俞募穴针刺治疗脑性瘫痪的临床研究

发布时间：2018-10-21 16:59

【摘要】：目的:通过俞募穴针刺治疗脑性瘫痪的临床研究,观察俞募穴针刺治疗在脑瘫患儿的粗大运动功能、智力、体格生长、感染(呼吸道和消化道)次数等方面的临床疗效,证实俞募穴针刺治疗脑性瘫痪的有效性,为临床治疗脑性瘫痪提供新的有效的方法和思路。方法:搜集河南中医学院第一附属医院2015年4月~2016年3月儿童脑病诊疗康复中心住院患儿,选择符合脑性瘫痪西医诊断标准、中医疾病分类为“五迟”“五软”“五硬”的患儿72例,随机分为2组,每组各36例。治疗组采用常规康复治疗+俞募穴针刺。常规康复治疗包括推拿按摩、运动疗法、头皮针、理疗,按操作规范进行;俞募穴针刺治疗由专业针灸治疗师取穴,并按操作规范进行。对照组常规康复治疗同治疗组。疗程:4周为1疗程,共治疗2个疗程。盲法的实施:由于康复治疗的特殊性和针刺治疗的原因,本研究采取试验对象、临床研究者和评价者三者分离,后者不知道具体分组和治疗情况。评价时点:治疗前和2个疗程结束后。评价内容:粗大运动功能,智力,体格(体重、身长),感染次数(呼吸道和消化道)。结果:完成临床研究治疗组32例,对照组31例;治疗前两组在性别、年龄、体重、身长、粗大运动功能、智力等方面经统计学处理差异无显著性(P0.05);两组治疗前后自身对比,在粗大运动功能、智力测评方面有显著性差异(P0.05),说明俞募穴针刺和临床常用的康复方法对脑瘫均有显著效果;治疗组在粗大运动功能、智力发育水平方面同对照组对比差异有统计学意义(P0.05),优于对照组;治疗后,治疗组体重、身长增长值较对照组比较,差异有统计学意义(P0.05);治疗期间,治疗组感染次数少于对照组,差异有统计学意义(P0.05)。两组临床疗效对比,治疗组总有效率为87.5%,对照组67.7%,差异有显著性(P0.05)。说明在常规康复治疗基础上加用俞募穴针刺,临床疗效更好。结论:在常规康复治疗的基础上加用俞募穴针刺法治疗脑性瘫痪,在改善脑瘫患儿粗大运动功能、智力、体格生长,减少感染次数方面均有较好疗效,优于单用常规康复治疗组。
[Abstract]:Objective: to observe the clinical effect of Shu-fu-point acupuncture on cerebral palsy in children with cerebral palsy in the aspects of large motor function, intelligence, physical growth, infection (respiratory tract and digestive tract) and so on. It is proved that the treatment of cerebral palsy by Shu-fu-point acupuncture provides a new effective method and train of thought for clinical treatment of cerebral palsy. Methods: the first affiliated Hospital of Henan College of traditional Chinese Medicine was collected from April 2015 to March 2016, and the hospitalized children were selected to meet the diagnostic criteria of western medicine for cerebral palsy. 72 cases of TCM diseases classified as "Wuchi" and "five soft" and "five hard" were randomly divided into 2 groups with 36 cases in each group. The treatment group was treated with routine rehabilitation. Routine rehabilitation treatment includes massage, exercise therapy, scalp acupuncture, physiotherapy, according to the operational norms; Yu-Fu acupuncture treatment by the professional acupuncture therapists, and according to the operational norms. The routine rehabilitation treatment in control group was the same as that in treatment group. Course of treatment: 4 weeks as a course of treatment, a total of 2 courses of treatment. The implementation of blind method: because of the particularity of rehabilitation treatment and the reason of acupuncture treatment, this study adopts the separation of experimental objects, clinical researchers and evaluators, the latter does not know the specific grouping and treatment situation. Time point: before treatment and after 2 courses of treatment. Evaluation: gross motor function, intelligence, physique (body weight, length), number of infections (respiratory tract and digestive tract). Results: there were no significant differences in sex, age, body weight, body length, gross motor function and intelligence between the two groups before treatment (P0.05). There were significant differences in gross motor function and intelligence test (P0.05), which indicated that the treatment group had significant effect on cerebral palsy by acupuncture at Shu-fu-point and rehabilitation methods commonly used in clinic. The intelligence development level compared with the control group was statistically significant (P0.05), better than the control group; after treatment, the treatment group compared with the control group weight, body length growth value, the difference was statistically significant (P0.05), during the treatment period, The frequency of infection in the treatment group was less than that in the control group, the difference was statistically significant (P0.05). The total effective rate was 87.5 in the treatment group and 67.7in the control group, the difference was significant (P0.05). It shows that the clinical curative effect is better when combined with Shu-fu-point acupuncture on the basis of routine rehabilitation therapy. Conclusion: on the basis of routine rehabilitation treatment, the treatment of cerebral palsy with Shu-fu-point acupuncture has a better effect in improving the coarse motor function, intelligence, physical growth and reducing the number of infections in children with cerebral palsy. It was superior to the group treated with routine rehabilitation alone.
【学位授予单位】：河南中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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