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广州中医药大学附属南海妇产儿童医院儿童康复科
纸质出版日期:2019
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金炳旭, 赵勇, 钱旭光, 等. 穴位埋线对不随意运动型脑瘫患儿坐位能力的影响[J]. 针刺研究, 2019,44(9):668-671.
JIN Bing-xu, ZHAO Yong, QIAN Xu-guang, et al. Effect of acupoint thread-embedding therapy on the sitting ability of ataxia children with cerebral palsy[J]. Acupuncture research, 2019, 44(9): 668-671.
金炳旭, 赵勇, 钱旭光, 等. 穴位埋线对不随意运动型脑瘫患儿坐位能力的影响[J]. 针刺研究, 2019,44(9):668-671. DOI: 10.13702/j.1000-0607.180191.
JIN Bing-xu, ZHAO Yong, QIAN Xu-guang, et al. Effect of acupoint thread-embedding therapy on the sitting ability of ataxia children with cerebral palsy[J]. Acupuncture research, 2019, 44(9): 668-671. DOI: 10.13702/j.1000-0607.180191.
目的:观察穴位埋线治疗不随意运动型脑瘫的临床疗效。方法:将不随意运动型脑瘫患儿随机分为对照组35例和埋线组33例。对照组给予常规康复治疗
包括运动疗法、健脾益肾通督按摩、体感音乐疗法、头针疗法
3周为1个疗程
疗程间隔2周
共治疗3个疗程;埋线组在此基础上选取肩髃、肩髎、天宗、天枢、华佗夹脊(颈4、腰1、腰4)进行穴位埋线治疗
每次选6~8个腧穴
每周1次
4周为1个疗程
疗程间隔1周
共治疗3个疗程。记录患儿坐位能力(LSS)分级、侧弯反射以及粗大运动功能评估量表(GMFM)A、B能区评分
判断患儿坐位能力变化及临床疗效。结果:两组治疗后LSS分级、侧弯反射及GMFM A、B能区评分均明显高于同组治疗前(P<0. 01)
且埋线组均优于对照组(P<0. 01)。埋线组临床总有效率为90. 9%(30/33)
优于对照组68. 5%(24/35
P<0. 01)。结论:在常规康复治疗基础上应用穴位埋线疗法
能有效抑制不随意运动型脑瘫患儿原始反射
显著提高坐位能力。
ObjectiveTo investigate the effective of acupoint thread-embedding therapy for ataxia children with cerebral palsy.MethodsA total of 70 ataxia children with cerebral palsy and a Gross Motor Function Measure(GMFM
Dimension B)score of <35 were enrolled and randomly divided into thread-embedding group and control group
with 35 children in each group
and 2 children in the thread-embedding group were lost to follow-up. The children in the control group were given routine rehabilitation treatment
including physical therapy
spleen-strengthening
kidney-nourishing
and Governor Vessel-regulating massage
vibroacoustic therapy
and scalp acupuncture
and those in the thread-embedding group were given thread-embedding therapy at the acupoints of Jianyu(LI15)
Jianliao(SJ14)
Tianzong(SI11)
Tianshu(ST25)
and HuatuoJiaji points(C4
L1 and L4)in addition to the treatment in the control group
with 6-8 acupoints selected each time
once a week. Each course of treatment was 4 weeks
with an interval of one week between two courses of treatment
and the children were treated for 3 courses. Level of sitting scale(LSS)
incurvation reflex
and GMFM score were recorded to evaluate the improvement in sitting ability and clinical outcome.ResultsBoth groups had significant improvements in LSS
incurvation reflex
and GMFM(Dimension A and B)score after treatment(P<0. 01)
and the thread-embedding group had significantly greater improvements than the control group(P<0. 01).The thread-embedding group had a significantly higher overall response rate than the control group(90. 9%[30/33]vs68. 5% [24/35]
P<0. 01).ConclusionIn addition to routine rehabilitation treatment
acupoint thread-embedding therapy can effectively suppress primitive reflex in ataxia children with cerebral palsy and significantly promote their sitting ability
and therefore
it is an effective acupuncture treatment method for ataxia children with cerebral palsy.
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