Zhang Malan, Liu Zhenhuan
He Xian Memorial Hospital of Southern Medical University, Guangzhou 511400, Guangdong Province, China.
Nanhai Maternity and Children Hospital Affiliated to Guangzhou University of CM, Foshan 528200, Guangdong Province.
Zhongguo Zhen Jiu. 2018 Jun 12;38(6):591-5. doi: 10.13703/j.0255-2930.2018.06.006.
To observe the effects of acupuncture at different acupoints in meridians and meridians on lower limb muscle tension in children with spastic cerebral palsy.
Ninety children with spastic cerebral palsy aged between 2 to 6 years old were divided into a yin-meridian group, a yang-meridian group and a rehabilitation group, 30 cases in each one. The patients in the rehabilitation group were treated with routine rehabilitation treatment; the patients in the yin-meridian group were treated with routine rehabilitation treatment and acupuncture at Xuehai (SP 10), Yinlingquan (SP 9), Sanyinjiao (SP 6), Taixi (KI 3) and Taichong (LR 3) along meridians; the patients in the yang-meridian group were treated with routine rehabilitation treatment and acupuncture at Futu (ST 32), Zusanli (ST 36), Yanglingquan (GB 34), Guangming (GB 37) and Xuanzhong (GB 39) along meridians. All the three groups were treated once each other day, 10 times as one course, and totally 20-day treatment was given. Before and after treatment, modified Ashworth scale (MAS), clinical spasm index (CSI) and integrated electromyography (iEMG) of surface electromyogram of gastrocnemius muscle were evaluated.
Compared before treatment, the MAS and CSI in the yin-meridian group and yang-meridian group were improved after treatment (<0.05, <0.01); the differences before and after treatment in the rehabilitation group were not significant (both >0.05). After treatment, the differences between the rehabilitation group and yin-meridian group, yang-meridian group were significant (<0.05, <0.01); the differences of MAS and CSI between the yin-meridian group and yang-meridian group were not significant (both >0.05). Compared before the treatment, the right-side iEMG and left-side iEMG were reduced in the yin-meridian group and yang-meridian group (all <0.05); the right-side iEMG was increased in the rehabilitation group (<0.05). After treatment, the iEMG in the yin-meridian group and yang-meridian group were lower than that in the rehabilitation group (all <0.05); the differences of iEMG before and after treatment in the yin-meridian group and yang-meridian group were higher than that in the rehabilitation group (all <0.05); the differences of iEMG between the yin-meridian group and yang-meridian group were not significant (both >0.05).
Acupuncture at meridians and meridians could reduce muscle tension of lower limb and improve limb spasticity in children with spastic cerebral palsy, and the two acupuncture methods have similar clinical curative effect.
观察针刺足三阴经与足三阳经不同穴位对痉挛型脑瘫患儿下肢肌张力的影响。
将90例2～6岁痉挛型脑瘫患儿分为足三阴经组、足三阳经组和康复组，每组30例。康复组采用常规康复治疗；足三阴经组采用常规康复治疗并沿足三阴经针刺血海（SP 10）、阴陵泉（SP 9）、三阴交（SP 6）、太溪（KI 3）、太冲（LR 3）；足三阳经组采用常规康复治疗并沿足三阳经针刺伏兔（ST 32）、足三里（ST 36）、阳陵泉（GB 34）、光明（GB 37）、悬钟（GB 39）。三组均隔日治疗1次，10次为1个疗程，共治疗20天。治疗前后分别采用改良Ashworth量表（MAS）、临床痉挛指数（CSI）及腓肠肌表面肌电图积分肌电图（iEMG）进行评定。
与治疗前比较，足三阴经组和足三阳经组治疗后MAS、CSI降低（均P<0.05，P<0.01）；康复组治疗前后差异无统计学意义（均P>0.05）。治疗后，康复组与足三阴经组、足三阳经组比较差异有统计学意义（均P<0.05，P<0.01）；足三阴经组与足三阳经组MAS及CSI比较差异无统计学意义（均P>0.05）。与治疗前比较，足三阴经组和足三阳经组右侧iEMG及左侧iEMG降低（均P<0.05）；康复组右侧iEMG升高（P<0.05）。治疗后，足三阴经组和足三阳经组iEMG低于康复组（均P<0.05）；足三阴经组和足三阳经组治疗前后iEMG差值高于康复组（均P<="" 0.05）；足三阴经组与足三阳经组iEMG差值比较差异无统计学意义（均P>0.05）。
针刺足三阴经与足三阳经可降低痉挛型脑瘫患儿下肢肌张力，改善肢体痉挛，两种针刺方法临床疗效相似。
