位点加穴位药物注射与功能训练治疗脑性瘫痪的对比研究

Study of Different Effects between Medication Injection on Sites Plus Acupoints and Functional Training on Children with Cerebral Palsy

目的 研究位点加穴位药物注射与功能训练治疗脑性瘫痪 (脑瘫 )的疗效对比。方法 设研究组 1 4 4例 ,对照组 76例 ,两组年龄均为 6个月～ 7岁 ,病残程度为中、重度。研究组应用小量VitB1 、VitB1 2 ,按照脑解剖及神经生理功能在头部的投射区 (位点 ) ,结合临床表现选择部位 ,四肢按照局部肌肉功能选择注射位点。下肢瘫痪较重患儿 ,可加选L4 、L5椎间隙 ,轻度刺激神经根。对照组应用功能训练。两组均为 4个疗程 ,每疗程 2 3d。结果 两组经 1 8个月的随访观察 ,研究组总有效率96 .52 % ,对照组总有效率 73 .63 %。结论 药物注射疗法疗效好 ,见效快 ,无不良反应。

Objective To study the different effects between medication injection on sites plus acupoints and functional training on children with cerebral palsy(CP).Methods One hundred and forty four CP children were observed as treatment group and 76 as contrast group (treated with functional training), both groups aging from 6 months to 7 years, with severe disability. Injections were made with minim VitB 1,VitB 12 on sites chosen according to the principle of brain dissection and reflex zone of neurophysiological function in epicranium, combined with clinical symptom. The sites in limbs were selected to local muscle function. And those with serious lower limbs disability were injected on interspace between vertebras L 4 and L 5 to stimulate nerve root. In the contrast group functional training was done .Both groups were limited for 4 treatment periods,each involving 23 days.Results After a 18-month follow-up observation, we found that the total effective rate of the treatment group was 96.52%. While the total effective rate of contrast group was 73.63%.Conclusions The treatment of medication injection has good, rapid effects but no ill ones.