文档介绍：通督醒神针刺法对脑瘫患儿神经发育及修复的临床研究
广州中医药大学附属南海妇儿医院脑瘫康复中心(佛山528200)
刘振寰1 潘佩光1 钱旭光1李诺1 赵勇1 丁建英1 张丽红1万瑞平1
摘要目的探讨通督醒神针刺法对脑瘫患儿神经发育及修复中的作用。方法将200例脑瘫患儿随机分为治疗组(100例)和对照组(100例),治疗组采用通督补肾组穴:督脉穴13针配伍肾俞、太溪、阳陵泉、足三里、三阴交,醒神头针,神庭透前顶,前顶透百会,百会透脑户和四神聪,同时配合康复训练。对照组单纯用康复训练。3个月一个疗程。应用GMFM运动发育评定量表和北京GESELL神经发育量表,评定两组神经发育与临床康复疗效,应用头颅CT/MRI评估患儿治疗前后脑神经修复。结果治疗组总有效率为87%,显著高于对照组的55%。治疗后患儿神经发育商(DQ)和GMFM针刺组显著高于对照组(P<)。头颅CT/MRI脑发育不良的好转率和恢复正常率,治疗组高于对照组(P<).结论,通督醒神针刺法能促进脑瘫患儿脑神经修复和脑功能的重组。针刺在促进患儿运动功能恢复的同时对其认知发育有显著的效果。针刺配合康复训练远期疗效显著优于单纯康复训练。
关键词针灸脑性瘫痪神经发育神经修复 GMFM
Brain Nervous development and Neurorestoratolog of Children with Cerebral Palsy by Acupuncture
Zhen-huan LIU 1,QI Yan-Chao2,PAN Pei-guang1,MA Mei Mei1,QIAN XU-guang1,FU Wen-jie1,
Palsy Rehabilitation Center, Nanhai Hospital for Women and Children, Affiliated to Guangzhou University of Chinese Medicine 528200,
Cancer Hospital Guangdong 528200,
Abstract: Aim To investigate action and value of acupuncture in Cerebral Palsy rehabilitation. Methods 200 spasm Cerebral Palsy patients from 1 to 7 years old were randomly divided intotwo groups. Acupuncture group: 100 patients were treated with head acupuncture and body acupuncture; Rehabilitation-training group: 100 patients were treated with physical therapy of Bobath methods. Results The total effective rate acupuncture and rehabilitation-training group were ob