头皮针治疗痉挛型小儿脑瘫临床观察

Clinical Observation of Scalp Acupuncture in Treating Children with Spastic Cerebral Palsy

目的通过评定治疗前后残疾儿童综合功能及改良的Ashworth痉挛评定量表,来探讨头皮针配合康复训练对痉挛型脑瘫患者的治疗效果。方法将60例痉挛型脑瘫患者按随机单盲分为治疗组和对照组,每组30例,治疗组采用头皮针配合康复训练,对照组采用单纯康复训练,观察2、4个月后患者综合功能、肌张力改善情况及患者年龄与疗效的关系。结果两组治疗2、4个月后肌张力积分比较差异有统计学意义(P<0.01);治疗组总有效率为86.7%,对照组总有效率为63.3%,两组比较差异具有统计学意义(P<0.05);治疗组不同年龄阶段疗效比较差异具有统计学意义(P<0.05)。结论头皮针配合康复训练治疗痉挛型脑瘫效果优于单纯康复训练,而且年龄越小,预后越好。

Objective To reveal the therapeutic efficacy of scalp acupuncture plus rehabilitation training in treating spastic cerebral palsy, by evaluating the Comprehensive Function for the Disabled Children and modified Ashworth Scale （MAS） before and after the intervention. Method Sixty patients with spastic cerebral palsy were divided into a treatment group and a control group by following a single-blind randomized design, 30 cases in each group. The treatment group was intervened by scalp acupuncture plus rehabilitation training, rehabilitation training alone. The improvements of comprehensive function and correlation between age and therapeutic efficacy were observed respectively after while the control group was by muscle tension, as well as the 2-month and 4-month treatment. Result There were significant differences in comparing the muscle tension score between the two groups respectively after 2-month and 4-month treatment （P〈0.01）; the total effective rate was 86.7% in the treatment group versus 63.3% in the control group, and the difference was statistically significant （P〈0.05）; in the treatment group, there was a significant difference in comparing the therapeutic efficacy between different age groups （P〈0.05）. Conclusion Scalp acupuncture plus rehabilitation training can produce a better result than rehabilitation alone in treating spastic cerebral palsy; the younger the patients, the better the prognosis.