针刺俞募穴辅助治疗小儿脑瘫合并反复呼吸道感染临床研究
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摘要
目的:观察针刺俞募穴辅助治疗小儿脑瘫合并反复呼吸道感染的临床疗效。方法:选取本院收治的72例小儿脑瘫合并反复呼吸道感染患儿为研究对象,按入组先后顺序分成对照组和研究组,每组36例。对照组给予常规治疗,研究组在对照组基础上辅以针刺俞募穴治疗。治疗后对比2组疗效,观察2组免疫指标、炎症指标及生长发育指标的改善情况。结果:对照组显效率30.56%,总有效率72.23%;研究组显效率47.22%,总有效率94.44%。研究组总有效率及显效率均高于对照组,差异均有统计学意义(P <0.05)。治疗后,2组CD4~+、CD4~+/CD8~+及IgA、IgG、IgM水平均较治疗前升高(P <0.05),CD8~+水平均较治疗前下降(P <0.05);研究组CD4~+、CD4~+/CD8~+及IgA、IgG、IgM水平高于对照组(P <0.05),CD8~+水平低于对照组(P <0.05)。治疗后,2组白细胞计数(WBC)、中性粒细胞(NE)、C-反应蛋白(CRP)水平均较治疗前下降(P <0.05),研究组WBC、NE、CRP水平均低于对照组(P <0.05)。治疗后,2组粗大运动功能评估量表(GMFM)、Gesell发育诊断量表(GDDS)评分及身高均较治疗前升高(P <0.05),体质量均较治疗前增加(P <0.05);研究组GMFM、GDDS评分及身高均高于对照组(P <0.05),体质量大于对照组(P <0.05)。结论:针刺俞募穴辅助治疗小儿脑瘫合并反复呼吸道感染,能提高患儿的免疫功能,控制炎症反应,提高治疗效果。
Objective: To observe the clinical effect of the acupuncture at Shumu point for cerebral palsy in children complicated with recurrent infections of respiratory tract. Methods: A total of 72 cases of children with cerebral palsy complicated with recurrent infections of respiratory tract were selected as study objects,and were divided into the control group and the study group according to the order that they were admitted into our department, with 36 cases in each group.The control group received conventional treatment,and the study group was treated with acupuncture at Shumu point based on the treatment of the control group. After treatment, the therapeutic effect was compared,and the improvement of the immune indexes,inflammatory indexes as well as growth and development index were observed in the two groups. Results:After treatment, the obvious effect rate and the total effective rate in the control group were 30.56% and 72.23%respectively, and those in the study group were 47.22% and 94.44% respectively. The obvious effect rate and the total effective rate in the control group were higher than those in the study group,differences being significant(P < 0.05). After treatment,levels of CD4~+,CD4~+/CD8~+,IgA,IgG and IgM in the two groups increased when compared with those before treatment(P < 0.05), and levels of CD8~+ decreased(P< 0.05). Levels of CD4~+, CD4~+/CD8~+, IgA, IgG and IgM in the study group were higher than those in the control group(P< 0.05), and the level of CD8+ in the study group were lower than that in the control group(P < 0.05). After treatment, levels of the count of white blood cell(WBC), neutrophil(NE), and C-reactive protein(CRP) in the two groups decreased when compared with those before treatment(P < 0.05). Levels of WBC, NE, and CRP in the study group were lower than those in the control group(P < 0.05). After treatment, the scores of Gross Motor Function Measure(GMFM) and Gesell Development Diagnosis Scale(GDDS) and the height in the two groups increased when compared with those before treatment(P < 0.05), and the body mass enhanced as well(P< 0.05). The scores of GMFM and GDDS and the height in the study group were higher than those in the control group(P < 0.05), and the body mass was greater than that in the control group(P < 0.05). Conclusion : Acupuncture at Shumu point for cerebral palsy in children complicated with recurrent infections of respiratory tract can improve the immune function of children, control inflammatory reactions, and improve therapeutic effect.
