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[按干支日选穴针刺治疗小儿痉挛型脑性瘫痪的疗效观察]

[Observation on Effectiveness of Acupuncture Treatment of Children with Spastic Cerebral Palsy by Stimulating Acupoints Selected According to the Day to Match the Heavenly Stems and Earthly Branches].

作者信息

Du Xiang, Liang Song, Wu Zhao-Fang, Chen Jia, Jiang Kun

机构信息

Department of Children Encephalopathy Rehabi-litation, the 3rd People's Hospital of Hubei Province, Wuhan 430033, China.

出版信息

Zhen Ci Yan Jiu. 2016 Oct 25;41(5):462-5.

Abstract

OBJECTIVE

To evaluate the clinical effectiveness of acupuncture in the treatment of spastic cerebral palsy (CP) children by stimulating acupoints selected according to the day to match the heavenly stems and earthly branches (Ziwu Liu-zhu Najia Zhenfa).

METHODS

A total of 130 CP patients were randomized into a control group and a treatment group (=65 in each). Both groups were given with routine rehabilitation therapy, while the treatment group additionally received 3 months' acupuncture intervention. All patients were assessed before and after treatment with gross motor function measure (GMFM-88), mo-dified Ashworth scale (MAS) and activities of daily living (ADL) in cerebral palsy.

RESULTS

After the treatment, the control group scored (25.12±2.74) points in GMFM-88, (1.53±0.71) points in MAS, (19.25±5.08) points in ADL, while the treatment group were respectively (31.87±2.58) points in GMFM-88, (1.07±0.74) points in MAS, (25.67±6.15) points in ADL. Both groups experienced significant improvement in increasing GMFM-88 and ADL scores, and reducing MAS score compared to those before treatment (<0.05, <0.01), and the effects of the treatment group were evidently superior to those of the control group in increasing GMFM-88 and ADL scores, and reducing MAS score (<0.05).

CONCLUSIONS

The "Ziwu Liuzhu Najia Zhenfa" acupuncture achieved greater improvement in gross motor function and reduction in muscular tone and enhancement of capacity of daily living activity.

摘要

目的

评价根据子午流注纳甲针法选取穴位针刺治疗痉挛型脑性瘫痪(脑瘫)患儿的临床疗效。

方法

将130例脑瘫患儿随机分为对照组和治疗组,每组65例。两组均给予常规康复治疗,治疗组加用3个月的针刺干预。治疗前后采用粗大运动功能测量量表(GMFM-88)、改良Ashworth量表(MAS)和脑瘫患儿日常生活活动能力(ADL)对所有患儿进行评定。

结果

治疗后,对照组GMFM-88评分为(25.12±2.74)分,MAS评分为(1.53±0.71)分,ADL评分为(19.25±5.08)分;治疗组GMFM-88评分为(31.87±2.58)分,MAS评分为(1.07±0.74)分,ADL评分为(25.67±6.15)分。两组治疗后GMFM-88评分和ADL评分均较治疗前显著提高,MAS评分降低(P<0.05,P<0.01),且治疗组在提高GMFM-88评分和ADL评分、降低MAS评分方面效果明显优于对照组(P<0.05)。

结论

子午流注纳甲针法针刺治疗痉挛型脑瘫患儿能更显著地改善粗大运动功能,降低肌张力,提高日常生活活动能力。

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