BACKGROUND： Based on clinical findings and syndromes, it has been previously shown that therapeutic methods for cerebral palsy can be greatly improved by selecting fewer, but more accurate acupoints. Therefore, great...BACKGROUND： Based on clinical findings and syndromes, it has been previously shown that therapeutic methods for cerebral palsy can be greatly improved by selecting fewer, but more accurate acupoints. Therefore, greater therapeutic efficacy for cerebral palsy could be obtained by selecting the five Shu acupoints, which are located at the qi-intersecting point of the twelve meridians below the elbow and knee. OBJECTIVE： To treat children with spastic cerebral palsy using acupuncture and massage at the Shu and He points through a combination of rehabilitative training, and to compare the effects with routine acupuncture and massage. DESIGN： A randomized controlled clinical trial. SETTING： Rehabilitation Center for Cerebral Palsy, Department of Pediatrics, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine. PARTICIPANTS： Sixty children with spastic cerebral palsy were selected from the Rehabilitation Center for Cerebral Palsy, Department of Pediatrics, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from May 2003 to February 2006. There were 38 boys and 22 girls, aged 10 months to 4 years old, muscle strength ranging from grade I to grade IV. The children were randomly divided into a treatment group （n =30） and a control group （n =30）. Informed consent for the therapeutic program was obtained from the relatives of all enrolled children. The study was approved by the Hospital＇s Ethical Committee. METHODS： All children were given exercise and occupational therapy based on standard treatments. （1） In the control group, the children were additionally treated with routine acupuncture and massage during the one-month basic rehabilitative training. The acupuncture needles were manipulated alternately at the acupoints of Jianyu, Shousanli, Binao, Hegu, Huantiao, Xuanzhong, and Biguan. They were treated once per day, 6 days a week, followed by one day of rest. The children＇s limbs were first massaged by pressing, stretching, rolling, and kneading. Then, the same acupuncture points were pressed with the thumb for 30 minutes each time, once a day, 6 days a week, followed by one day of rest. The treatment continued for 1 month. （2） In the treatment group, the children were administered acupuncture and massage at the Shu and He points during the one-month basic rehabilitative treatment. For acupuncture of the upper limbs, the following acupoints were used： Sanjian and Quchi of the Large Intestine Meridian of Hand-Yangming, and Houxi and Xiaohai of the Small Intestine Meridian of Hand-Taiyang. The acupoints were acupunctured alternately every other day. For acupuncture of the lower limbs, the following acupoints were used; Zulinqi and Yanglingquan of the Gall bladder Meridian of Foot-Shaoyang, Taibai and Yinlingquan of the Spleen Meridian of Foot-Taiyang, or Xiangu and Zusanli of the Stomach Meridian of Foot-Yangming. The acupoints were acupunctured alternately every other day. Three needles were for the medial malleolus and three needles for the lateral malleolus. They were treated once a day, 6 days a week, followed by one day of rest. The children＇s limbs were first massaged by means of pressing, stretching, rolling, and kneading. The same acupuncture points were then pressed with the thumb for 0.5-1 minute at each point, 30 minutes each time, once a day, 6 days a week, followed by one day of rest. MAIN OUTCOME MEASURES： Therapeutic efficacy was evaluated using gross motor function measurements, as well as activity of daily living scale before and after treatment. RESULTS： All 60 enrolled children with spastic cerebral palsy were included in the final analysis of results. （1） Comparison of gross motor function scores： The gross motor function score after treatment was significantly higher in both the treatment group and control group