聪脑通络法针刺治疗小儿脑瘫疗效观察

目的:评价聪脑通络法针刺治疗小儿脑性瘫痪(CP)的临床疗效.方法:将60例患者随机分为聪脑通络组、靳三针组、常规针刺组,每组20例.聪脑通络组取头穴线为主,配合大椎、筋缩、命门、腰阳关、合谷、内关、三阴交等穴,头针行快速捻转手法,留针30 min,腰背及四肢部腧穴行小角度捻转平补平泻手法,不留针;靳三针组主穴选取"靳三针"组穴中的四神针;常规针刺组腧穴配伍按照<金针灸治疗学>王启才),穴取大椎、身柱、风府等为主.治疗2个疗程后,采用残疾儿童综合功能评定法对患儿综合功能进行评定.结果:聪脑通络组、靳三针组的总有效率均为90.0%,常规针刺组的总有效率为60.0%,聪脑通络组和靳三针组的治疗效果明显优于常规针刺组(P<0.05),聪脑通络组和靳三针组疗效差异无统计学意义(P>0.05).结论:聪脑通络法针刺治疗CP可明显改善患儿综合功能,疗效显著.

Observation on therapeutic effect of treatment for children with cerebral palsy by acupuncture

Objective To evaluate the clinical therapeutic effect of acupuncture treatment of children cerebral palsy with gaining in wisdom and activating channels method. Methods Sixty cases were randomly divided into a gaining in wisdom and activating channels group,a JIN's 3-needling group and a routine acupuncture group,20 cases in each group.The gaining in wisdom and activating channels group was treated with point group of the head selected as main points combined with Dazhui(GV 14),Jinsuo(GV 8),Mingmen(GV 4),Yaoyangguan(GV 3),Hegu(LI 4),Neiguan(PC 6),Sanyinjiao(SP 6),etc.,the JIN's 3-needling group was treated with Four-shen needling and Dazhui(GV 14),Shenzhu(GV 12),Fengfu(GV 16),etc.were selected as main acupoints in the routine acupuncture group.Comprehensive Function Evaluation for Disabled Children was used for assessment of comprehensive function of disabled children. Results The total effective rate of 90.0%in both the gaining in wisdom and activating channels group and the JIN's 3-needling group,with no significant difference between the two groups(P>0.05),were better than that of 60.0%in the routine acupuncture group(P<0.05). Conclusion Acupuncture treatment with gaining in wisdom and activating channels method can significantly improve the comprehensive function of disabled children with more obvious therapeutic effects.