针刺对小儿脑瘫作用机制的初步探讨

STUDY ON THE MECHANISM OF ACUPUNCTURE IN CHILD CEREBRAL PALSY

为总结针刺对小儿脑瘫的疗效并探讨其机理，收集脑瘫患儿资料195例，年龄3个月～11岁，分为观察组119例和对照组76例。观察组予针刺、药物治疗及功能康复锻炼；对照组不予针刺，其余相同，并对部分患儿进行了血流流变学和脑SPECF检查。结果观察组有效率73．95％，对照组为58．24％（标准化后），差别有统计意义（P＜0．05）；而且年龄、治疗时间和脑瘫类型不同对疗效有影响。血液流变学和脑SPECT检查结果也支持针刺对本病的治疗作用（P＜0．05或0．01）。提示脑瘫应早期诊断，早期治疗。从现代系统论观点出发，针刺通过神经调节和体液调节作用于中枢神经和血液循环等系统，改善了患儿脑部病灶的血供和营养，促进了脑瘫尤其是痉挛型患儿的康复。

To summuarize the effect of acupuncture in cerebral palsy (CP) of childhood and inquire into its mechanism, we have collected the materials 195 cases of CP, age from 3 months to 11 years, di-viding them into two groups: Group A (observing group), 119 cases with acupunture, medicines therapy and functional exercises; Group B (control group), 76 cases, with the same treatments but without acupuncture. Part of the cases had received blood rheology measurement and brain SPECT inspection. The results effective rate was 73. 95% in Group A, 58. 24% in Group B (after standardization, test of sig-nificance: P <0.05); acupuncture has different influence in different age, treatment course and disease type. The results of blood rheology and brain SPECT inspection support the efficacy of our treatment (P <0. 05 or 0. 01 ). Thus the key of restoring cure form CP was in rearly diagnosis and early treatment. According the theory of systematology , acupuncture dsted to centra nervous system, blood circulation and other system through nervous and fluid adjustment. It could ameliorae blood and nutrition supply of focus in brain, so to promote the recovry of CP, especially in spastic type.