文献类型：期刊文献

中文题名：郑氏“金鸡啄米”针法治疗小儿痉挛型脑性瘫痪后运动功能障碍临床研究

英文题名：Clinical Study on Motor Dysfunction of Infantile Spastic Cerebral Palsy Treated by Zheng's “Golden Chicken Pecking Rice” Acupuncture

作者：宋忠阳[1];秦晓光[1];方晓丽[1];陈玉婵[2]

第一作者：宋忠阳

机构：[1]甘肃中医药大学针灸推拿学院;[2]甘肃中医药大学中西结合学院

第一机构：甘肃中医药大学针灸推拿学院

年份：2018

卷号：25

期号：1

起止页码：23

中文期刊名：中国中医药信息杂志

外文期刊名：Chinese Journal of Information on Traditional Chinese Medicine

收录：CSTPCD;;CSCD:【CSCD_E2017_2018】；

基金：国家中医药管理局甘肃郑氏针法学术流派传承工作室项目(2305135901)

语种：中文

中文关键词：金鸡啄米针法;平补平泻;小儿脑性瘫痪;运动功能障碍

外文关键词：“golden chicken peck the rice” acupuncture; flat tonifying diarrhea method; children cerebral palsy;motor dysfunction

摘要：目的观察郑氏"金鸡啄米"针法治疗小儿痉挛型脑性瘫痪后运动功能障碍的临床疗效。方法采用随机数字表法将90例患儿分为金鸡啄米组和平补平泻组各45例。2组均进行Bobath康复训练,每次30~60 min;体针取风池、肝俞、肾俞、命门、太溪、孔最、曲池、合谷、阳陵泉、三阴交、环跳、梁丘、绝骨、太冲;头针取顶中线、顶颞前斜线、顶旁1线及顶旁2线。金鸡啄米组体针行"金鸡啄米"针法,头针行平补平泻法;平补平泻组体针、头针均行平补平泻法。2组针刺与Bobath康复训练交替进行,每周各3次,12次为1个疗程,连续3个疗程。观察2组治疗前后脑性瘫痪粗大运动功能分级系统(GMFCS)分级、粗大运动功能测量量表(GMFM)-88评分情况,评价临床疗效。结果 2组患儿治疗前后GMFCS分级比较,差异有统计学意义(P<0.05)。与本组治疗前比较,2组GMFM-88评分均升高(P<0.05);金鸡啄米组治疗后GMFM-88评分明显高于平补平泻组(P<0.05)。金鸡啄米组临床疗效总有效率为95.6%(43/45),平补平泻组为88.9%(40/45),2组比较差异有统计学意义(P<0.05)。结论郑氏"金鸡啄米"针法治疗小儿痉挛型脑性瘫痪后运动功能障碍疗效显著,可明显改善脑瘫患儿的运动功能。
Objective To compare the clinical efficacy of“golden chicken pecking rice”and flat tonifying diarrhea in the treatment of pediatric spastic cerebral palsy.Methods Totally90cases of children with pediatric spastic cerebral palsy diagnosis standard were divided into golden chicken pecking rice group and flat tonifying diarrhea group by random number table method,with45cases in each group.Bobath rehabilitation training was used for both groups,30–60min each time.Body acupoints were Fengchi,Ganshu,Shenshu,Mingmen,Taixi,Kongzui,Quchi,Hegu,Yanglingquan,Sanyinjiao,Huantiao,Liangqiu,Juegu,and Taichong.Head acupoints were taken from the top midline,top temporal lobe,the top side of line1,and the top side of line2.Golden chicken pecking rice group was given“golden chicken pecking rice”needling,and head acupoints were given flat tonifying diarrhea method;flat tonifying diarrhea group was given flat tonifying diarrhea method.Acupuncture and Bobath rehabilitation training were given alternatively,three time per week,12times as a course,for3courses.GMFCS and GMFM-88of the two groups before and after treatment were observed.Clinical efficacy was evaluated.Results The GMFCS of both groups were higher after treatment,with statistical significance(P<0.05).GMFM-88scores in both groups increased after treatment(P<0.05).GMFM-88score of the golden chicken pecking rice group was significantly higher than that of the flat tonifying diarrhea group,with statistical significance(P<0.05).The total effective rate was95.6%(43/45)in golden chicken pecking rice group and88.9%(40/45)in flat tonifying diarrhea group,with statistical significance(P<0.05).Conclusion Zheng’s“golden chicken pecking rice”acupuncture on the treatment of children spastic cerebral palsy with motor dysfunction is with confirmed efficacy,which can obviously improve the motor function of children with cerebral palsy.