摘要
目的:观察百笑灸经筋结点联合常规康复对痉挛型偏瘫患儿上肢运动功能的影响。方法:将50例痉挛型偏瘫患儿按照随机数字表法分为对照组和试验组,每组25例。对照组给予患侧上下肢常规康复治疗,试验组在对照组基础上加用百笑灸患侧上肢经筋结点治疗,均每天1次,每周5次,连续治疗4周为1个疗程,共治疗3个疗程。分别于治疗前、治疗4周、治疗12周,采用改良Ashworth评分检测患儿患侧上肢肌张力,粗大运动功能测试量表-88(GMFM-88)和Carroll上肢功能测试(UEFT)评定患儿患侧上肢运动功能。结果:与治疗前比较,治疗4周、治疗12周后两组改良Ashworth评分均显著降低(P<0.05),GMFM-88和UEFT评分均显著升高(P<0.05);与治疗4周比较,治疗12周后两组改良Ashworth、GMFM-88和UEFT评分改善更显著(P<0.05)。与对照组比较,治疗12周后试验组改良Ashworth评分显著降低(P<0.05),GMFM-88和UEFT评分显著升高(P<0.05)。结论:百笑灸干预经筋结点能显著改善痉挛型偏瘫患儿患侧上肢肌张力及运动功能,随着治疗时间的延长改善愈加明显。
Objective To investigate the effect of Baixiao moxibustion at meridian sinew nodal points combined with routine rehabilitation on upper limb motor function in children with spastic hemiplegic cerebral palsy.Methods A total of 50 children with spastic hemiplegic cerebral palsy were divided into control group and treatment group using a random number table,with 25 children in each group.The children in the control group were given routine rehabilitation training of the ipsilateral upper and lower limbs,and those in the treatment group were given Baixiao moxibustion at the meridian sinew nodal points of the ipsilateral upper limb in addition to the treatment in the control group,once a day and five times a week.Each course of treatment was 4 consecutive weeks,and both groups were treated for 3 courses.Before treatment and at weeks 4 and 12 of treatment,modified Ashworth score was used to evaluate muscle tension of the ipsilateral upper limb,and 88-item version of the Gross Motor Function Measure(GMFM-88)and Carroll upper extremities functional test(UEFT)were used to assess the motor function of the ipsilateral upper limb.Results At weeks 4 and 12 of treatment,both groups had a significant reduction in modified Ashworth score(P<0.05)and significant increases in GMFM-88 and UEFT scores(P<0.05).Both groups had significant changes in modified Ashworth score,GMFM-88 score,and UEFT score from week 4 to week 12 of treatment(P<0.05).Compared with the control group at week 12 of treatment,the treatment group had a significant reduction in modified Ashworth score(P<0.05)and significant increases in GMFM-88 and UEFT scores(P<0.05).Conclusion Baixiao moxibustion at meridian sinew nodal points can significantly improve the muscle tension and motor function of the ipsilateral upper limb in children with spastic hemiplegic cerebral palsy,and the improvement becomes more apparent as the treatment lasts longer.
作者
罗伟
刘春雷
龙焱
陈菲菲
赵素芬
杨勇
符莎
王跑球
LUO Wei;LIU Chun-lei;LONG Yan;CHEN Fei-fei;ZHAO Su-fen;YANG Yong;FU Sha;WANG Pao-qiu(Third Department of Rehabilitation,Hunan Children's Hospital,Changsha 410007,China)
出处
《针刺研究》
CAS
CSCD
北大核心
2020年第6期480-483,共4页
Acupuncture Research
基金
湖南省卫生健康委科研计划课题项目(No.C2019017)。
关键词
痉挛型偏瘫
百笑灸
经筋结点
运动功能
Spastic hemiplegia
Baixiao moxibustion
Meridian sinew nodal point
Motor function
