头项针治疗儿童多动症的临床研究

发布时间：2018-02-04 07:25

本文关键词： 儿童多动症头项针颈椎功能异常疗效观察　出处：《长春中医药大学》2016年硕士论文　论文类型：学位论文

【摘要】：目的:观察头项针治疗由颈椎功能异常引起的儿童多动症的临床疗效,并将头项针针刺法和常规针刺法进行对照分析,旨在探讨两种针刺治疗此病的疗效差异及其作用机理,为治疗儿童多动症提供临床依据。方法:从长春中医药大学附属医院针灸门诊及儿科门诊中选择符合标准诊断的患儿60例纳入实验,采用单盲设盲法随机分为两组,治疗组采用头项针治疗,对照组采用常规针治疗,两组进行临床疗效对比。治疗2个疗程后,对相关数据做医学统计学的处理分析,并得出两组间的临床疗效对比分析结论。结果:经治疗后,治疗组和对照组的患儿多动症状均有所减轻,治疗组的总有效率达93.33%,对照组的总有效率达73.33%。经SPSS秩和检验后得P=0.0460.05,两组间的统计学比较有显著性差异,得出治疗组在改善由颈椎功能异常引起的儿童多动症疗效上优于对照组。结论:头项针的应用相较于其他疗法,在治疗由颈椎功能异常引起的儿童多动症上有着绝对优势。针刺头部可改善大脑皮层的功能活动,调整其兴奋和抑制状态,调节脑内神经递质水平;针刺颈部可松解颈部关节周围软组织以矫正异常关节,改善关节滑膜的炎性反应,减少对关节的不良刺激,达到恢复颈椎功能的目的,消除病因从而不同程度改善多动症状,值得临床推广。
[Abstract]:Objective: to observe the clinical effect of head nape acupuncture on children with ADHD caused by abnormal cervical vertebrae function, and to analyze the comparison between head nape acupuncture and routine acupuncture. The purpose of this study was to explore the difference of therapeutic effect between the two kinds of acupuncture in the treatment of this disease and its mechanism. Methods: 60 children with ADHD were selected from the clinic of acupuncture and moxibustion and pediatric outpatient department of Changchun University of traditional Chinese Medicine. The treatment group was treated with head and nape acupuncture, the control group was treated with routine acupuncture, and the two groups were compared with each other after two courses of treatment. The results showed that the hyperactivity symptoms of the children in the treatment group and the control group were alleviated after treatment. The total effective rate was 93.33 in the treatment group and 73.33 in the control group. After SPSS rank sum test, the total effective rate was 0.0460.05. There is a significant difference between the two groups, the treatment group is better than the control group in improving ADHD caused by abnormal cervical vertebra function. Conclusion: the application of head and nape acupuncture is more effective than other treatments. Acupuncture on the head can improve the functional activity of cerebral cortex, adjust the state of excitation and inhibition, and regulate the level of neurotransmitters in the brain. Acupuncture can release the soft tissue around the neck joint to correct the abnormal joint, improve the inflammatory reaction of the synovial membrane, reduce the adverse stimulation to the joint, and achieve the purpose of restoring the cervical vertebra function. Eliminating the etiology and improving ADHD in varying degrees are worthy of clinical promotion.
【学位授予单位】：长春中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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