头穴丛刺结合通督健脑法对痉挛型脑性瘫痪粗大运动功能的影响
|
摘要
目的分析痉挛型脑性瘫痪应用头穴丛刺结合通督健脑法治疗对粗大运动功能的影响。方法 94例痉挛型脑性瘫痪患儿,随机分为对照组(41例)和观察组(53例)。对照组患儿采用Bohath疗法治疗,观察组患儿在对照组基础上采用头穴丛刺结合通督健脑法治疗。对比两组患儿治疗前后粗大运动功能以及临床疗效。结果治疗前,两组患儿A板块、B板块、C板块、D板块、E板块粗大运动功能测量量表(GMFM-88)评分比较差异无统计学意义(P>0.05);治疗后,两组患儿A板块、B板块、C板块、D板块、E板块GMFM-88评分均较本组治疗前升高,且观察组高于对照组,差异具有统计学意义(P<0.05)。观察组患儿临床总有效率为90.57%,显著高于对照组的73.17%,差异具有统计学意义(P<0.05)。结论痉挛型脑性瘫痪应用头穴丛刺结合通督健脑法治疗可改善患儿粗大运动功能,提升临床效果。
Objective To analyze the effect of cluster needling at scalp acupoints combined with Tongdu Jiannao method on gross motor function of spastic cerebral palsy. Methods A total of 94 children with spastic cerebral palsy were randomly divided into control group(41 cases) and observation group(53 cases). The control group was treated with Bohath therapy, and the observation group was treated with cluster needling at scalp acupoints and Tongdu Jiannao method on the basis of the control group. The gross motor function and clinical efficacy of the two groups before and after treatment were compared. Results Before treatment, both groups had no statistically significant difference in A-plate, B-plate, C-plate, D-plate and E-plate gross motor function measure(GMFM-88) score(P>0.05). After treatment, both groups had higher A-plate, B-plate, C-plate, D-plate and E-plate GMFM-88 score than those before treatment, and the observation group was higher than the control group. Their difference was statistically significant(P<0.05). The observation group had significantly higher total clinical effective rate as 90.57% than 73.17% in the control group, and the difference was statistically significant(P<0.05). Conclusion Combination of cluster needling at scalp acupoints and Tongdu Jiannao method can improve the gross motor function of children and improve the clinical effect.
Objective To analyze the effect of cluster needling at scalp acupoints combined with Tongdu Jiannao method on gross motor function of spastic cerebral palsy. Methods A total of 94 children with spastic cerebral palsy were randomly divided into control group(41 cases) and observation group(53 cases). The control group was treated with Bohath therapy, and the observation group was treated with cluster needling at scalp acupoints and Tongdu Jiannao method on the basis of the control group. The gross motor function and clinical efficacy of the two groups before and after treatment were compared. Results Before treatment, both groups had no statistically significant difference in A-plate, B-plate, C-plate, D-plate and E-plate gross motor function measure(GMFM-88) score(P>0.05). After treatment, both groups had higher A-plate, B-plate, C-plate, D-plate and E-plate GMFM-88 score than those before treatment, and the observation group was higher than the control group. Their difference was statistically significant(P<0.05). The observation group had significantly higher total clinical effective rate as 90.57% than 73.17% in the control group, and the difference was statistically significant(P<0.05). Conclusion Combination of cluster needling at scalp acupoints and Tongdu Jiannao method can improve the gross motor function of children and improve the clinical effect.
引文
[1]李晓捷,唐久来,马丙祥,等.脑性瘫痪的定义、诊断标准及临床分型.中华实用儿科临床杂志,2014,29(19):1520.
[2]李晓捷,邱洪斌,姜志梅,等.中国十二省市小儿脑性瘫痪流行病学特征.中华实用儿科临床杂志,2018,33(5):378-383.
[3]Koyo U,Bruce O,Alain G,et al.Changes in gross motor function and health-related quality of life in adults with cerebral palsy:an 8-year follow-up study.Archives of Physical Medicine&Rehabilitation,2014,95(11):2071-2077.
[4]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性瘫痪康复专业委员会,《中国脑性瘫痪康复指南》编委会.中国脑性瘫痪康复指南(2015):第一部分.中国康复医学杂志,2015,30(7):747-754.
[5]赵勇,谭晓如,符文杰,等.针刺督脉经穴结合Bobath疗法对痉挛型脑瘫患儿坐位能力影响的临床研究.中医儿科杂志,2011,7(4):47-50.
[6]Maclennan AH,Thompson SC,Gecz J.Cerebral Palsy-Causes,pathways,and the role of genetic variants.American Journal of Obstetrics&Gynecology,2015,213(6):779-788.
[7]李晓捷.实用儿童康复医学.北京:人民卫生出版社,2016:244-264.
[8]刘振寰,田慧,李诺.从通督补肾健脾论小儿脑瘫的中医康复治疗.广州中医药大学学报,2013,30(5):677-680.
[9]赵勇,刘振寰,金炳旭.“健脾益肾通督”配穴针刺对痉挛型脑瘫患儿运动功能及日常生活能力的影响.中国针灸,2017,37(1):45-48.
[10]吴满红,梁利平,曾静,等.头针对痉挛型脑性瘫痪患儿脑血流和粗大运动功能的影响.中国康复理论与实践,2017,23(8):942-945.
[11]钮雪松.钮韵铎“通督健脑法”治疗小儿脑瘫经验.中国临床医生,2011,39(4):70-72.
[2]李晓捷,邱洪斌,姜志梅,等.中国十二省市小儿脑性瘫痪流行病学特征.中华实用儿科临床杂志,2018,33(5):378-383.
[3]Koyo U,Bruce O,Alain G,et al.Changes in gross motor function and health-related quality of life in adults with cerebral palsy:an 8-year follow-up study.Archives of Physical Medicine&Rehabilitation,2014,95(11):2071-2077.
[4]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性瘫痪康复专业委员会,《中国脑性瘫痪康复指南》编委会.中国脑性瘫痪康复指南(2015):第一部分.中国康复医学杂志,2015,30(7):747-754.
[5]赵勇,谭晓如,符文杰,等.针刺督脉经穴结合Bobath疗法对痉挛型脑瘫患儿坐位能力影响的临床研究.中医儿科杂志,2011,7(4):47-50.
[6]Maclennan AH,Thompson SC,Gecz J.Cerebral Palsy-Causes,pathways,and the role of genetic variants.American Journal of Obstetrics&Gynecology,2015,213(6):779-788.
[7]李晓捷.实用儿童康复医学.北京:人民卫生出版社,2016:244-264.
[8]刘振寰,田慧,李诺.从通督补肾健脾论小儿脑瘫的中医康复治疗.广州中医药大学学报,2013,30(5):677-680.
[9]赵勇,刘振寰,金炳旭.“健脾益肾通督”配穴针刺对痉挛型脑瘫患儿运动功能及日常生活能力的影响.中国针灸,2017,37(1):45-48.
[10]吴满红,梁利平,曾静,等.头针对痉挛型脑性瘫痪患儿脑血流和粗大运动功能的影响.中国康复理论与实践,2017,23(8):942-945.
[11]钮雪松.钮韵铎“通督健脑法”治疗小儿脑瘫经验.中国临床医生,2011,39(4):70-72.