than before treatment （t = -3.86 and -8.882, respectively, P 〈 0.05）. The scores in the treatment group were significantly higher than the control group scores （t = -7.166, P 〈 0.01）. （2） Changes in activity of daily living scores： The scores for activity of daily living in the treatment group was significantly higher after treatment than before treatment （t = -3.933, P 〈 0.01）, and was also significantly higher than the control group （t = -0.671, P 〈 0.05）. CONCLUSION： Acupuncture and massage at the Shu and He acupoints can significantly ameliorate motor function deficits and movement disabilities in children with spastic cerebral palsy. The therapeutic efficacy at these acupoints is better than routine acupuncture and massage.展开更多
Objective： To observe the clinical effect of pinching spine plus acupolnt StlCKlng merapy for infantile cerebral palsy （ICP） with spleen deficiency pattern. Methods： Seventy children of ICP with spleen deficiency ...Objective： To observe the clinical effect of pinching spine plus acupolnt StlCKlng merapy for infantile cerebral palsy （ICP） with spleen deficiency pattern. Methods： Seventy children of ICP with spleen deficiency pattern were randomly divided into a treatment group and a control group. Those in the treatment group were given the comprehensive rehabilitation therapy plus pinching spine and acupoint sticking therapy. Those in the control group were just given the comprehensive rehabilitation therapy. The treatment was given once every day, 20-day as one course, and totally for three courses. Results： The total effective rate of the clinical symptoms was 77.1% in the treatment group and 39.9% in the control groups. The total effective rate of rehabilitation effects was 74.3% in the treatment group and 48.6% in the control group. The effective rate was obviously better in the treatment group than that in the control group, with statistical differences （P〈0.05）. Conclusion： Pinching spine plus acupoint sticking therapy is remarkable in the therapeutic effects for ICP with spleen deficiency pattern, and needs to be popularized clinically.展开更多
目的探讨经皮穴位电刺激(TEAS)对选择性脊神经后根切断术(SPR)患儿苏醒期躁动(EA)的影响。方法选择择期在全麻下行SPR的脑瘫患儿42例,男20例,女22例,年龄6~12岁,BMI 13~24 kg/m^(2),ASAⅠ或Ⅱ级。将患儿随机分为两组:经皮穴位电刺激组(T...目的探讨经皮穴位电刺激(TEAS)对选择性脊神经后根切断术(SPR)患儿苏醒期躁动(EA)的影响。方法选择择期在全麻下行SPR的脑瘫患儿42例,男20例,女22例,年龄6~12岁,BMI 13~24 kg/m^(2),ASAⅠ或Ⅱ级。将患儿随机分为两组:经皮穴位电刺激组(T组)和对照组(C组),每组21例。T组于麻醉诱导前30 min给予TEAS双侧合谷穴及内关穴,持续至手术结束。C组在相同的穴位放置电极片,但不予电刺激。所有患儿均采用全凭静脉麻醉。记录入室时、拔管即刻、拔管后5、15、30 min的HR、MAP。记录术中瑞芬太尼和丙泊酚的用量、手术时间、拔管时间。记录拔管后15 min的Wong-Baker面部疼痛表情(FPS-R)评分和儿童麻醉苏醒期躁动评估量表(PAED)评分,并计算苏醒期躁动(EA)发生率。记录术后恶心呕吐(PONV)发生情况。结果与入室时比较,C组拔管即刻、拔管后5、15 min HR明显增快,拔管即刻、拔管后5、15、30 min MAP明显升高(P<0.05);T组拔管即刻、拔管后5、15 min HR明显增快,MAP明显升高(P<0.05)。与C组比较,T组拔管即刻、拔管后5、15、30 min HR明显减慢,MAP明显降低(P<0.05);术中瑞芬太尼用量明显减少,拔管时间明显缩短,术后FPS-R评分、PAED评分和EA发生率明显降低(P<0.05)。两组手术时间、术中丙泊酚用量和PONV发生率差异无统计学意义。结论TEAS可有效预防行SPR的脑瘫患儿EA发生,有利于维持血流动力学平稳,减少阿片类药物用量,减轻患儿术后疼痛,加快麻醉复苏时间。展开更多
Objective To observe therapeutic effects of scalp acupuncture at close acupoints combined with rehabilitation training on balance functions of children with cerebral palsy （CP）. Methods Sixty children with CP were r...Objective To observe therapeutic effects of scalp acupuncture at close acupoints combined with rehabilitation training on balance functions of children with cerebral palsy （CP）. Methods Sixty children with CP were randomly divided into a scalp acupuncture combined with rehabilitation training group （group SA＋RT） and a rehabilitation training group （group RT） with 30 cases in each group. Conventional rehabilitation therapy and balance training were applied in group RT, and scalp acupuncture at close acupoints in the parietal region and sub-occipital region was added besides rehabilitation training in group SA＋RT. Balance functions were evaluated by using Berg rating scale, and abilities of daily living were estimated by using rating scale for activities of daily living （ADL）. Results After treatment, both Berg scores for balance and ADL scores were significantly improved in both groups （all P0.05）, and the improvement in group SA＋RT was more obvious than that in group RT （ both P0.05）. Conclusion Combination of scalp acupuncture at close acupoints with rehabilitation training is superior to simple rehabilitation training in improving balance functions and activities of daily living in children with cerebral palsy.展开更多
