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针刺督脉醒脑法对早产儿脑白质损伤的治疗作用

[Therapeutic effects on cerebral white matter injury of premature infants treated with acupuncture for promoting the governor vessel and tranquilizing the mind].

作者信息

Cai Shuying, Liu Zhenhuan, Peng Guilan, Huang Xinfa, Li Yinlan, Hu Shuxiang

机构信息

Xiamen Maternal and Child Care Service Center, Xiamen 361003, Fujian Province, China.

Nanhai Women's and Children's Hospital Affiliated to Guangzhou University of CM.

出版信息

Zhongguo Zhen Jiu. 2018 Jan 12;38(1):51-4. doi: 10.13703/j.0255-2930.2018.01.013.

Abstract

OBJECTIVE

To explore the repair effects of acupuncture for promoting the governor vessel and tranquilizing the mind (acupuncture technique) on cerebral white matter injury of premature infants.

METHODS

A total of 56 cases of cerebral whiter matter injury of premature infants, the fetal age less than 35 weeks were selected and randomized into an observation group (27 cases) and a control group (29 cases). The routine basic rehabilitation therapy was used in the two groups. Additionally, in the observation group, the acupuncture technique was added, once a day and the treatment for 15 days was as 1 course. Totally, 3 courses of treatment were required. Before and after treatment, the cranial magnetic resonance imaging (MRI) and the diffusion tensor imaging (DTI) were adopted to observe the location and severity of cerebral white matter injury. The Gesell developmental scale was used to assess the nerve motor development.

RESULTS

After treatment, the difference was not significant statistically in the severity of cerebral white matter injury in the infants between the two groups (>0.05). The FA value of cerebral white matter in the interesting zone was increased as compared with that before treatment in the infants of the two groups (both <0.05). The result in the observation group was higher than that in the control groups (<0.05). After treatment, DQ value of each function zone in Gesell scale was all increased as compared with that before treatment in the two groups (all <0.05). After treatment, the DQ values of gross motor, fine motor and social adaptability in the observation group were higher than those in the control group (all <0.05). After treatment, the difference was not significant in DQ value of individual-social and speech behaviors between the two groups (both >0.05).

CONCLUSION

Acupuncture technique for promoting the governor vessel and tranquilizing the mind promotes the repair of the function in the premature infants with cerebral white matter injury and further benefits the promotion of the intelligence.

摘要

目的

探讨针刺督脉安神法对早产儿脑白质损伤的修复作用。

方法

选取56例胎龄小于35周的早产儿脑白质损伤患儿,随机分为观察组(27例)和对照组(29例)。两组均采用常规基础康复治疗。此外,观察组加用针刺督脉安神法,每日1次,15天为1个疗程,共治疗3个疗程。治疗前后采用头颅磁共振成像(MRI)及弥散张量成像(DTI)观察脑白质损伤的部位及严重程度,采用 Gesell 发育量表评估神经运动发育情况。

结果

治疗后,两组患儿脑白质损伤严重程度差异无统计学意义(>0.05)。两组患儿感兴趣区脑白质的 FA 值均较治疗前升高(均<0.05),观察组升高更明显(<0.05)。治疗后,两组 Gesell 量表各功能区 DQ 值均较治疗前升高(均<0.05)。治疗后,观察组大运动、精细运动及社会适应能力的 DQ 值高于对照组(均<0.05)。治疗后,两组个人社交及言语行为的 DQ 值差异无统计学意义(均>0.05)。

结论

针刺督脉安神法促进早产儿脑白质损伤功能修复,有利于进一步促进智力发育。

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