梅花针叩刺督脉和夹脊穴为主治疗不随意运动型小儿脑瘫疗效观察

Clinical observation on plum-blossom needle on Governor Vessel and point Jiaji (EX-B 2) for treatment of cerebral palsy of involuntary movement

目的:探讨治疗不随意运动型小儿脑瘫的有效治疗方法。方法:60例患儿随机分成两组,对照组采用常规的康复治疗方法(Bobath+推拿按摩+头针),观察组在常规康复治疗的基础上加用梅花针叩刺项背腰骶部的督脉和夹脊穴治疗。治疗3个月后,比较两组患者疗效、粗大运动功能测试量表(GMFM)总百分比、侧弯反射及肌张力波动变化情况。结果:观察组显效率为53.3%(16/30),对照组显效率为20.0%(6/30),观察组优于对照组(P<0.05);两组治疗后均能提高患儿GMFM总百分比,促使侧弯反射消失,减轻肌张力波动(P<0.05,P<0.01),但观察组均较对照组改善显著(P<0.05,P<0.01)。结论:在常规康复治疗方法基础上加用梅花针叩刺督脉和夹脊穴治疗能提高不随意运动型小儿脑瘫的粗大运动功能,并能有效促使侧弯反射消失,缓解肌张力波动。

Objective To probe into an effective therapy for treatment of cerebral palsy of involuntary movement. Methods Sixty cases were randomly divided into two groups, the control group was treated with routine rehabilitation method （Bobath＋ Tuina＋scalp acupuncture）, while the observation group was treated with plum-blossom needle on Governor Vessel and point Jiaji （EX-B 2） on the basis of routine rehabilitation method. After 3 months of treatment, therapeutic effect, total percentage of Gross Motor Function Measurement（GMFM）, incurvation reflex and muscular tension fluctuation were compared. Results The obvious effective rate of 53.3%（16/30） in the observation group was superior to that of 20.0% （6/30） in the control group （P〈0.05）; the total percentage of GMFM increased, incurvation reflex disappeared, muscular tension fluctuation relieved in both groups after treatment （P〈0.05, P〈0.01）, but the indices above all improved more significantly in the observation group than those in the control group （P〈0. 05 ,P〈0. 01）. Conclusion Plum-blossom needle on Governor Vessel and point Jiaji（EX-B 2） on the basis of routine rehabilitation method for treatment of cerebral palsy of involuntary movement can enhance the gross motor function, make the incurvation reflex disappear effectively, relieve the muscular tension fluctuation.