针刺“管氏益脑十六穴”对痰瘀阻络证痉挛型脑瘫患儿脑血管动力学的影响  

Effect of Acupuncture at“Guan's Sixteen Brain-Enhancing Points”on Cerebrovascular Hemodynamics in Children with Spastic Cerebral Palsy of Phlegm and Blood Stasis Blocking Collaterals Syndrome

作　　者：王艳梅[1] 熊田珍 李明莹 徐沁 张瑞菊 李建岗 管遵惠[1] WANG Yan-mei;XIONG Tian-zhen;LI Ming-ying;XU Qin;ZHANG Rui-ju;LI Jian-gang;GUAN Zun-hui(Kunming Hospital of Traditional Chinese Medicine,Kunming 650011,China;Yunnan University of Traditional Chinese Medicine,Kunming 650500,China;Jianchuan People's Hospital,Jianchuan 671300,China;Traditional Chinese Medicine Hospital of Honghe Hani and Yi Autonomous Prefecture,Jianshui 654399,China)

机构地区：[1]昆明市中医医院,云南昆明650011 [2]云南中医药大学,云南昆明650500 [3]剑川县人民医院,云南剑川671300 [4]红河哈尼族彝族自治州中医医院,云南建水654399

出　　处：《云南中医中药杂志》2024年第11期65-68,共4页Yunnan Journal of Traditional Chinese Medicine and Materia Medica

基　　金：昆明市卫生健康委员会卫生科研课题项目(2022-09-01-003);昆明市卫生健康委员会卫生科研课题项目(2021-09-01-006)。

摘　　要：目的观察并分析针刺管氏益脑十六穴对痰瘀阻络证痉挛型脑瘫患儿脑血管动力学的影响。方法选取痰瘀阻络证痉挛型脑瘫患儿80例,选取的患儿年龄区间在9个月—5周岁之间,课题选用随机方法将80例患儿分为2组,对照组为单纯康复训练组,观察组为针刺管氏益脑十六穴组,每组的患儿数量为40例,在课题研究治疗开始前及1个治疗疗程结束后分别对比2组患儿脑血管血液流速指标水平,评价指标包括大脑前动脉(ACA)、大脑中动脉(MCA)、椎动脉(VA)、基底动脉(BA)。结果治疗前,2组患者大脑前动脉(ACA)、大脑中动脉(MCA)、椎动脉(VA)、基底动脉(BA),差异均无统计学意义(P>0.05);治疗后,2组患者大脑前动脉(ACA)、大脑中动脉(MCA)、椎动脉(VA)、基底动脉(BA)收缩期峰值流速(Vsmax)和平均血流速度(Vdmin)均明显增加,且观察组改善情况明显优于对照组,差异具有统计学意义(P<0.05)。结论管氏益脑十六穴针刺治疗痰瘀阻络证痉挛型脑瘫能有效促进脑血管血液流速,改善脑组织供血情况,引起一系列脑组织能量代谢改变。Objective:To observe and analyze the effect of acupuncture at Guan's Sixteen Brain-Enhancing Points on cerebrovascular hemodynamics in children with spastic cerebral palsy of phlegm and blood stasis blocking collaterals syndrome.Methods:Eighty children with spastic cerebral palsy of phlegm and blood stasis blocking collaterals syndrome,aged between 9 months and 5 years,were randomly divided into two groups.40 cases each group.The control group received rehabilitation training only while the observation group received acupuncture at Guan's Sixteen Brain-Enhancing Points.Cerebrovascular blood flow velocity indices were compared between the two groups before and after one treatment course,with evaluation indicators including the anterior cerebral artery(ACA),middle cerebral artery(MCA),vertebral artery(VA),and basilar artery(BA).Results:Before treatment,there were no statistically significant differences in the peak systolic velocity(Vsmax)or mean blood flow velocity(Vdmin)of the ACA,MCA,VA,and BA between the two groups(P>0.05).After treatment,the Vsmax and Vdmin of the ACA,MCA,VA,and BA in both groups significantly increased,with the observation group showing greater improvement compared to the control group,and the differences were statistically significant(P<0.05).Conclusion:Acupuncture at Guan's Sixteen Brain-Enhancing Points effectively promotes cerebrovascular blood flow velocity,improves cerebral blood supply,and induces a series of changes in cerebral energy metabolism in children with spastic cerebral palsy of phlegm and blood stasis blocking collaterals syndrome.

关 键 词：管氏益脑十六穴 脑瘫 脑血管动力学 针刺治疗 

分 类 号：R272[医药卫生—中医儿科学]