文章摘要
王民集,王飞,叶剑锋,周斌,范雅丽,杨东梅,吉云鹏.五神针治疗小儿脑瘫的疗效及对脑血流动力学的影响[J].南京中医药大学学报,2018,34(2):132-135.
五神针治疗小儿脑瘫的疗效及对脑血流动力学的影响
Effect of Wushen Points in the Treatment of Cerebral Palsy and Its Influence on Cerebral Hemodynamics
投稿时间:2017-12-04  
DOI:
中文关键词: 五神针  小儿脑瘫  脑血流动力学
英文关键词: Wushen points  cerebral palsy in children  cerebral hemodynamics
基金项目:
作者单位
王民集1*,王飞2,叶剑锋1,周斌2,范雅丽1,杨东梅3,吉云鹏2 1.河南中医药大学第三附属医院河南 郑州 
450002
2.河南中医药大学针灸推拿学院河南 郑州 
450008
3.郑州市儿童医院康复科河南 郑州 
450003
 
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中文摘要:
      观察五神针治疗小儿脑瘫(CP)的临床疗效及对脑血流动力学的影响。方法 170例脑瘫伴智力障碍患儿被随机分为传统针刺组和五神针组,各85例。传统针刺组给予传统针刺,五神针组在传统针刺治疗基础上针刺百会和四神聪,疗程均为3月。治疗前后分别观察盖泽尔儿童发育商评估量表(DQ),脑动脉收缩期峰流速度(Vs)、平均血流速度(Vm)、血管搏动指数(PI)及血管阻力指数(RI)等脑血流动力学指标,比较不同年龄段患儿的临床疗效。结果 组间同年龄段总有效率比较,五神针组明显高于传统针刺组(P<0.05);组内不同年龄段总有效率比较,低年龄段患儿总有效率高于高年龄段患儿(P<0.05)。五神针组DQ值、Vs、Vm、PI及RI指标的改善均优于传统针刺组(P<0.05)。结论 五神针可明显改善脑瘫患儿的脑血流动力学指标,有效提高不同年段脑瘫患儿的智力水平,以低龄患儿效果更为显著。
英文摘要:
      OBJECTIVE To observe the clinical effect of Wushen points in the treatment of cerebral palsy (CP) and its influence on cerebral hemodynamics. METHODS 170 CP children combined with dysnoesia were randomly divided into the traditional acupuncture group and the Wushen points group, 85 cases in each group. The traditional acupuncture group was given the traditional acupuncture, and the Wushen points group was also treated with bai hui (GV 20) and si shen cong (EX-HN1) on the basis of the traditional acupuncture, both group were treated for three months. The theodor seuss geisel child development quotient (DQ), middle cerebral artery systolic peak flow velocity (Vs), mean blood flow velocity (Vm), blood vessels pulsation index (PI) and vascular resistance index (RI) were observed, and clinical efficacy of children in different age groups were compared before and after the treatment. RESULTS Comparing the total effective rates between groups at the same age, the Wushen points group was obviously higher that of the traditional acupuncture group (P<0.05). The total effective rate of children in the lower age group was higher than that of the children of the high age group comparing within the group (P<0.05). The improvement of the DQ value, Vs, Vm, PI and RI index in the Wushen points group was better than those of the traditional acupuncture group (P<0.05). CONCLUSIONS Wushen points can effectively improve the cerebral hemodynamic index of CP children and the mental level CP children in different ages.
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