头针结合康复训练治疗儿童痉挛型偏瘫平衡功能障碍的疗效观察  

Therapeutic effect of scalp acupuncture combined with rehabilitation training on balance dysfunction in children with spastic hemiplegia

作　　者：罗伟[1] 王跑球[1] 刘春雷[1] 黄超[1] 杨勇[1] 王益梅[1] LUO Wei;WANG Pao-qiu;LIU Chun-lei;HUANG Chao;YANG Yong;WANG Yi-mei(Hunan Children’s Hospital,Changsha 410007,China)

机构地区：[1]湖南省儿童医院,长沙410007

出　　处：《针刺研究》2020年第8期662-666,共5页Acupuncture Research

基　　金：湖南省残疾人联合会康复科研项目(No.2018XK011)。

摘　　要：目的:探讨头针和康复训练治疗痉挛型偏瘫儿童平衡功能障碍的疗效,为其治疗方案的优化提供参考依据。方法:将60例痉挛型偏瘫患儿,按随机数字表法分为常规组和头针组,每组30例。常规组给予康复训练,包括运动训练、平衡训练、痉挛肌治疗仪治疗、肌电生物反馈仪治疗、矫形器的佩戴;头针组在常规组治疗方法的基础上加头针运动区、足运感区、平衡区、顶颞前斜线治疗。分别在治疗前、治疗3个月后、治疗6个月后采用粗大运动功能测试量表-88(GMFM-88)中D、E能区评分、Berg平衡量表(BBS)进行平衡相关运动功能及平衡功能的评定,比较两组患儿不同时段3个指标的差异。结果:与治疗前比较,两组患儿治疗3、6个月后的BBS评分明显升高(P<0.05);两组患儿治疗6个月后D能区、E能区评分均较本组治疗前及治疗3个月后明显升高(P<0.05)。与常规组比较,头针组治疗3个月、6个月后的D能区、E能区及BBS评分均明显升高(P<0.05)。结论:在常规康复训练的基础上加头针治疗,对改善痉挛型偏瘫患儿平衡功能疗效更好。Objective To investigate the therapeutic effect of scalp acupuncture and rehabilitation training on balance dysfunction in children with spasmodic hemiplegia so as to provide the reference to the optimization of treatment scheme.Me-thods A total of 60 children with spastic hemiplegia were divided into a routine group and a scalp acupuncture group,30 cases in each one according to random number table.In the routine group,the rehabilitation training was provided,including exercise training,balance training,spasmotherapy apparatus,electromyography biofeedback apparatus and orthoses.In the scalp acupuncture group,on the base of the treatment as the routine group,scalp acupuncture was supplemented at motor area,foot motor sensory area,equilibrium area and parietal temporal anterior oblique line.Separately,before the treatment,after 3 months treatment and after 6 months treatment,the dimension D and E of the gross motor function measure-88(GMFM-88)and Berg balance scale(BBS)were adopted to evaluate balance related motor functions and equilibrium function.The differences in the above 3 indicators at different time stages were compared in children between the two groups.Results Compared with the score before the treatment,BBS score was obviously increased after 3 and 6 months treatment in the patients of the two groups respectively(P<0.05).The score in the dimension D and E after 6-month treatment was increased significantly as compared with the score before treatment and after 3-month treatment in the same group respectively(P<0.05).Compared with the routine group,the score of dimension D and E of GMFM-88 as well as BBS score were all increased obviously in the scalp acupuncture group after 3 and 6 months treatment(P<0.05).Conclusion On the base of routine rehabilitation training,scalp acupuncture can improve balance function of children with spastic hemiplegia better.

关 键 词：脑性瘫痪 痉挛型偏瘫 平衡功能 头针 康复训练 

分 类 号：R245.32[医药卫生—针灸推拿学]