子午流注纳甲法针刺治疗痉挛型脑性瘫痪患儿的疗效观察

目的:评价子午流注纳甲法针刺治疗对痉挛型脑性瘫痪患儿的临床疗效。方法:将痉挛型脑瘫患儿130例按随机数字表法分为对照组和治疗组各65例。对照组患儿均接受常规康复治疗,治疗组患儿在常规康复治疗基础上接受子午流注纳甲针法治疗3个月。两组患儿均在治疗前和治疗后采用粗大运动功能测试量表(GMFM-88)、改良Ashworth评定量表(MAS)、脑瘫日常生活活动能力评价表进行评定。结果:治疗后,对照组患儿的GMFM-88评分、MAS评分、脑瘫日常生活活动能力评分分别为(25.12±2.74)分、(1.53±0.71)分、(19.25±5.08)分,与同组治疗前比较明显改善(P0.05);治疗后,治疗组患儿的GMFM-88评分、MAS评分、脑瘫日常生活活动能力评分分别为(31.87±2.58)分、(1.07±0.74)分、(25.67±6.15)分,与同组治疗前比较明显改善(P0.01),且更优于对照组(P0.05)。结论:应用子午流注纳甲法针刺治疗痉挛型脑性瘫痪患儿可以更好地改善其粗大运动功能,明显降低肌张力,提高患儿的日常生活活动能力。

Observation on Effectiveness of Acupuncture Treatment of Children with Spastic Cerebral Palsy by Stimulating Acupoints Selected According to the Day to Match the Heavenly Stems and Earthly Branches

Objective To evaluate the clinical effectiveness of acupuncture in the treatment of spastic cerebral palsy(CP)children by stimulating acupoints selected according to the day to match the heavenly stems and earthly branches(Ziwu Liuzhu Najia Zhenfa).Methods A total of 130 CP patients were randomized into a control group and a treatment group(n=65in each).Both groups were given with routine rehabilitation therapy,while the treatment group additionally received 3months' acupuncture intervention.All patients were assessed before and after treatment with gross motor function measure(GMFM-88),modified Ashworth scale(MAS)and activities of daily living(ADL)in cerebral palsy.Results After the treatment,the control group scored(25.12±2.74)points in GMFM-88,(1.53±0.71)points in MAS,(19.25±5.08)points in ADL,while the treatment group were respectively(31.87±2.58)points in GMFM-88,(1.07±0.74)points in MAS,(25.67±6.15)points in ADL.Both groups experienced significant improvement in increasing GMFM-88 and ADL scores,and reducing MAS score compared to those before treatment(P<0.05,P<0.01),and the effects of the treatment group were evidently superior to those of the control group in increasing GMFM-88 and ADL scores,and reducing MAS score(P<0.05).Conclusion The "Ziwu Liuzhu Najia Zhenfa"acupuncture achieved greater improvement in gross motor function and reduction in muscular tone and enhancement of capacity of daily living activity.