和胃针法辅助治疗脑瘫患儿睡眠障碍的临床效果研究

Clinical Effect of Hewei-acupuncture Manipulation as an Adjuvant Therapy for Sleep Disorder in Children with Cerebral Palsy

背景针灸治疗脑瘫患儿睡眠障碍有独特优势,但目前尚无和胃针法用于治疗脑瘫患儿睡眠障碍的临床研究。目的探讨和胃针法治疗脑瘫患儿睡眠障碍的临床效果。方法选取2019年1—12月在义乌市妇幼保健院儿童康复科就诊的脑瘫患儿共80例,根据计算机产生的随机序列分为常规治疗组与和胃针法组,每组40例。常规治疗组患儿接受头皮针配合常规康复治疗,和胃针法组患儿在对照组基础上加用和胃针法辅助治疗,均以30次为1个疗程。比较两组患儿治疗前、治疗后及治疗后1个月儿童睡眠习惯问卷(CSHQ)评分、有效率,记录两组患儿针刺相关并发症发生情况。结果常规治疗组、和胃针法组各有8例患儿脱落,最终各纳入32例患儿。两组患儿治疗前、治疗后及治疗后1个月CSHQ各因子评分、总分比较,差异无统计学意义(P>0.05);两组患儿治疗后、治疗后1个月CSHQ各因子评分及总分均较治疗前降低(P<0.01)。和胃针法组患儿有效率为87.5%(28/32),高于常规治疗组的65.6%(21/32)(P<0.05)。两组患儿均未发生针刺相关并发症。结论和胃针法辅助治疗脑瘫患儿睡眠障碍具有一定临床效果和优势,可有效改善患儿睡眠习惯和质量,这为脑瘫患儿睡眠障碍的针灸治疗及选穴提供了新的思路。

Background Acupuncture,a therapy of traditional Chinese medicine,has unique advantages on sleep disorder in children with cerebral palsy,but there is no clinical study about Hewei-acupuncture manipulation in treating this disease.Objective To explore the clinical effect of Hewei-acupuncture manipulation as an adjuvant therapy for sleep disorder in children with cerebral palsy.Methods A total of 80 cerebral palsy children with sleep disorders were selected from Child Rehabilitation Department of Yiwu Maternity and Children Hospital from January to December 2019 and equally divided into conventional treatment group and Hewei-acupuncture manipulation group using a computer-based random allocation algorithm,receiving scalp acupuncture,and scalp acupuncture with Hewei-acupuncture manipulation,respectively,once daily,for a total of 30 times(a course of treatment)in addition to the conventional rehabilitation treatment.Sleep status was assessed by the Children's Sleep Habits Questionnaire(CSHQ)before,during and after one month of treatment.Responses to the treatment were assessed at the end of treatment.The incidence of acupuncture-related complications was recorded.Results Eight dropouts in each group were excluded,the remaining 32 cases were finally included.The average scale and factor scores of CSHQ were similar in both groups at baseline(P>0.05).They decreased significantly during and at the end of one month of treatment in both groups(P<0.01),but demonstrated no obvious intergroup differences(P>0.05).The Hewei-acupuncture manipulation group had a much higher rate of response to treatment〔87.5%(28/32)vs 65.6%(21/32),P<0.05〕.No acupuncture-related complications occurred in both groups.Conclusion Hewei-acupuncture manipulation has partial clinical effects and advantages in cerebral palsy children with sleep disorder,which may effectively improve the sleep habits and quality,and thus provide a new idea for acupuncture and moxibustion therapy and acupoint selection in treating this disease.