益肾通督针法结合现代康复治疗痉挛型脑性瘫痪

Reinforcing kidney and unblocking governor vessel acupuncture therapy combined with modern rehabilitation for spastic cerebral palsy

目的观察益肾通督针刺法结合现代康复治疗痉挛型小儿脑瘫的临床疗效。方法将180例痉挛型脑瘫患儿随机分为治疗组和对照组,每组90例。治疗组采用益肾通督结合现代康复治疗,针刺主穴:1)肾俞、风府、百会;2)太溪、命门、大椎、人中。配穴:上肢取曲池、外关、合谷、中渚等;下肢取风市、伏兔、血海、足三里、三阴交、太冲等。2组主穴交替使用。对照组采用现代康复治疗,2个疗程后对比疗效。结果治疗组治疗后智力发育指数(82.72±9.25),心理运动发育指数(82.93±10.35),优于对照组(78.24±8.66,77.71±9.57),差异有统计学意义,P<0.01,P<0.01。治疗组总有效率(96.6%),与对照组(84.44%)比较,差异具有统计学意义(P<0.01)。结论针灸治疗小儿脑瘫的原理是在于改善病灶局部的脑血流灌注,激发脑细胞的功能活动,提高脑细胞活性。

Objective To observe the clinical effect of Reinforcing Kidney and Unblocking Governor Vessel Acupuncture Therapy combined with modern rehabilitation on spastic cerebral palsy.Methods 180 cases of spasm cerebral palsy children were randomly divided into treatment group and control group.There are 90 cases in each group.The treatment group was treated with Reinforcing Kidney and Unblocking Governor Vessel Acupuncture Therapy combined with modern rehabilitation,and the control group was only treated with modern rehabilitation.The curative effects were compared after2 courses of treatment.Results The mental development index（82.72 ± 9.25） and psychomotor development index in the treatment group were better than those of the control group（78.24 ± 8.66,77.71 ± 9.57）.The difference was statistically significant（P〈0.01）.The total effective rates were 96.6%（treatment group） and 84.44%（control group）.The difference was statistically significant（P〈0.01）.Conclusion The principle of acupuncture therapy for children with cerebral palsy is to improve cerebral blood flow perfusion of local lesion,stimulate functional activities of brain cells and improve the brain cell activity.