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
-
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。Abstract: 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.
-
Key words:
- Wushen points /
- cerebral palsy in children /
- cerebral hemodynamics
-
[1] 王和强,赖新波,李哲,等.舒筋解痉方、捏脊、头皮针等三联疗法结合Bobath技术对步行痉挛型脑瘫患儿三维步态时空和表面肌电的影响[J].中华中医药学刊,2016,34(5):1150-1154.〖ZK)〗 [2] 黄茂,范焕芳,王海燕,等.头针益智康复疗法对痉挛型脑性瘫痪患儿智力障碍康复的临床疗效观察[J].河北中医,2017,39(7):1031-1034.〖ZK)〗 [3] 金炳旭,刘振寰,赵勇,等.针刺辅助治疗对不同类型脑瘫患儿运动功能疗效相关因素分析[J].中国针灸,2016,36(7):709-714.〖ZK)〗 [4] 王飞,王民集,叶险峰,等.二穴五针法治疗智力低下型小儿脑瘫的临床研究[J].中医临床研究,2017,9(3):95-96.〖ZK)〗 [5] 王民集,周斌,杨东梅.头针为主配合体针速刺穴位注射治疗小儿脑瘫128例疗效观察[J].辽宁中医杂志,2007,34(8):1144-1145.〖ZK)〗 [6] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑瘫康复专业委员会.小儿脑性瘫痪的定义、分型和诊断条件[J].中华物理医学与康复杂志,2007,29(5):309.〖ZK)〗 [7] 汪受传.中医儿科学[M].北京:中国中医药出版社,2007:169.〖ZK)〗 [8] 刘振寰,祁岩超,潘佩光,等.针灸合神经生长因子对脑瘫患儿脑功能代偿的影响[J].中国针灸,2007,27(8):565-568.〖ZK)〗 [9] 胡莹媛,吴卫红,李燕春,等.残疾儿童综合功能评定法的研究:(一)设计[J].中国康复理论与实践,2001,7(3):108-112.〖ZK)〗 [10] 汪军华.靳三针配合现代神经促进技术治疗小儿脑瘫临床观察[J].上海针灸杂志,2017,36(2):126-129.〖ZK)〗 [11] 张国平.穴位注射神经节苷脂结合神经促进康复技术治疗小儿脑瘫效果观察[J].中国实用神经疾病杂志,2014,17(19):110-111.〖ZK)〗 [12] SCHEWTSCHIK AC, DE OLIVEIRA ES, DE VASCONCELOS MI, et al.Construction of an artifact to the suitabilityof sitting posture in children with cerebral palsyand multiple disabilities[J].Disabil Rehabil Assist Technol, 2013,8(6):502-506.〖ZK)〗 [13] 杨冠男,李承家, 鲍春龄.东贵荣教授治疗小儿脑性瘫痪经验介绍[J].中国针灸,2014,34(9):899-901.〖ZK)〗 [14] 焦玉祥,白丽萍,张爱,等.电针联合艾灸治疗小儿脑瘫疗效观察[J].上海针灸杂志,2017,36(5):525-528.〖ZK)〗 [15] 李素云,刘振寰,招文健,等.头皮针刺治疗对脑瘫患儿癫痫样放电的影响[J].中国针灸,2017,37(3):265-268.〖ZK)〗 [16] 张静,徐开寿,阮永红.针刺配合穴位埋线对脑瘫患儿运动功能的影响[J].中国针灸,2015,9(35):901-904.〖ZK)〗 [17] 王怀隐,王祐,郑彦,等.太平圣惠方[M].北京:人民卫生出版社,1958:12-14.〖ZK)〗
点击查看大图
计量
- 文章访问数: 949
- HTML全文浏览量: 10
- PDF下载量: 1647
- 被引次数: 0