摘要
目的观察头穴丛刺配合蜡疗对脑瘫患者运动功能的影响。方法将符合纳入标准的痉挛型脑瘫患者40例,随机分为对照组与观察组,每组20例。对照组采用头穴丛刺长留针疗法,并给予针对痉挛型脑瘫患者的上田法及各项常规康复训练;观察组在对照组的基础上配合蜡疗。每日1次,共治疗8星期。治疗前后采用粗大运动功能量表(GMFM-88)、改良Ashworth量表评分进行运动功能评定。结果两组组内治疗前后GMFM-88评分比较,差异均具有统计学意义(P<0.05);两组治疗后GMFM-88评分比较,差异有统计学意义(P<0.05)。观察组治疗前后改良Ashworth量表评分比较,差异有统计学意义(P<0.05);对照组治疗前后改良Ashworth量表评分比较,差异无统计学意义(P>0.05);两组治疗后改良Ashworth量表评分比较,差异有统计学意义(P<0.05)。结论在常规康复训练基础上,头穴丛刺配合蜡疗对痉挛型脑瘫患者的肌张力及运动功能的恢复效果明显,有益于促进脑瘫患者的正常发育。
Objective To observe the effect of cluster needling at scalp acupoints plus paraffin therapy on motor function in cerebral palsy patients.Method Forty eligible patients with spastic cerebral palsy were randomized into a control group and an experimental group, 20 cases in each group. The control group was intervened by cluster needling with long-time retaining of the needles plus Uyeda＆#39;s approach and conventional rehabilitation trainings specifically for spastic cerebral palsy; the experimental group was intervened by paraffin therapy in addition to the treatment given to the control group. The interventions were conducted once a day, for a total of 8 weeks. The Gross Motor Function Measure-88 （GMFM-88） and Modified Ashworth Scale （MAS） were adopted to evaluate the motor function before and after the treatment.Result The GMFM-88 scores were significantly changed after the treatment in both groups （P〈0.05）, and there was a significant difference in comparing the GMFM-88 score between the two groups after the intervention （P〈0.05）. The MAS score was significantly changed after the intervention in the experimental group （P〈0.05）, while the score wasn＆#39;t significantly changed in the control group （P〉0.05）; there was a significant difference in comparing the MAS score between the two groups after the intervention （P〈0.05）.Conclusion On the basis of conventional rehabilitation trainings, cluster needling at scalp acupoints plus paraffin therapy can produce a significant efficacy in improving the muscular tension and motor function, and benefit the development of cerebral palsy patients.
作者
任婷
朱路文
唐强
REN Ting ZHU Lu-wen TANG Qiang(Heilongiiang University of Chinese Medicine,Harbin 150040,China The Second Affiliated Hospital of Heilong/iang University of Chinese Medicine,Harbin 150001,China)
出处
《上海针灸杂志》
2017年第5期529-532,共4页
Shanghai Journal of Acupuncture and Moxibustion
