改良长针透刺治疗小儿脑性瘫痪的临床研究  

Clinical Study on Infantile Cerebral Palsy Treated by Modified Long-needle Penetrating Acupuncture

作　　者：张璇 ZHANG Xuan(Meizhou Municipal People’s Hospital,Meizhou 514000 Guangdong,China)

机构地区：[1]梅州市人民医院,广东梅州514000

出　　处：《广州中医药大学学报》2020年第10期1903-1907,共5页Journal of Guangzhou University of Traditional Chinese Medicine

基　　金：广东梅州市医药卫生科研项目(编号:2018-B-42)。

摘　　要：【目的】观察改良长针透刺治疗小儿脑性瘫痪(简称脑瘫)的临床疗效。【方法】将96例脑瘫患儿随机分为透刺组和直刺组,每组各48例。2组患儿均给予高压氧及神经生长因子的西医常规治疗,在此基础上,透刺组给予穴位透刺治疗,直刺组给予穴位直刺治疗,6 d为1个疗程,共治疗8个疗程。观察2组治疗前后0~6岁小儿神经心理发育检查表评分、粗大运动功能测试量表(GMFM-88)评分和改良Ashworth评分法(MAS)评分的变化情况。【结果】(1)治疗后,2组0~6岁小儿神经心理发育检查表评分均较治疗前明显提高(P<0.05),且透刺组的提高作用明显优于直刺组,差异有统计学意义(P<0.05)。(2)治疗后,2组MAS评分均较治疗前明显降低(P<0.05),且透刺组的降低作用明显优于直刺组,差异有统计学意义(P<0.05)。(3)治疗后,2组GMFM-88评分均较治疗前明显提高(P<0.05),且透刺组的提高作用明显优于直刺组,差异有统计学意义(P<0.05)。【结论】在西医常规治疗基础上,采用改良长针透刺治疗小儿脑瘫具有较好疗效,能有效改善患儿的神经心理发育、粗大运动功能和痉挛程度,其疗效优于直刺治疗。Objective To observe the clinical effect of modified long-needle penetrating acupuncture for the treatment of infantile cerebral palsy. Methods A total of 96 children with cerebral palsy were randomly divided into two groups,namely the penetrating acupuncture group(48 cases)and the perpendicular acupuncture group(48 cases). The children of both groups were treated with hyperbaric oxygen and nerve growth factor,and additionally the penetrating acupuncture group was given penetrating acupuncture with long needle and the perpendicular acupuncture group was given vertical needling. Six days constituted one course of treatment,and the treatment for the two groups lasted eight courses in total. Before and after treatment, the scores of neuropsychological development assessment for children aged 0-6 years old,scores of Gross Motor Function Measure(GMFM-88)and scores of Modified Ashworth Scale(MAS)in the two groups were observed. Results(1)After treatment,the scores of neuropsychological development assessment for children aged 0-6 years old in the two groups were increased in comparison with those before treatment(P<0.05), and the effect on increasing the scores in penetrating acupuncture group was superior to that in the perpendicular acupuncture group,the difference being statistically significant(P<0.05).(2)After treatment, the MAS scores in the two groups were decreased in comparison with those before treatment(P<0.05),and the effect on decreasing the MAS scores in penetrating acupuncture group was superior to that in the perpendicular acupuncture group,the difference being statistically significant(P<0.05).(3)After treatment,the GMFM-88 scores in the two groups were increased in comparison with those before treatment(P<0.05), and the effect on increasing the GMFM-88 scores in penetrating acupuncture group was superior to that in the perpendicular acupuncture group,the difference being statistically significant(P<0.05). Conclusion Based on the conventional western medicine treatment,modified long-needle penetrating

关 键 词：改良长针透刺 直刺 小儿脑瘫 0~6岁小儿神经心理发育检查表 粗大运动功能测试量表(CMFM-88) 改良Ashworth评分法(MAS) 

分 类 号：R246.6[医药卫生—针灸推拿学]