

To observe the clinical efficacy of needling thirteen ghost acupoints for children with autism spectrum disorder.

Methods

A total of 90 cases with autism spectrum disorder (ASD) aged between 2 and 6 years were randomly allocated into 2 groups by random number table. The control group (n=45) received routine rehabilitative training, and the treatment group (n=45) received acupuncture at thirteen ghost acupoints plus routine rehabilitative training. The Beijing Gesell developmental (Gesell) scale and autism behavior checklist (ABC) were used to assess the intellectual, language and behavior development before and 3 months after the treatment.

Results

After the treatment, the total effective rate in the treatment group was 82.2%, versus 55.6% in the control group, showing a statistical significance (P<0.05). As for the scores of social, emotional and language in Gesell scale, there were significant intra-group differences in the treatment group (all P<0.05), and all the five subscales in the Gesell scale in the treatment group were significantly better than those in the control group (all P<0.05). As for the scores of ABC, there were significant intra-group differences in the treatment group (P<0.05), and the scores in the treatment group were significantly better than those in the control group (all P<0.05).

Conclusion

Rehabilitation training plus acupuncture at thirteen ghost acupoints can significantly improve the intellectual, language and abnormal behavior in autism spectrum disorder children.