针刺脑清穴对痉挛型脑瘫患儿尖足畸形及智力发育的影响

Impacts on tiptoe deformity and intelligent development in spasmodic cerebral palsy treated with acupuncture at Naoqing Xue(Extra)

目的:评价针刺脑清穴对痉挛型脑瘫患儿尖足畸形及智力发育的影响。方法:将146例患儿随机分为脑清穴组74例与常规针刺组72例,在基础治疗(头针治疗、运动疗法)基础上,脑清穴组针刺脑清穴,常规针刺组针刺解溪、阳陵泉、三阴交。两组针刺治疗均隔日1次,10次为一疗程,疗程间间隔15天,连续治疗3个疗程。两组分别于治疗前及治疗3个疗程后,采用足背屈角测量、综合痉挛量表(CSS)、Gesell智力测试量表进行康复评定,并于第1次针刺治疗结束后30min进行足背屈角测量及综合痉挛量表评分以评定两组治疗方法的即时效应。结果:脑清穴组足背屈角测量、综合痉挛量表评分即时效应及3个疗程后效应均优于常规针刺组(均P<0.05);3个疗程后脑清穴组Gesell智力测试社会适应行为、个人社交能区发育商均高于常规针刺组(均P<0.05),而大动作、精细运动及语言发育商与常规针刺组相比较差异无统计学意义(P>0.05)。结论:在基础治疗基础上,针刺脑清穴可改善痉挛型脑瘫患儿尖足畸形,促进其智力发育。

Objective To assess the impacts on tiptoe deformity and intelligent development in spasmodic cere- bral palsy treated with acupuncture at Naoqing Xue （Extra）. Methods One hundred and forty-six children with spasmodic cerebral palsy were randomized into a Naoqing Xue group （74 cases） and a control group （72 cases）. On the basic treatment （scalp acupuncture, sport therapy）, in the Naoqing Xue group, acupuncture at Naoqing Xue （Extra） was applied. In the control group, acupuncture was given at Jiexi （ST 41）, Yanglingquan （GB 34） and Sanyinjiao （SP 6）. In the two groups, acupuncture was given once every two days, 10 treatments made one ses- sion, at the interval of 15 days between two sessions. Three sessions of treatment were given continuously. Before treatment and after 3 sessions of treatment, the angle measurement of ankle passive dorsiflexion, comprehensive spasm scale （CSS） and Gesell intelligence test were adopted for the rehabilitation assessment. Additionally, 30 min after the end of the first acupuncture treatment, the angle measurement of ankle passive dorsiflexion and CSS were applied to assess the immediate effect of the therapeutic methods of the two groups. Results The immediate effect of the angle measurement of ankle passive dorsiflexion and CSS as well as the effect after 3 sessions of treatment in the Naoqing Xue group were all superior to those in the control group （all P〈0.05）. In 3 sessions of treatment, the development quotients of social adaptive behavior and personal social activation function in Gesell intelligence test in the Naoqing Xue group were all higher than those in the control group （all P〈0.05）. The development quotients of major movement, fine motion and language were not different significantly as compared with those in the control group （P〈0.05）. Conclusion Acupuncture at Naoqing Xue （Extra） relieves tiptoe deformity and pro- motes intelligent development for the children with spasmodic cerebral palsy.