“输合配穴”针刺法对痉挛型脑性瘫痪患儿运动功能及肌张力的影响

Effect of acupuncture method of"SU cave and HE cave"on motor function and muscle tension of children with spastic cerebral palsy

目的探讨“输合配穴”针刺法对痉挛型脑性瘫痪(简称脑瘫)患儿的运动功能及肌张力的影响。方法选取我院自2016年7月至2019年12月收治的痉挛型脑瘫患儿104例,随机分为观察组和对照组各52例。对照组在综合康复功能训练基础上加用常规针刺法,观察组在综合康复功能训练基础上加用“输合配穴”针刺法。比较两组患儿治疗前、治疗1个月、2个月、3个月后的运动功能与肌张力水平。结果经过3个月的治疗后,两组患儿的运动功能及肌张力均有所改善,与治疗前比较,差异有统计学意义(P<0.05);在不同时间节点的比较中,在1个月和2个月时组间比较,差异有统计学意义(P<0.05),而在3个月时的组间比较显示差异无统计学意义(P>0.05)。结论“输合配穴”针刺法能够有效改善痉挛型脑瘫患儿的运动功能,明显降低肌张力,康复效果确切,经临床验证在起效时间及疗效上均优于普通针刺,且有取穴少,见效快的优势,值得在临床康复中推广应用。

Objective To investigate the effect of acupuncture method of"SU cave and HE cave"on motor function and muscle tension of children with spastic cerebral palsy.Methods From July 2016 to December 2019,104 children with spastic cerebral palsy were treated in our hospital,and they were selected as subjects.According to the random number table method,the children were divided into observation group and control group,with 52 cases in each group.In the control group,conventional acupuncture was used on the basis of comprehensive rehabilitation function training,For observation group,in addition to comprehensive rehabilitation function training,the acupuncture method of"SU cave and HE cave"was also used.The motor function and muscle tension levels of the two groups were compared respectively before treatment,and 1 month,2 months and 3 months after treatment.Results After 3 months of treatment,motor function and muscle tension of children in the two groups were improved,and the difference was statistically significant compared with those before treatment(P<0.05);in the comparison among different time points,the difference was statistically significant between the two groups at the end of 1 month and two months of treatment(P<0.05),while the difference was not statistically significant between the two groups at the end of 3 months(P>0.05).Conclusion The acupuncture method of"SU cave and HE cave"can effectively improve the motor function of children with spastic cerebral palsy and significantly reduce the muscle tension;the recovery effect is good;it is clinically proved to be better than conventional acupuncture in the onset time and the effect with the advantage of fewer acupuncture points selected and quicker effect,which is worth promoting and applying in clinical rehabilitation.