电针联合艾灸治疗小儿脑瘫疗效观察  

Therapeutic Observation of Electroacupuncture plus Moxibustion for Infantile Cerebral Palsy

作　　者：焦玉祥 白丽萍 张爱 张立芳 徐玲 JIAO Yu-xiang BAI Li-ping ZHANG Ai ZHANG Li-fang XU Ling(Shandong Binzhou Hospital of Chinese Medicine,Shandong 256613,China)

机构地区：[1]山东省滨州市中医医院,滨州256613

出　　处：《上海针灸杂志》2017年第5期525-528,共4页Shanghai Journal of Acupuncture and Moxibustion

基　　金：山东省滨州市科技局计划项目(2013ZC1803)

摘　　要：目的观察电针联合艾灸治疗小儿脑瘫的临床疗效。方法将80例符合纳入标准的患者随机分为治疗组42例和对照组38例。对照组采用物理疗法(physitherapy,PT),治疗组在对照组基础上采用头穴电针、体针以及督脉艾灸治疗。两组均每日治疗1次,共治疗6个月。观察两组治疗前后综合能力评分和粗大运动功能量表(GMFM)评分变化,并比较两组临床疗效。结果治疗6个月后,治疗组总有效率为92.9%,对照组为78.9%,治疗组总有效率优于对照组(P<0.05)。治疗后两组患者的运动功能、生活自理能力评分均较同组治疗前显著提高(P<0.05,P<0.01),两组患者治疗后运动功能、生活自理能力比较,差异有统计学意义(P<0.05)。治疗后两组患者各区GMFM评分与同组治疗前比较,差异有统计学意义(P<0.05);两组治疗后各区GMFM评分比较,差异有统计学意义(P<0.05)。结论在常规PT治疗的基础上加用电针和灸法,与单纯常规PT治疗相比,更有助于提高脑瘫患者的运动功能。Objective To observe the clinical efficacy of electroacupuncture plus moxibustion in treating infantile cerebral palsy. Method Eighty eligible patients with infantile cerebral palsy were randomized into a treatment group of 42 cases and a control group of 38 cases. The control group was intervened by physiotherapy （PT）, while the treatment group was given electroacupuncture at scalp acupoints, body acupuncture, and moxibustion along the Governor Vessel in addition to the treatment given to the control group. The two groups were treated once a day, 6 months in total. The comprehensive ability and the Gross Motor Function Measure （GMFM） were evaluated before and after the interventions in the two groups, and the clinical efficacies were compared.Result After 6-month treatment, the total effective rate was 92.9% in the treatment group versus 78.9% in the control group, and the total effective rate of the treatment group was superior to that of the control group （P〈0.05）. The motor function and activities of daily living were significantly improved in both groups after the interventions （P〈0.05,P〈0.01）; after the treatment, there were significant differences in comparing the motor function and activities of daily living between the two groups （P〈0.05）. The GMFM scores of each domain were significantly changed after the treatment in both groups （P〈0.05）; after the treatment, there were significant differences in comparing the GMFM scores of each domain between the two groups （P〈0.05）.Conclusion Compared with being used alone, conventional PT can more significantly benefit the improvement of motor function of cerebral palsy patients when electroacupuncture and moxibustion were added.

关 键 词：脑性瘫痪 电针 艾条灸 头针 物理疗法 综合能力评分 粗大运动功能量表 针刺疗法 

分 类 号：R246.4[医药卫生—针灸推拿学]