头针对脑性瘫痪儿童认知功能和脑干听觉诱发电位的影响  

Influence of Scalp Acupuncture Treatment for Cognitive Function and Brainstem Auditory Evoked Potential on Children with Cerebral Palsy

作　　者：汤健[1] 张跃[1] 朱敏[1] 傅大林[1] 李红英[1] 赵晓科[1] 杜森杰[1] 张玲[1] 张丽[1] 

机构地区：[1]南京医科大学附属南京儿童医院,江苏南京210008

出　　处：《南京中医药大学学报》2013年第6期532-534,共3页Journal of Nanjing University of Traditional Chinese Medicine

基　　金：江苏省中医药局资助项目(LZ11118);南京市卫生局资助项目(YKK11075)

摘　　要：目的观察头针对脑性瘫痪儿童认知功能和脑干听觉诱发电位(BAEP)的影响。方法选择40例有认知功能障碍的脑瘫患儿,随机分为治疗组20例,对照组20例。治疗组行头针治疗配合综合康复训练,对照组仅进行康复训练。疗程结束后,对2组进行Gesell量表评估和BAEP测定,数据进行统计学分析。结果治疗前后2组患儿Gesell量表均有所改善(P<0.01,P<0.05);各波PL、IPL及Ⅴ波反应阈值均有显著改善(P<0.01),治疗后2组比较,P<0.05。结论头针治疗对脑瘫患儿认知功能障碍的改善更加有效,并且可以有效的改善异常的BAEP。OBJECTIVE To investigate the influence of scalp acupuncture treatment on cognitive dysfunction and brainstem auditory evoked potential on children with cerebral palsy.METHODS 40 cerebral palsy patients with cognitive dysfunction were recruited and randomly divided into treatment group （20 cases using scalp acupuncture treatment and comprehensive rehabilitation training） and control group （20 cases only using comprehensive rehabilitation training）.After a course of therapy,Gesell developmental scales and brainstem auditory evoked potential of both groups were statistically analyzed.RESULTS Gesell developmental scales was in a statistically significant difference compared with before in both groups （P 〈 0.01,P 〈0.05）.The wave PL,IPL andV wave response threshold were improved significantly.There was significant difference between two groups after treatment （P〈0.05）.CONCLUSION Scalp acupuncture treatment is more effective than rehabilitation training alone in improving cognitive dysfunction of cerebral palsy,and it can effectively improve the abnormal BAEP.

关 键 词：脑瘫 头针 认知功能障碍 Gesell量表 脑干听觉诱发电位 

分 类 号：R272[医药卫生—中医儿科学]