目的:利用数据挖掘技术分析针刺治疗痉挛型脑瘫的选穴规律及针刺方法应用特点,为临床针刺治疗痉挛型脑瘫提供选穴依据和治疗思路。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生...目的:利用数据挖掘技术分析针刺治疗痉挛型脑瘫的选穴规律及针刺方法应用特点,为临床针刺治疗痉挛型脑瘫提供选穴依据和治疗思路。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBM)、PubMed、EMbase、Web of Science、Cochrane Library建库至2023年6月20日针刺治疗痉挛型脑瘫的临床研究文献,并进行描述性分析、关联规则分析和复杂网络分析。结果:纳入文献185篇,300条处方,219个腧穴,总频次为3229次。高频腧穴为足三里、百会、三阴交、四神聪、合谷等。特定穴以五腧穴为主;腧穴部位主要分布在头部和上下肢;经脉(包含针刺疗法)使用频次最高的为督脉、足阳明胃经、靳三针疗法等。支持度最高的腧穴组合是三阴交-足三里、四神聪-百会、曲池-合谷,均以局部配穴为主。“社团分析”共得到3个核心社团。临床治疗痉挛型脑瘫以毫针针刺最常见;针刺方法以平补平泻法为主,头部腧穴多采用平刺,体针采用直刺。结论:通过数据挖掘技术分析发现针刺治疗痉挛型脑瘫具有一定的特点,以局部选穴为主,同时配合上下配穴,重视针刺各流派特点,注重针刺方法效应特异性,为临床上针刺治疗痉挛型脑瘫提供参考。展开更多
Objective:To observe the effect of warming moxibustion on Shenque acupoint(RN8) for the treatment of acute diarrhea in children with infantile cerebral palsy(ICP).Methods:Clinical observation was performed on 60 ICP c...Objective:To observe the effect of warming moxibustion on Shenque acupoint(RN8) for the treatment of acute diarrhea in children with infantile cerebral palsy(ICP).Methods:Clinical observation was performed on 60 ICP children suffering from acute diarrhea,who were randomly assigned to two groups equally.The Mox group was treated with warming moxibustion on Shenque acupoint(RN8) and the control group treated with Smecta.The efficacy was evaluated by markedly effective rate and total effective rate after a 6-d...展开更多
Objective： To observe the clinical effect of Nie-pinching spine coupled with point application and injection for cerebral palsy （CP） in children with spleen deficiency. Methods： A total of 70 CP children with sple...Objective： To observe the clinical effect of Nie-pinching spine coupled with point application and injection for cerebral palsy （CP） in children with spleen deficiency. Methods： A total of 70 CP children with spleen deficiency were randomly allocated into a treatment group （n=35） and a control group （n=35）. Children in the treatment group were treated with comprehensive rehabilitation training, Nie-pinching spine, point application and point injection, whereas children in the control group were treated with comprehensive rehabilitation training and oral administration of multi-enzyme tablets. One course of treatment made up of 20 d. There was a 20-day interval between two courses. The cases were treated for a total of 3 courses. Then the therapeutic efficacies were evaluated using scores of spleen-deficiency symptoms and gross motor function measure （GMFM）. Results： After 3 courses of treatment, the total effective rates for spleen-deficiency symptoms and rehabilitation were 85.7% and 77.1% respectively in the treatment group, versus 51.4% and 57.1% respectively in the control group, showing statistical differences （both P〈0.05）. Conclusion： In addition to comprehensive rehabilitation training, Nie-pinching spine combined with point application and injection obtained better effects than oral administration of multi-enzyme tablets.展开更多
基金the Grants from State Administration of Traditional Chinese Medicine of the People's Republic of China, No.Z1200313
