石菖蒲联合针刺对脑瘫患儿的康复治疗作用

目的:观察石菖蒲配合针刺疗法对脑瘫患儿的康复治疗作用。方法:石菖蒲联合针刺治疗组(52例),治疗组采用内服煎汤提取液和头针、体针,对照组(52例)单纯用针刺治疗,观察评估患儿的发育商(developmental quotient,DQ),头颅CT检测,采用粗大运动功能测试量表(gross motor function measure,GMFM)评分,采用酶联免疫吸附法测定肿瘤坏死因子-α(TNF-α)的含量。结果:治疗后,治疗组脑血液动力学指标显著改善(P<0.05)。治疗组CT结果显示恢复率较显著增高(P<0.05)。治疗组治疗后DQ显著提高(P<0.05),治疗组GMFM评估总分显著提高(P<0.05)。联合治疗组血清TNF-α水平显著降低(P<0.05)。结论:石菖蒲发挥其通关复苏、益智健脑的功效,能够加强针刺治疗的效果,通过降低炎症反应和肿瘤坏死因子-α(TNF-α)的表达,减缓脑瘫带来的脑损伤,改善肌张力和肌力,对脑瘫患儿起到较好的康复治疗作用。

The rehabilitation treatment effect of acorus gramineus combined with acupuncture on child spastic cerebral palsy

Objective:To observe the treatment effect of acorus gramineus with acupuncture on child spastic cerebral palsy.Methods:the treatment group (52 cases),took the acorus gramineus extracted liquid and Head acupuncture and body acupuncture acupoints.The control group (52 cases),only used acupuncture treatment.Observed the assessment of developmental quotient (DQ) of development of child spastic cerebral palsy,detected head CT, used Gross Motor Function Measure to score,and used the ELISA method to test tumor necrosis factor alpha (TNF-α) content.Results:The cerebral hemodynamic index of the treatment group significantly improved (P<0.05).CT showed that the treatment group recovery rate was significantly higher (P<0.05).The treatment group developmental quotient (DQ) was significantly higher (P<0.05).The treatment group''s GMFM assessment score was significantly higher (P<0.05).The serum TNF-α level of the treatment group was significantly lower (P<0.05).Conclusion:Acorus gramineus play its function of restore consciousness and benefit for brain development,can enhance the effect of the acupuncture treatment.Through reducing inflammation and TNF-α expression,Acorus gramineus combined acupuncture method can reduce the brain damage which caused by child spastic cerebral palsy,improve muscle tension and strength and has a better rehabilitation therapy for spastic cerebral palsy.