输合配穴法针刺对痉挛型脑瘫患儿下肢痉挛状态改善的临床研究

Clinical Observation on Lower Limbs of Children with Spastic Cerebral Palsy by Acupuncture at Shu and He Points to Improve the Situation of Spasm

目的:观察输合配穴法针刺对痉挛型脑瘫患儿下肢痉挛状态的改善效果。方法:选择痉挛型脑瘫患儿随机分为观察组和对照组各30例,两组基础治疗均给予现代康复训练和头针,观察组加用输合配穴法针刺,对照组采用常规针刺法治疗,疗程3个月。治疗前后进行临床痉挛指数(CSI)和改良Ashworth量表(MAS)评估。结果:两组治疗前后对比,CSI评分均有统计学意义(P<0.05),治疗后观察组和对照组CSI评分差异有统计学意义(P<0.05)。两组治疗后踝、膝、髋MAS改变情况比较,差异均有统计学意义(P<0.05)。结论:输合配穴法针刺能显著降低痉挛型脑瘫患儿下肢肌张力,改善下肢痉挛,疗效优于常规针刺。

Objective： To observe the effect of acupuncture at Shu and He points on spastic lower limbs in cerebral palsy. Methods： 60 children with spastic cerebral palsy were randomized into an observation group and a control group,with 30 cases in each group. Both groups were intervened by modern rehabilitation training and scalp acupuncture. In addition to these treatments,the observation group received acupuncture at Shu and He points,and the control group received regular body acupuncture. Clinic Spasticity Index（ CSI） and Modified Ashworth（ MAS） were adopted for evaluation before treatment and after 3- month treatment. Results： There were significant differences in comparing the scores of CSI between before treatment and after 3- month treatment in both groups（ P〈 0. 05）. After 3- month treatment,the scores of CSI in the observation group was lower than those in the control group（ P〈 0. 05）. There were significant differences in the change of MAS of hip,knee and ankle in both groups after treatment. Conclusion： Acupuncture at Shu and He points can significantly reduce the muscle tension of lower limbs in spastic cerebral palsy,and can improve the spasm. The effect of acupuncture at Shu and He points is better than the regular body acupuncture.