摘要
目的观察针刺夹脊穴治疗痉挛型脑瘫(spastic cerebral palsy,SCP)的临床疗效。方法将62例SCP患儿随机分成2组,治疗组采用针刺夹脊穴,对照组采用假针刺,每天针刺1次,10次为1个疗程,共治疗6个疗程,两组均配合常规康复治疗。同时以修订的Ashworth量表(MAS)、粗大运动功能量表(GMFM)、儿童功能独立检查(WeeFIM)作观察指标,观察评定两组的治疗结果。结果在治疗结束、随访0.5、1年时治疗组MAS评分均较治疗前明显降低(P<0.01),对照组治疗结束时MAS评分明显降低(P<0.01),但随访0.5、1年时MAS评分与治疗前比较,差异无统计学意义(P>0.05),而治疗组MAS评分在治疗结束、随访0.5、1年时明显低于对照组(P<0.05,P<0.01);两组患者GMFM评分、WeeFIM评分在治疗结束、随访0.5、1年时均较治疗前显著提高(P<0.01),且治疗组GMFM评分、WeeFIM评分明显高于同期对照组(P<0.01,P<0.05)。结论针刺夹脊穴治疗痉挛型脑瘫患儿的临床疗效良好。
Objective To observe the clinical effects of Jiaji（EX-B2） needling for treatment of spastic cerebral palsy（SCP）.Methods Sixty-two SCP patients were randomized into two groups,the treatment group treated by needling,and the control group treated by sham-acupuncture,once every day for 60 times totally.The clinical effect was assessed with scoring by the modified Ashworth＇s scale（MAS）,gross motor function measuring scale（GMFM） and WeeFIM at the end of treatment（T1）,half-year（T2） and 1-year（T3） after treatment. Results Clinical effectiveness assessment showed that MAS scores in the treatment group reduced significantly and steadily at all the time points（P0.01 ）,while in the control group,it reduced significantly at T1（P0.01）,but raised again at T2 and T3 to higher than that in the treatment group（P0.05,P0.01）,approaching the baseline level（P0.05）.GMFM and WeeFIM scores increased in both groups at all the three assessing time points（P0.01）,but the increments in the treatment group were higher than those in the control group respectively（P0.01,P0.05）.Conclusion Jiaji（EX-B2） needling could achieve good clinical therapeutic effects on SCP.
出处
《中国中西医结合杂志》
CAS
CSCD
北大核心
2010年第9期928-930,共3页
Chinese Journal of Integrated Traditional and Western Medicine
关键词
脑性瘫痪
针刺
假针刺
夹脊穴
cerebral palsy
needling
sham-acupuncture
Jiaji point
