头针配合运动疗法治疗痉挛型脑瘫患儿疗效观察

Therapeutic effect of scalp-acupuncture combined with exercise therapy on spastic cerebral palsy of the child

目的:观察头针配合运动疗法治疗痉挛型脑性瘫痪的临床疗效。方法:将80例患儿随机分为头针合运动组和运动组,每组40例。头针合运动组采用头针配合运动疗法,头针取穴以运动区、平衡区、感觉区、震颤控制区、足运感区、语言二区、语言三区及百会、四神聪为主,予针刺治疗并配合运动疗法;运动组只采用运动疗法。比较治疗前后患儿粗大运动功能(GMFM)评分和儿童功能独立性(WeeFIM)评分的变化。结果:头针合运动组治疗前后GMFM评分分别为106.58±54.19、154.20±46.31,WeeFIM评分分别为58.93±25.07、86.05±23.97,运动组GMFM评分分别为106.55±54.20、127.10±47.93,WeeFIM评分分别为60.90±23.44、73.30±23.02,各组治疗前后比较差异有统计学意义(P<0.001,P<0.05);两组治疗后比较,头针合运动组优于运动组(P<0.05);头针合运动组总有效率为92.5%,优于运动组的72.5%(P<0.05)。结论:头针配合运动疗法能改善痉挛型脑瘫患儿的肢体运动功能,且疗效优于单纯的运动疗法。

Objective To observe clinical therapeutic effect of scalp-acupuncture combined with exercise therapy on spastic cerebral palsy. Methods Eighty children of spastic cerebral palsy were randomly divided into a scalp-acupuncture plus exercise therapy group and a exercise therapy group, 40 cases in each group. The scalp-acupuncture plus exercise therapy group were treated with scalp-acupuncture and exercise therapy, with Yundongqu （the motor area）, Pinghengqu （the balance area）, Ganjuequ （the sensory area）, etc. selected for scalp-acupuncture, and acupuncture at main points Baihui （GV 20） and Sishencong （EX-HN 1） and exercise therapy. The exercise therapy group were treated by exercise therapy. Changes of GMFM scores and WeeFIM scores before and after treatment were compared. Results There were significant differences in GMFM scores and WeeFIM scores before and after treatment in the scalp-acupuncture plus exercise therapy group （P〈0.001） and in the exercise therapy group （P〈0.05）, the former being better than the later （P〈0.05）; the total effective rate was 92.5% in the scalp-acupuncture plus exercise therapy group and 72.5% in the exercise therapy group with a significant difference between the two groups （P〈0.05）, the former being significantly higher than the later. Conclusion The scalp-acupuncture combined with exercise therapy can improve motor function of limits of children with spastic cerebral palsy, with a therapeutic effect better than that of simple exercise therapy.