Objective: To observe the clinical effect of the acupuncture at Shumu point for cerebral palsy in children complicated with recurrent infections of respiratory tract. Methods: A total of 72 cases of children with cerebral palsy complicated with recurrent infections of respiratory tract were selected as study objects,and were divided into the control group and the study group according to the order that they were admitted into our department, with 36 cases in each group.The control group received conventional treatment,and the study group was treated with acupuncture at Shumu point based on the treatment of the control group. After treatment, the therapeutic effect was compared,and the improvement of the immune indexes,inflammatory indexes as well as growth and development index were observed in the two groups. Results:After treatment, the obvious effect rate and the total effective rate in the control group were 30.56% and 72.23%respectively, and those in the study group were 47.22% and 94.44% respectively. The obvious effect rate and the total effective rate in the control group were higher than those in the study group,differences being significant(P < 0.05). After treatment,levels of CD4~+,CD4~+/CD8~+,IgA,IgG and IgM in the two groups increased when compared with those before treatment(P < 0.05), and levels of CD8~+ decreased(P< 0.05). Levels of CD4~+, CD4~+/CD8~+, IgA, IgG and IgM in the study group were higher than those in the control group(P< 0.05), and the level of CD8+ in the study group were lower than that in the control group(P < 0.05). After treatment, levels of the count of white blood cell(WBC), neutrophil(NE), and C-reactive protein(CRP) in the two groups decreased when compared with those before treatment(P < 0.05). Levels of WBC, NE, and CRP in the study group were lower than those in the control group(P < 0.05). After treatment, the scores of Gross Motor Function Measure(GMFM) and Gesell Development Diagnosis Scale(GDDS) and the height in the two groups increased when compared with those before treatment(P < 0.05), and the body mass enhanced as well(P< 0.05). The scores of GMFM and GDDS and the height in the study group were higher than those in the control group(P < 0.05), and the body mass was greater than that in the control group(P < 0.05). Conclusion : Acupuncture at Shumu point for cerebral palsy in children complicated with recurrent infections of respiratory tract can improve the immune function of children, control inflammatory reactions, and improve therapeutic effect.
引文
[1]《中华儿科杂志》编辑委员会,中华医学会儿科学分会神经学组.2004年全国小儿脑性瘫痪专题研讨会纪要[J].中华儿科杂志,2005,43(4):261-262.
[2] Tekin F, Kavlak E, Cavlak U, et al.Effectiveness ofNeuro-Developmental Treatment(Bobath Concept)on posturalcontrol and balance in Cerebral Palsied children[J].J BackMusculoskelet Rehabil,2018,31(2):397-403.
[3]魏明香.卡介菌多糖核酸雾化吸入防治脑瘫患儿反复上呼吸道感染疗效观察[J].中国医药科学,2012,2(14):53-54.
[4]白青云.推拿疗法防治脑瘫患儿反复呼吸道感染临床观察[J].光明中医,2013,28(9):1881-1882.
[5]吴值荣,马彩云.匹多莫德防治脑瘫患儿反复呼吸道感染的疗效及安全性分析[J].临床医药文献电子杂志,2016,3(21):4288-4289.
[6]党伟利,马丙祥,师晓敏,等.俞募穴针刺对脑瘫患儿运动功能和体格发育的影响[J].中国康复医学杂志,2014,29(12):1178-1179.
[7]陈丹.针刺联合康复训练改善脑瘫患儿运动功能临床观察[J].针灸临床杂志,2016,32(4):34-35.
[8] Kiernan D,Walsh M,O'Sullivan R,et al.The influence ofestimated body segment parameters on predicted joint kineticsduring diplegic cerebral palsy gait[J].J Biomech, 2014, 47(1):284-288.
[9]朱薇,赵晓红.针刺结合康复训练对偏瘫型脑瘫患儿精细运动功能的影响[J].心理医生,2017,23(20):79-80.
[10]付仕强.针刺联合按摩对脑瘫患儿早期干预的效果观察[J].广东医学院学报,2015,33(3):337-339.
[11]黄洋,王春南.四君子汤对反复呼吸道感染的脑瘫患儿免疫功能的影响[J].中国中医药现代远程教育,2018,16(18):83-85.
[2] Tekin F, Kavlak E, Cavlak U, et al.Effectiveness ofNeuro-Developmental Treatment(Bobath Concept)on posturalcontrol and balance in Cerebral Palsied children[J].J BackMusculoskelet Rehabil,2018,31(2):397-403.
[3]魏明香.卡介菌多糖核酸雾化吸入防治脑瘫患儿反复上呼吸道感染疗效观察[J].中国医药科学,2012,2(14):53-54.
[4]白青云.推拿疗法防治脑瘫患儿反复呼吸道感染临床观察[J].光明中医,2013,28(9):1881-1882.
[5]吴值荣,马彩云.匹多莫德防治脑瘫患儿反复呼吸道感染的疗效及安全性分析[J].临床医药文献电子杂志,2016,3(21):4288-4289.
[6]党伟利,马丙祥,师晓敏,等.俞募穴针刺对脑瘫患儿运动功能和体格发育的影响[J].中国康复医学杂志,2014,29(12):1178-1179.
[7]陈丹.针刺联合康复训练改善脑瘫患儿运动功能临床观察[J].针灸临床杂志,2016,32(4):34-35.
[8] Kiernan D,Walsh M,O'Sullivan R,et al.The influence ofestimated body segment parameters on predicted joint kineticsduring diplegic cerebral palsy gait[J].J Biomech, 2014, 47(1):284-288.
[9]朱薇,赵晓红.针刺结合康复训练对偏瘫型脑瘫患儿精细运动功能的影响[J].心理医生,2017,23(20):79-80.
[10]付仕强.针刺联合按摩对脑瘫患儿早期干预的效果观察[J].广东医学院学报,2015,33(3):337-339.
[11]黄洋,王春南.四君子汤对反复呼吸道感染的脑瘫患儿免疫功能的影响[J].中国中医药现代远程教育,2018,16(18):83-85.