针刺“老十针”对脑瘫患儿脾胃功能及生存质量的影响

Effects of Needling Old Ten Acupoints on Spleen and Stomach Function and Quality of Life in Children with Cerebral Palsy

目的:探讨针刺“老十针”对脑瘫患儿脾胃功能及生存质量的影响。方法:按照随机对照试验的方法,将120例符合入组条件的脑瘫儿童分成治疗组和对照组,每组60例。治疗组在常规针刺治疗的基础上,加用针刺“老十针”治疗,每日治疗1次,每次30 min,每周治疗5 d,4周为1个疗程,连续治疗6个疗程。对照组仅接受常规针刺治疗,其他条件同治疗组。在治疗前及治疗6个月后,分别采用脾胃系疾病患者报告的结局量表(SSD-PRO)、儿童生存质量普适性核心量表(PedsQL4.0)及粗大运动功能评定量表(CMFM-88)评定两组患儿的脾胃功能及生存质量,并进行统计学分析。结果:两组患儿在治疗前的基线数据差异无统计学意义(P>0.05)。治疗后,两组患儿的SSD-PRO、PedsQL4.0及CMFM-88总分及各维度分数均较治疗前有明显提高(P<0.05),且治疗组均优于对照组(P<0.05,P<0.01)。结论:针刺“老十针”能有效改善脑瘫患儿的脾胃功能,促进其生长发育,提高其粗大运动功能和生存质量。

Objective:To investigate the effect of needling old ten acupoints on spleen and stomach function and quality of life in children with cerebral palsy.Methods:According to the method of randomized controlled trial,120 children with cerebral palsy were divided into treatment group and control group,with 60 patients in each group.In addition to conventional acupuncture treatment,old ten acupoints were needled once a day,30 minutes each time,5 days per week,with a 4-week course of treatment for 6 consecutive courses.The control group received only conventional acupuncture treatment,and other conditions were the same as the treatment group.Before treatment and 6 months after treatment,the spleen and stomach function and quality of life of the children in the two groups were evaluated by Spleen and Stomach Disease Patient-Reported Outcomes(SSD-PRO),the Pediatric Quality of Life Inventory version 4.0(PedsQL4.0)and the Gross Motor Function Measure-88(CMFM-88),and statistically analyzed.Results:There was no significant difference in baseline data between the two groups before treatment(P>0.05).After treatment,the total scores of SSD-PRO,PedsQL4.0,CMFM-88 and the scores of each dimension were significantly improved(P<0.05)in both groups(P<0.05),and the treatment group was better than the control group(P<0.05).Conclusion:Needling old ten acupoints can effectively improve the spleen and stomach function of children with cerebral palsy,promote their growth and development,improve their gross motor function and quality of life,and is a safe and effective treatment.