文摘BACKGROUND： Based on clinical findings and syndromes, it has been previously shown that therapeutic methods for cerebral palsy can be greatly improved by selecting fewer, but more accurate acupoints. Therefore, greater therapeutic efficacy for cerebral palsy could be obtained by selecting the five Shu acupoints, which are located at the qi-intersecting point of the twelve meridians below the elbow and knee. OBJECTIVE： To treat children with spastic cerebral palsy using acupuncture and massage at the Shu and He points through a combination of rehabilitative training, and to compare the effects with routine acupuncture and massage. DESIGN： A randomized controlled clinical trial. SETTING： Rehabilitation Center for Cerebral Palsy, Department of Pediatrics, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine. PARTICIPANTS： Sixty children with spastic cerebral palsy were selected from the Rehabilitation Center for Cerebral Palsy, Department of Pediatrics, Affiliated Hospital of Liaoning University of Traditional Chinese Medicine from May 2003 to February 2006. There were 38 boys and 22 girls, aged 10 months to 4 years old, muscle strength ranging from grade I to grade IV. The children were randomly divided into a treatment group （n =30） and a control group （n =30）. Informed consent for the therapeutic program was obtained from the relatives of all enrolled children. The study was approved by the Hospital＇s Ethical Committee. METHODS： All children were given exercise and occupational therapy based on standard treatments. （1） In the control group, the children were additionally treated with routine acupuncture and massage during the one-month basic rehabilitative training. The acupuncture needles were manipulated alternately at the acupoints of Jianyu, Shousanli, Binao, Hegu, Huantiao, Xuanzhong, and Biguan. They were treated once per day, 6 days a week, followed by one day of rest. The children＇s limbs were first massaged by pressing, stretching, rolling, and kneading. Then, the same acupuncture points were pressed with the thumb for 30 minutes each time, once a day, 6 days a week, followed by one day of rest. The treatment continued for 1 month. （2） In the treatment group, the children were administered acupuncture and massage at the Shu and He points during the one-month basic rehabilitative treatment. For acupuncture of the upper limbs, the following acupoints were used： Sanjian and Quchi of the Large Intestine Meridian of Hand-Yangming, and Houxi and Xiaohai of the Small Intestine Meridian of Hand-Taiyang. The acupoints were acupunctured alternately every other day. For acupuncture of the lower limbs, the following acupoints were used; Zulinqi and Yanglingquan of the Gall bladder Meridian of Foot-Shaoyang, Taibai and Yinlingquan of the Spleen Meridian of Foot-Taiyang, or Xiangu and Zusanli of the Stomach Meridian of Foot-Yangming. The acupoints were acupunctured alternately every other day. Three needles were for the medial malleolus and three needles for the lateral malleolus. They were treated once a day, 6 days a week, followed by one day of rest. The children＇s limbs were first massaged by means of pressing, stretching, rolling, and kneading. The same acupuncture points were then pressed with the thumb for 0.5-1 minute at each point, 30 minutes each time, once a day, 6 days a week, followed by one day of rest. MAIN OUTCOME MEASURES： Therapeutic efficacy was evaluated using gross motor function measurements, as well as activity of daily living scale before and after treatment. RESULTS： All 60 enrolled children with spastic cerebral palsy were included in the final analysis of results. （1） Comparison of gross motor function scores： The gross motor function score after treatment was significantly higher in both the treatment group and control group than before treatment （t = -3.86 and -8.882, respectively, P 〈 0.05）. The scores in the treatment group were significantly higher than the control group scores （t = -7.166, P 〈 0.01）. （2） Changes in activity of daily living scores： The scores for activity of daily living in the treatment group was significantly higher after treatment than before treatment （t = -3.933, P 〈 0.01）, and was also significantly higher than the control group （t = -0.671, P 〈 0.05）. CONCLUSION： Acupuncture and massage at the Shu and He acupoints can significantly ameliorate motor function deficits and movement disabilities in children with spastic cerebral palsy. The therapeutic efficacy at these acupoints is better than routine acupuncture and massage.
