针刺督脉经穴结合Bobath疗法对痉挛型脑瘫患儿坐位能力影响的临床研究  

Effect of acupuncture in acupoints of Governor Vessel combined with Bobath therapy on sitting ability of children with spastic cerebral palsy

作　　者：赵勇[1] 谭晓如[1] 符文杰[1] 刘振寰[1] 

机构地区：[1]广州中医药大学附属南海妇产儿童医院小儿神经康复科,广东佛山528200

出　　处：《中医儿科杂志》2011年第4期47-50,共4页Journal of Pediatrics of Traditional Chinese Medicine

基　　金：2008国家自然基金项目(3074007)

摘　　要：目的:探讨针刺督脉经穴结合Bobath疗法对痉挛型脑瘫患儿坐位能力的影响。方法:选取60例6～21月痉挛型脑瘫患儿,随机分为对照组与治疗组,每组30例。2组治疗前均进行粗大运动功能评估(GMFM)中坐位功能区(B区)的评估,同时采用Bobath疗法治疗,对照组针刺足三里、三阴交穴,治疗组针刺督脉经穴,均隔日1次,10次为1个疗程,3个疗程后观察GMFM(B区)评分变化。结果:对照组与治疗组治疗后GMFM(B区)评分较治疗前均显著提高,差异有高度统计意义(P<0.01);治疗后治疗组GMFM(B区)评分显著高于对照组,差异有统计意义(P<0.05)。结论:针刺督脉经穴结合Bobath疗法能更有效地提高痉挛型脑瘫患儿坐位能力。Objective：To investigate the curative effect of acupuncture in acupoints of Governor Vessel for improving the sitting ability of children with spastic cerebral palsy. Methods：60 children with spastic cerebral palsy,aged 6m to 21m,were randomly divided into 2 groups,including control group and group.The scores of dimension B（sitting） of Gross Motor Function Measure（GMFM） were obtained before treatment.Both of groups were treated by Bobath therapy.Both Zusanli（ST36） and Sanyinjiao（SP6） acupoints were acupunctured in control group.Certain acupoints of Governor Vessel were acupunctured in treating group.The acupuncture were given every other day and 10 times made up a course of treatment.The scores of dimension B of GMFM were obtained after 3 course of treatment. Results：The scores of dimension B of GMFM increased after treatment in both of groups（P〈0.01）,and treating group showed higher scores than that of control group（P〈0.05）. Conclusion：Acupuncture in acupoints of Governor Vessel combined with Bobath training is more effective for the improvement of sitting ability in children with cerebral palsy.

关 键 词：脑性瘫痪 针刺 BOBATH疗法 坐位能力 儿童 

分 类 号：R246.4[医药卫生—针灸推拿学]