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Clinical Observation on Effect of Clearing the Governor Vessel and Refreshing the Mind Needling on Head SPECT and CT Scanning of Kids with Cerebral Palsy
作者姓名:刘振寰  祁岩超  潘佩光  马美美  钱旭光  符文杰  张宏雁
作者单位:LIU Zhen-huan(Cerebral Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Guangzhou University of Traditional Chinese Medicine Guangdong 528200, P. R. China)  QI Yan-chao(Guangzhou Cancer Hospital Guangdong 528200, P. R. China)  PAN Pei-guang(Cerebral Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Guangzhou University of Traditional Chinese Medicine Guangdong 528200, P. R. China)  MA Mei Mei(Cerebral Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Guangzhou University of Traditional Chinese Medicine Guangdong 528200, P. R. China)  QIAN Xu-guang(Cerebral Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Guangzhou University of Traditional Chinese Medicine Guangdong 528200, P. R. China)  FU Wen-jie(Cerebral Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Guangzhou University of Traditional Chinese Medicine Guangdong 528200, P. R. China)  ZHANG Hong-yan(Cerebral Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Guangzhou University of Traditional Chinese Medicine Guangdong 528200, P. R. China)
基金项目:Mechanism Study on Treatment of Cerebral Palsy with Acupuncture plus Nerve Growth Factor (Natural Science Foundation Item of Guangdong Province, No: 5002028)
摘    要:目的探讨针灸在脑瘫康复中的脑功能代偿作用.方法100例脑瘫患儿随机分为治疗组(50例)和对照组(50例),治疗组采用通督补肾组穴督脉穴13针配伍涌泉、阳陵泉、足三里、三阴交.和醒神头针(神庭透百会,百会透脑户和四神聪).配合康复训练.对照组单纯用康复训练.观察两组临床疗效以及头颅CT、SPECT病变恢复情况.结果治疗组总有效率为84%,显著高于对照组总有效率的52%.治疗后发育商(DQ)治疗显著组高于对照组(P<0.01).头颅CT脑发育不良,脑萎缩的好转率和头颅SPECT脑神经元代谢功能恢复正常率,治疗组高于对照组(P<0.01)结论针灸能促进脑功能的代偿作用.

关 键 词:针刺疗法  脑性瘫痪  儿童
收稿时间:26 April 2007
修稿时间:2007年4月26日

Clinical observation on effect of clearing the governor vessel and refreshing the mind needling on head SPECT and CT scanning of kids with cerebral palsy
Zhen-huan Liu,Yan-chao Qi,Pei-guang Pan,Mei Mei Ma,Xu-guang Qian,Wen-jie Fu,Hong-yan Zhang.Clinical Observation on Effect of Clearing the Governor Vessel and Refreshing the Mind Needling on Head SPECT and CT Scanning of Kids with Cerebral Palsy[J].Journal of Acupuncture and Tuina Science,2007,5(4):209-212.
Authors:Zhen-huan Liu  Yan-chao Qi  Pei-guang Pan  Mei Mei Ma  Xu-guang Qian  Wen-jie Fu  Hong-yan Zhang
Institution:1. Cerebral Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Guangzhou University of Traditional Chinese Medicine Guangdong 528200, P. R. China
2. Guangzhou Cancer Hospital Guangdong 528200, P. R. China
Abstract:Objective To investigate the brain functional compensation of acupuncture in cerebral palsy rehabilitation. Method All 100 cerebral palsy kids were randomized into a treatment group (50 cases) and a control group (50 cases). For cases in the treatment group, points of connecting the Governor Vessels and tonifying the kidney were selected: 13 points of the Governor Vessel, Yongquan (Kid 1), Yanglingquan (GB 34), Zusanli (ST 36) and Sanyinjiao (SP 6), and points of refreshing the mind were also selected: puncturing Shenting (GV 24) toward Baihui (GV 20) and puncturing Baihui (GV 20) toward Naohu (GV 17) and Sishencong (Ex-HN 1). In addition, rehabilitation training was also combined. For cases in the control group, rehabilitation training alone was adopted. Then the clinical effect and improvement through head CT scanning and SPECT were observed. Result The total effective rate of the treatment group was 84%, significantly higher than 52% of the control group. After treatment, the DQ in the treatment group was significantly higher than the control group (P<0.01). Also, the improvement rate of brain maldevelopment and brain atrophy showed by CT scan and restoration rate of brain neuron metabolic function in the treatment group were higher than the control group (P<0.01). Conclusion Acupuncture can promote the compensation of brain function. Author: LIU Zhen-huan (1958∼), chief physician, professor, supervisor for Master degree students, mainly engaged in infantile nerve rehabilitation medicine.
Keywords:Acupuncture Therapy  Cerebral Palsy  Children
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