基金supported by Nanhai Maternity and Child Care Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine
文摘Objective： To observe the clinical effect of pinching spine plus acupolnt StlCKlng merapy for infantile cerebral palsy （ICP） with spleen deficiency pattern. Methods： Seventy children of ICP with spleen deficiency pattern were randomly divided into a treatment group and a control group. Those in the treatment group were given the comprehensive rehabilitation therapy plus pinching spine and acupoint sticking therapy. Those in the control group were just given the comprehensive rehabilitation therapy. The treatment was given once every day, 20-day as one course, and totally for three courses. Results： The total effective rate of the clinical symptoms was 77.1% in the treatment group and 39.9% in the control groups. The total effective rate of rehabilitation effects was 74.3% in the treatment group and 48.6% in the control group. The effective rate was obviously better in the treatment group than that in the control group, with statistical differences （P〈0.05）. Conclusion： Pinching spine plus acupoint sticking therapy is remarkable in the therapeutic effects for ICP with spleen deficiency pattern, and needs to be popularized clinically.
文摘目的探讨经皮穴位电刺激(TEAS)对选择性脊神经后根切断术(SPR)患儿苏醒期躁动(EA)的影响。方法选择择期在全麻下行SPR的脑瘫患儿42例,男20例,女22例,年龄6~12岁,BMI 13~24 kg/m^(2),ASAⅠ或Ⅱ级。将患儿随机分为两组:经皮穴位电刺激组(T组)和对照组(C组),每组21例。T组于麻醉诱导前30 min给予TEAS双侧合谷穴及内关穴,持续至手术结束。C组在相同的穴位放置电极片,但不予电刺激。所有患儿均采用全凭静脉麻醉。记录入室时、拔管即刻、拔管后5、15、30 min的HR、MAP。记录术中瑞芬太尼和丙泊酚的用量、手术时间、拔管时间。记录拔管后15 min的Wong-Baker面部疼痛表情(FPS-R)评分和儿童麻醉苏醒期躁动评估量表(PAED)评分,并计算苏醒期躁动(EA)发生率。记录术后恶心呕吐(PONV)发生情况。结果与入室时比较,C组拔管即刻、拔管后5、15 min HR明显增快,拔管即刻、拔管后5、15、30 min MAP明显升高(P<0.05);T组拔管即刻、拔管后5、15 min HR明显增快,MAP明显升高(P<0.05)。与C组比较,T组拔管即刻、拔管后5、15、30 min HR明显减慢,MAP明显降低(P<0.05);术中瑞芬太尼用量明显减少,拔管时间明显缩短,术后FPS-R评分、PAED评分和EA发生率明显降低(P<0.05)。两组手术时间、术中丙泊酚用量和PONV发生率差异无统计学意义。结论TEAS可有效预防行SPR的脑瘫患儿EA发生,有利于维持血流动力学平稳,减少阿片类药物用量,减轻患儿术后疼痛,加快麻醉复苏时间。
文摘Objective To observe therapeutic effects of scalp acupuncture at close acupoints combined with rehabilitation training on balance functions of children with cerebral palsy （CP）. Methods Sixty children with CP were randomly divided into a scalp acupuncture combined with rehabilitation training group （group SA＋RT） and a rehabilitation training group （group RT） with 30 cases in each group. Conventional rehabilitation therapy and balance training were applied in group RT, and scalp acupuncture at close acupoints in the parietal region and sub-occipital region was added besides rehabilitation training in group SA＋RT. Balance functions were evaluated by using Berg rating scale, and abilities of daily living were estimated by using rating scale for activities of daily living （ADL）. Results After treatment, both Berg scores for balance and ADL scores were significantly improved in both groups （all P0.05）, and the improvement in group SA＋RT was more obvious than that in group RT （ both P0.05）. Conclusion Combination of scalp acupuncture at close acupoints with rehabilitation training is superior to simple rehabilitation training in improving balance functions and activities of daily living in children with cerebral palsy.
