摘要
目的观察益肾通痹汤结合针刺治疗小儿脑瘫的临床疗效及对患儿肌张力及脑血流的影响。方法选择脑瘫患儿(肝肾亏虚症)100例,根据Excel随机表格法将患者分为研究组和对照组,每组50例。对照组患者采用常规功能训练治疗,研究组在对照组治疗的基础上,加用益肾通痹汤结合针刺治疗,共治疗3个月。比较两组治疗前后MAS评分、CSI指数评分、脑血流灌注指标、关节活动度和治疗疗效。结果研究组治疗后MAS评分低于对照组(P<0.05);研究组治疗后CSI指数评分低于对照组(P<0.05);研究组治疗后VP较对照组升高,RI值较对照组降低(P<0.05);研究组治疗后内收肌角、腘窝角活动度均高于对照组,足背屈角活动度低于对照组(P<0.05);研究组治疗总有效率为94.00%(47/50)高于对照组治疗总有效率的80.00%(40/50)(P<0.05)。结论益肾通痹汤结合针刺可降低脑瘫患儿的肌张力,改善患儿的痉挛状态,增加脑组织血流循环,提高关节活动度,提高整体治疗效果,该治疗模式具有临床推广价值。
Objective To observe the clinical effect of Yishen Tongbi Decoction(益肾通痹汤)combined with acupuncture in the treatment of cerebral palsy in children and its effect on muscle tension and cerebral blood flow in children.Methods A total of 100 children with cerebral palsy(liver and kidney deficiency)were selected and divided into study group and control group according to the Excel random table method,with 50 cases in each group.Patients in the control group were treated with routine functional training,and the study group was treated with Yishen Tongbi Decoction combined with acupuncture for 3 months on the basis of treatment in the control group.MAS score,CSI score,cerebral perfusion index,range of motion and therapeutic effect before and after treatment were compared between the two groups.Results The MAS score in the study group was lower than that in the control group(P<0.05).The CSI index score in the study group was lower than that in the control group(P<0.05).VP and RI of the study group were higher and lower than those of the control group after treatment(P<0.05).The total effective rate of the study group was 94.00%(47/50),which was higher than that 80.00%(40/50)of the control group(P<0.05).Conclusion Yishen Tongbi Decoction combined with acupuncture can reduce the muscle tension of children with cerebral palsy,improve their spasticity,increase blood circulation in brain tissue,improve the range of joints motion and improve the overall therapeutic effect.This treatment model has clinical promotion value.
作者
郑丽娅
朱学亮
ZHENG Liya;ZHU Xueliang(Pediatric Rehabilitation Department,Xingtai Peopled Hospital,Xingtai 054031,Hebei,China;Childrens Rehabilitation Department of Hebei Hospital of Traditional Chinese Medicine,Shijiazhuang 050000,Hebei,China)
出处
《中华中医药学刊》
CAS
北大核心
2021年第2期231-234,共4页
Chinese Archives of Traditional Chinese Medicine
基金
河北省中医药管理局科研计划(2018002)。
关键词
益肾通痹汤
针刺
脑瘫
肌张力
脑血流灌注
Yishen Tongbi Decoction(益肾通痹汤)
acupuncture
cerebral palsy
muscle tension
cerebral perfusion
