醒神头针、靳三针联合康复训练治疗脑性瘫痪临床研究

Clinical Study on Mind-Awakening Scalp Acupuncture and JIN’s Three-Needle Acupuncture Combined with Rehabilitation Training for Cerebral Palsy

目的:观察在醒神头针、靳三针联合康复训练治疗脑性瘫痪患儿的临床疗效。方法:将86例患儿随机分为对照组和观察组各43例。2组均采用Bohath疗法和Vojta疗法进行治疗,观察组给予醒神头针、靳三针治疗。2组疗程均为12周。治疗前后应用粗大运动功能测试(GMFM)量表和精细运动能力测试(FMFM)量表评定运动能力,以韦氏幼儿智力量表(WPPSI)评定智力功能,以综合痉挛量表(CSS)评定肌肉功能。结果:治疗后,2组GMFM量表与FMFM量表的A、B、C、D、E区评分和总分均较治疗前上升(P<0.01);观察组2个量表的各区评分和总分均高于对照组(P<0.01)。2组WPPSI评分增加、CSS评分下降,差异均有统计学意义(P<0.01);观察组WPPSI评分高于对照组,CSS评分低于对照组,差异均有统计学意义(P<0.01)。2组痉挛程度均较治疗前减轻(P<0.05),观察组痉挛程度轻于对照组(P<0.05)。结论:在常规康复治疗基础上采用醒神头针和靳三针治疗脑性瘫痪,可提高患儿的智力和粗大运动功能、精细运动功能,有效减轻肌肉痉挛程度。

Objective:To observe the clinical effect of mind-awakening scalp acupuncture and JIN’s three-needle acupuncture combined with rehabilitation training on children with cerebral palsy(CP).Methods:A total of 86 CP children were randomly divided into the control group and the observation group,43 cases in each group.Both groups were treated with Bohath therapy and Vojta therapy,and the observation group was additionally treated with mind-awakening scalp acupuncture and JIN’s three-needle acupuncture.The treatment course of both groups was 12 weeks.Before and after treatment,the Gross Motor Function Measure(GMFM)scale and Fine Motor Function Measure(FMFM)Scale were adopted to assess motor ability;the Wechsler Preschool and Primary Scale of Intelligence(WPPSI)was used to assess intellectual function;the Composite Spasticity Scale(CSS)was applied to assess muscle function.Results:After treatment,the scores of Area A,B,C,D and E as well as the total scores of GMFM and FMFM in the two groups were increased when compared with those before treatment(P<0.01);each score of area and total score of the above two scales in the observation group were higher than those in the control group(P<0.01).The WPPSI scores were increased and CSS scores decreased in both groups(P<0.01).The WPPSI score in the observation group was higher than that in the control group,and the CSS score was lower,differences being significant(P<0.01).The degree of spasm in both groups was less than that before treatment respectively(P<0.05),and the degree in the observation group was less than that in the control group(P<0.05).Conclusion:The application of mind-awakening scalp acupuncture and JIN’s three-needle acupuncture based on the routine rehabilitation treatment for CP children,can improve the intellectual function,gross motor function and fine motor function,and reduce the degree of muscle spasm.