温针补法结合康复训练治疗婴幼儿脑性瘫痪的临床研究

[Clinical study of the treatment of infant cerebral palsy with warm-reinforcing needling combined with rehabilitation training].

作者信息

Zhang Ning-xia, Liu Gui-zhen, Sun Ke-xing, Hao Jin-dong

机构信息

The Affiliated Putuo Hospital of Shanghai University of Chinese Medicine.

出版信息

Zhen Ci Yan Jiu. 2007 Aug;32(4):260-3.

PMID:17907390

Abstract

OBJECTIVE

To observe the therapeutic effect of warm-reinforcing needling combined with modern rehabilitation training for infant cerebral palsy (CP).

METHODS

Forty cases of cerebral palsy children were randomly divided into rehabilitation (Rehab, n=19) and acupuncture (Acup) + Rehab (n=21) groups. Body acupoints used were Baihui (GV 20), Zusanli (ST 36), Quchi (LI 11), Huantiao (GB 30), Yinlingquan (GB 34), Sanyinjiao (SP 6), etc., and scalp-acupoints Zhisanzhen (the cross-point between the anterior hairline and the median line of the head, 3 cun bilateral to the crossing point), Naosanzhen [Nao-hu (GV 17), 1.5 cun bilateral to GV17], Balance Zone, Motor Zone, etc. . The treatment was conducted once every other day, with 3 months being a therapeutic course, 2 courses altogether. Rehabilitation training included physical training (PT), occupational therapy (OT) training, and speech training (ST), 5 times a week, with 3 months being a therapeutic course, 2 courses altogether. Gross motor function measure (GMFM) and comprehensive function (CF, including cognition, speech, motor, self-care and social-adaptable abilities) were evaluated.

RESULTS

After the treatment, of the 19 and 21 cases in Rehab and Acup+ Rehab groups, 12 (63.16%) and 18 (85.71%) experienced marked improvement, 7 (36.84%) and 3 (14.29%) failed, with the effective rates being 63.16% and 85.71% respectively. The therapeutic effect of Acup+ Rehab group was markedly superior to that of Rehab group (P < 0.05). Self-comparison of two groups showed that the scores of CF and GMFM increased significantly in comparison with pre-treatment (P < 0.01), and the scores of F and GMFM of Acup + Rehab group were obviously higher than those of Rehab group (P < 0.01).

CONCLUSION

Rehabilitation training combined with acupuncture can apparently improve CP children's motor and comprehensive functions, and the therapeutic effect of AcupWarm-reinf Rehab is evidently superior to that of simple rehabilitation training therapy.

摘要

目的

观察温针结合现代康复训练治疗婴幼儿脑性瘫痪（CP）的疗效。

方法

将40例脑瘫患儿随机分为康复组（Rehab，n = 19）和针刺（Acup）+康复组（n = 21）。选取的体穴有百会（GV 20）、足三里（ST 36）、曲池（LI 11）、环跳（GB 30）、阴陵泉（GB 34）、三阴交（SP 6）等，头穴有智三针（前发际与头部正中线交叉点，交叉点旁开3寸）、脑三针[脑户（GV 17），GV17旁开1.5寸]、平衡区、运动区等。治疗隔日1次，3个月为1个疗程，共2个疗程。康复训练包括物理治疗（PT）、作业疗法（OT）训练和言语治疗（ST），每周5次，3个月为1个疗程，共2个疗程。采用粗大运动功能测量（GMFM）和综合功能（CF，包括认知、言语、运动、自理及社会适应能力）进行评估。

结果

治疗后，康复组19例和针刺+康复组21例中，显效分别为12例（63.16%）和18例（85.71%），无效分别为7例（36.84%）和3例（14.29%），有效率分别为63.16%和85.71%。针刺+康复组疗效明显优于康复组（P < 0.05）。两组自身对照显示，与治疗前比较，CF和GMFM评分均显著提高（P < 0.01），且针刺+康复组CF和GMFM评分明显高于康复组（P < 0.01）。