头针配合康复训练对脑瘫患儿运动功能的影响

目的:探讨头针配合康复训练治疗脑瘫(CP)患儿的疗效,为小儿CP的治疗探索新的有效方法。方法:将CP患儿106例随机分为2组,每组53例,对照组给予肢体康复训练,治疗组在肢体康复训练基础上进行头针治疗,2组均治疗12周,比较治疗前后粗大运动功能量表(GMFM-88)评分、下肢肌群肌张力评分、大脑中动脉收缩期血流速度和搏动指数、血清胰岛素样生长因子(IGF-1)、脑源性神经营养因子(BDNF)水平。结果:治疗后,2组粗大运动功能B、C、E区评分均较治疗前显著增加(P0.01),与对照组比较,治疗组各区评分均显著增加(P0.01);治疗后,2组内收肌、腘绳肌、腓肠肌肌张力均较治疗前明显降低(P0.01),治疗后治疗组与对照组比较,腘绳肌、腓肠肌张力显著降低(P0.01),内收肌张力差异无统计学意义;治疗后2组大脑中动脉血流速度升高(P0.05,0.01),搏动指数降低(P0.01),治疗组变化较对照组更为明显(P0.05,0.01);治疗后2组血清IGF-1、BDNF水平均较治疗前显著升高(P0.05,0.01),治疗组更高于对照组(P0.01)。结论:头针配合康复训练可增加脑组织血液灌注,促进损伤后脑组织修复,降低肌肉张力,改善CP患儿运动功能,治疗小儿CP效果显著。

Effect of Scalp Acupuncture Combined with Rehabilitation Training on Motor Function in Children with Cerebral Palsy

Objective: To explore the effect of scalp acupuncture combined with rehabilitation training on motor function in children with cerebral palsy (CP). Methods: 106 children with CP were divided into 2 groups according to the table numbers randomly, with 53 cases in each group. There was no significant difference between the two groups in age, sex, body mass, course of disease, disease type and other baseline data (P>0.05). The control group was given limb rehabilitation training, and the treatment group was treated with scalp accpuncture plus the limb rehabilitation training. The two groups were treated for 12 weeks. Gross motor function (GMMF-88) score before and after the treatment, lower limb muscle group muscle tension score, middle cerebral artery systolic blood flow velocity and pulse index, serum insulin like growth factor (IGF-1) and brain derived neurotrophic factor (BDNF) levels were compared. Results: GMFM-88 scale B, D, E scores in the treatment group after treatment were significantly higher (P<0.01), hamstrings and calf muscle tension scores were significantly lower (both P<0.01), middle cerebral artery blood flow velocity was quicker (P<0.05), pulse index was significantly lower (P<0.01), and serum IGF-1 and BDNF levels were significantly higer (P<0.01) than those in the control group. Conclusion: The combination of scalp acupuncture and rehabilitation training can increase the blood perfusion of brain tissue, promote the repair of brain tissue after injury, reduce muscle tone and improve the motor function of children with CP, and it has remarkable effect in treatment of CP in children.