头穴长留针配合下肢CPM康复器治疗痉挛性脑性瘫痪疗效观察  

Observation of the therapeutic effect of long needle retention at head acupoints combined with lower limb CPM device in the treatment of spastic cerebral palsy

作　　者：夏美玲 高晓哲 任婷 XIA Meiling;GAO Xiaozhe;REN Ting(The 910th Hospital of Joint Service Support Force of PLA,Quanzhou 362000,China;The Second Affiliated Hospital of Heilongjiang University of Traditional Chinese Medicine,Harbin 150000,China)

机构地区：[1]中国人民解放军联勤保障部队第910医院,泉州362000 [2]黑龙江中医药大学附属第二医院,哈尔滨150000

出　　处：《上海针灸杂志》2024年第5期494-498,共5页Shanghai Journal of Acupuncture and Moxibustion

基　　金：秦皇岛市科学技术研究与发展计划(202004A095)。

摘　　要：目的观察头穴长留针配合下肢CPM康复器治疗痉挛性脑性瘫痪的临床疗效及其对患者肌张力、平衡能力和脑血流的影响。方法将100例痉挛性脑性瘫痪患者随机分为观察组52例和对照组48例。观察组采用头穴长留针配合下肢CPM康复器治疗,对照组仅采用下肢CPM康复器治疗。观察两组治疗前后肌张力[改良Ashworth分级量表(modified Ashworth scale,MAS)评分]、平衡能力[Berg平衡量表(Berg balance scale,BBS)评分]、各项脑血流指标[大脑前动脉(anterior cerebral artery,ACA)、中动脉(middle cerebral artery,MCA)和后动脉(posterior cerebral artery,PCA)平均血流速度]、粗大运动功能量表(gross motor function measure,GMFM)评分(D区和E区)及儿科生活质量量表(the pediatric quality of life inventory,PedsQL)评分的变化情况,并比较两组临床疗效。结果两组治疗后MAS评分均较同组治疗前显著降低,BBS评分、各项脑血流指标、GMFM中D区和E区评分及PedsQL评分均显著升高,差异均具有统计学意义(P<0.05)。观察组治疗后MAS评分明显低于对照组,BBS评分、各项脑血流指标、GMFM中D区和E区评分及PedsQL评分明显高于对照组,差异均具有统计学意义(P<0.05)。观察组总有效率为92.3%,明显高于对照组的70.8%(P<0.05)。结论头穴长留针配合下肢CPM康复器治疗痉挛性脑性瘫痪疗效确切,能有效降低患者肌张力,提高平衡力,加快脑血流速度,改善运动功能和生活质量。Objective To observe the clinical efficacy of long needle retention at head acupoints combined with lower limb CPM device in the treatment of spastic cerebral palsy and its influence on muscle tension,balance ability and cerebral blood flow.Method A total of 100 patients with spastic cerebral palsy were randomly divided into the observation group(52 cases)and the control group(48 cases).The observation group was treated with long needle retention at head acupoints combined with lower limb CPM device,and the control group was only treated with lower limb CPM device.Before and after treatment,muscle tension[modified Ashworth scale(MAS)score],balance ability[Berg balance scale(BBS)],cerebral blood flow index[anterior cerebral artery(ACA),middle cerebral artery(MCA),posterior cerebral artery(PCA)mean blood flow velocity],gross motor function measure(GMFM)scores(D and E domains),and the pediatric quality of life inventory(PedsQL)score were observed in the two groups.The clinical efficacy of the two groups were compared.Result The MAS scores of the two groups after treatment were significantly lower than those before treatment,and the BBS scores,cerebral blood flow indexes,D and E domains of GMFM and PedsQL scores were significantly higher than those before treatment,and the differences were statistically significant(P<0.05).After treatment,the MAS score of the observation group was significantly lower than that of the control group,and the BBS score,cerebral blood flow indexes,D and E domains of GMFM and PedsQL score were significantly higher than those of the control group,and the differences were statistically significant(P<0.05).The total effective rate of the observation group was 92.3%,which was significantly higher than 70.8%of the control group(P<0.05).Conclusion Long needle retention at head acupoints combined with lower limb CPM is effective in the treatment of spastic cerebral palsy,which can effectively reduce muscle tension,improve balance,accelerate cerebral blood flow velocity,improve motor function and

关 键 词：针刺疗法 脑性瘫痪 痉挛 留针 肌张力 平衡能力 脑血流 康复训练 

分 类 号：R246.3[医药卫生—针灸推拿学]