文摘目的:利用数据挖掘技术分析针刺治疗痉挛型脑瘫的选穴规律及针刺方法应用特点,为临床针刺治疗痉挛型脑瘫提供选穴依据和治疗思路。方法:检索国家知识基础设施数据库(CNKI)、中国学术期刊数据库(CSPD)、中文科技期刊数据库(CCD)、中国生物医学文献数据库(CBM)、PubMed、EMbase、Web of Science、Cochrane Library建库至2023年6月20日针刺治疗痉挛型脑瘫的临床研究文献,并进行描述性分析、关联规则分析和复杂网络分析。结果:纳入文献185篇,300条处方,219个腧穴,总频次为3229次。高频腧穴为足三里、百会、三阴交、四神聪、合谷等。特定穴以五腧穴为主;腧穴部位主要分布在头部和上下肢;经脉(包含针刺疗法)使用频次最高的为督脉、足阳明胃经、靳三针疗法等。支持度最高的腧穴组合是三阴交-足三里、四神聪-百会、曲池-合谷,均以局部配穴为主。“社团分析”共得到3个核心社团。临床治疗痉挛型脑瘫以毫针针刺最常见;针刺方法以平补平泻法为主,头部腧穴多采用平刺,体针采用直刺。结论:通过数据挖掘技术分析发现针刺治疗痉挛型脑瘫具有一定的特点,以局部选穴为主,同时配合上下配穴,重视针刺各流派特点,注重针刺方法效应特异性,为临床上针刺治疗痉挛型脑瘫提供参考。
基金Supported by the Major State Basic Research Program of China (973 Program,No.2009CB522903)
文摘Objective:To observe the effect of warming moxibustion on Shenque acupoint(RN8) for the treatment of acute diarrhea in children with infantile cerebral palsy(ICP).Methods:Clinical observation was performed on 60 ICP children suffering from acute diarrhea,who were randomly assigned to two groups equally.The Mox group was treated with warming moxibustion on Shenque acupoint(RN8) and the control group treated with Smecta.The efficacy was evaluated by markedly effective rate and total effective rate after a 6-d...
基金supported by Project of Guangdong Provincial Administration of Traditional Chinese MedicineNo.21031055~~
文摘Objective： To observe the clinical effect of Nie-pinching spine coupled with point application and injection for cerebral palsy （CP） in children with spleen deficiency. Methods： A total of 70 CP children with spleen deficiency were randomly allocated into a treatment group （n=35） and a control group （n=35）. Children in the treatment group were treated with comprehensive rehabilitation training, Nie-pinching spine, point application and point injection, whereas children in the control group were treated with comprehensive rehabilitation training and oral administration of multi-enzyme tablets. One course of treatment made up of 20 d. There was a 20-day interval between two courses. The cases were treated for a total of 3 courses. Then the therapeutic efficacies were evaluated using scores of spleen-deficiency symptoms and gross motor function measure （GMFM）. Results： After 3 courses of treatment, the total effective rates for spleen-deficiency symptoms and rehabilitation were 85.7% and 77.1% respectively in the treatment group, versus 51.4% and 57.1% respectively in the control group, showing statistical differences （both P〈0.05）. Conclusion： In addition to comprehensive rehabilitation training, Nie-pinching spine combined with point application and injection obtained better effects than oral administration of multi-enzyme tablets.
