摘要
目的:观察五神针联合神经节苷脂治疗痉挛性脑瘫患儿的疗效及对脑血流动力学的影响。方法:采用抽签法将105例痉挛性脑瘫患儿分为两组,对照组给予神经节苷脂静脉输注,观察组在对照组基础上联合五神针治疗,对比两组患儿临床疗效,粗大运动功能量表(GMFM)评分、精细运动能力量表(FMFM)评分,改良Ashworth痉挛评定量表评分、格塞尔婴幼儿发展量表(GDS)评分、脑动脉平均血流速度(Vm)、收缩期峰流速度(Vs)以及血管阻力指数(RI)、不良反应。结果:经治疗后观察组患儿临床疗效、GMFM、FMFM、GDS评分、Vm、Vs水平高于对照组(P<0.05),且观察组患儿Ashworth痉挛评定量表评分、RI水平下降较对照组明显,差异有统计学意义(P<0.05),两组患儿均未出现明显不良反应。结论:五神针联合神经节苷脂治疗痉挛性脑瘫患儿具有明显的效果,可以有效促进患儿认知功能、运动功能的恢复,同时有效促进脑血液循环,促进神经功能的恢复。
Objective:To analyze the effect of Wushen acupuncture combined with ganglioside in the treatment of children with spastic cerebral palsy and its influence on motor function,mental recovery and cerebral hemodynamics.Methods:The 105 children with spastic cerebral palsy were divided into two groups by lottery.The control group was given ganglioside intravenous infusion,and the observation group was treated with Wushen acupuncture on the basis of the control group.The clinical curative effect of the two groups of children was compared.Functional Scale(GMFM)Score,Fine Motor Capacity Scale(FMFM)Score,Modified Ashworth Spasticity Rating Scale Score,Gesell Infant Development Scale(GDS)Score,Cerebral Artery Mean Blood Flow Velocity(Vm),Contraction Peak flow velocity(Vs)and vascular resistance index(RI),adverse reactions.Results:The clinical efficacy,GMFM,FMFM,GDS scores,Vm,and Vs levels of the observation group were significantly higher than those of the control group,and the Ashworth Spasm Rating Scale scores and RI levels of the observation group were significantly lower than those of the control group,with statistical significance(P<0.05),there were no obvious adverse reactions in both groups.Conclusion:Wushen acupuncture combined with ganglioside has a significant effect in treating children with spastic cerebral palsy.It can effectively promote the recovery of children's cognitive function and motor function,and at the same time effectively promote cerebral blood circulation and promote the recovery of nerve function.
作者
张倩倩
周俊杰
赵晓坤
ZHANG Qianqian;ZHOU Junjie;ZHAO Xiaokun(Department of Rehabilitation Medicine,Hebi People's Hospital,Hebi,Henan 458030)
出处
《包头医学院学报》
CAS
2021年第9期88-91,共4页
Journal of Baotou Medical College
关键词
针刺疗法
神经节苷脂
痉挛脑瘫
acupuncture therapy
gangliosides
spastic cerebral palsy
