摘要
目的观察经筋刺法治疗痉挛型脑性瘫痪患者下肢痉挛的临床疗效。方法将80例痉挛型脑性瘫痪患者随机分为治疗组和对照组,每组40例。两组均采用常规康复治疗,治疗组取承山穴及跟腱附着点上缘上1寸处为进针点进行经筋刺法治疗,对照组取痉挛下肢阳明经穴为主进行针刺治疗。治疗3个疗程后,观察两组治疗前后下肢肌张力改良Ashworth法评分、痉挛综合量表(CSS)评分及粗大运动功能评估量表(GMFM)评分变化情况。结果两组治疗后下肢肌张力改良Ashworth法评分、CSS评分及GMFM评分与同组治疗前比较,差异均具有统计学意义(P<0.01)。治疗组治疗后下肢肌张力改良Ashworth法评分、CSS评分及GMFM评分与对照组比较,差异均具有统计学意义(P<0.05)。结论经筋刺法能有效改善痉挛型脑性瘫痪患者下肢痉挛状态,可减轻尖足,提高粗大运动功能。
Objective To observe the clinical efficacy of needling the meridian muscle regions in treating the lower limb spasm in spastic cerebral palsy. Method Eighty patients with spastic cerebral palsy were randomized into a treatment group and a control group, 40 cases in each group. The two groups were both intervened by conventional rehabilitation. Besides, the treatment group was given acupuncture at the meridian muscle regions including Chengshan（BL 57） point and the point 1 cun above the upper margin of the Achilles-tendon attachment, while the control group was given acupuncture majorly at points from the Yangming Meridian of the affected lower limb. The modified Ashworth Scale（MAS）, Composite Spasticity Scale（CSS）, and Gross Motor Function Measure（GMFM） were evaluated before intervention and after 3 treatment courses. Result The MAS, CSS, and GMFM scores were significantly changed after intervention in both groups（P〈0.01）. After treatment, the MAS, CSS, and GMFM scores of the treatment group were significantly different from that of the control group（P〈0.05）. Conclusion Needling the meridian muscle regions can effectively improve the lower limb spasticity in spastic cerebral palsy, and it can help correct clubfoot and enhance the gross motor function.
出处
《上海针灸杂志》
2016年第9期1049-1052,共4页
Shanghai Journal of Acupuncture and Moxibustion
基金
广东省佛山市医学科技攻关项目(201308202)
关键词
针刺疗法
脑性瘫痪
尖足
穴
承山
康复训练
透刺
肌痉挛
Acupuncture therapy
Cerebral palsy
Clubfoot
Point
Chengshan（BL 57）
Rehabilitation
Point-through-point method
Muscle spasticity
