以风府哑门为主穴针刺治疗小儿痉挛型脑瘫疗效观察

发布时间：2018-10-09 13:09

【摘要】：目的：观察以风府、哑门为主穴针刺治疗小儿痉挛型脑瘫的临床疗效。比较该方法与西医常规治疗加康复训练的临床疗效,并对两组患儿的综合功能、发育情况、肢体痉挛状态的临床观察指标进行分析,为针刺治疗小儿痉挛型脑瘫确定方法标准并提供临床研究依据。方法：选取小儿痉挛型脑瘫患者60例,使用随机数字表分为治疗组及对照组各30例。治疗组采用以风府、哑门为主穴针刺治疗加康复训练,针刺每日1次,每周6次,2周为一疗程,‘康复训练采用Bobath疗法及Vjota疗法,每日各训练1次,每次各30min,每周各6次,2周为一疗程。对照组采用西医常规治疗加康复训练,注射用鼠神经生长因子30μg+NS2ml im qd,单唾液酸四己糖神经节苷酯钠注射液,40mg+NS100ml ivgtt qd,上述两种药物分别为10日一疗程。康复训练操作同治疗组。两组在治疗三个疗程后观察各组治疗前后综合功能、发育情况及肢体痉挛状态改变情况。结果：治疗组显效7例,有效22例,无效1例,总有效率为96.7%；对照组显效3例,有效21例,无效6例,总有效率为80.0%。发育商DQ分值：两组均有提高,治疗组与对照组比较,差异有统计学意义(P0.05)。《Gesell发展诊断量表》：两组患儿在各项数据上均有提高,治疗组与对照组比较,有显著性差异(P0.01)。肢体痉挛状态：两组均有改善,治疗组与对照组比较,差异有统计学意义(P0.05)。脑电图：异常脑电波改善不明显,其中治疗组仅有4例,对照组仅有2例,由异常恢复到边缘状态。结论：治疗组生存质量优于对照组,显示以风府、哑门为主穴针刺治疗小儿痉挛型脑瘫疗效确实。
[Abstract]:Objective: to observe the clinical effect of acupuncture at Fengfu and Yumen in treating spastic cerebral palsy in children. The clinical efficacy of this method was compared with that of routine western medicine and rehabilitation training. The comprehensive function, development and clinical observation index of limb spasm were analyzed in the two groups. To provide clinical basis for acupuncture treatment of spastic cerebral palsy in children. Methods: 60 children with spastic cerebral palsy were randomly divided into treatment group (n = 30) and control group (n = 30). The treatment group was treated with Fengfu, Yumen as the main point acupuncture plus rehabilitation training, acupuncture once a day, 6 times a week for 2 weeks as a course of rehabilitation training, using Bobath therapy and Vjota therapy, once a day each training. Each time 30 minutes, 6 times a week for 2 weeks as a course of treatment. The control group was treated with routine western medicine and rehabilitation training. The rats were injected with NGF 30 渭 g NS2ml im qd, monosialate tetrahexosylganglioside sodium injection 40 mg NS100ml ivgtt qd, for 10 days respectively. The operation of rehabilitation training was the same as that of treatment group. After three courses of treatment, the comprehensive function, development and spasticity of limbs were observed before and after treatment. Results: in the treatment group, there were 7 cases of remarkable effect, 22 cases of effective and 1 case of ineffectiveness, the total effective rate was 96.7%, while in the control group, there were 3 cases of remarkable effect, 21 cases of effective and 6 cases of ineffectiveness, the total effective rate was 80.0%. Development quotient DQ score: the two groups increased, the treatment group compared with the control group, the difference was statistically significant (P0.05). < Gesell development diagnosis scale >: the two groups of children in the data were improved, treatment group and control group, there was significant difference (P0.01). Limb spasm: both groups were improved, treatment group and control group, the difference was statistically significant (P0.05). Electroencephalogram (EEG): abnormal EEG was not improved obviously in the treatment group (4 cases) and the control group (2 cases). Conclusion: the quality of life in the treatment group is better than that in the control group.
【学位授予单位】：山西中医学院
【学位级别】：硕士
【学位授予年份】：2013
【分类号】：R246.4

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