[1]宋 瑶,郭建新,王 娴,等.温阳通络针灸法联合推拿治疗小儿脑瘫疗效观察[J].陕西中医,2023,(5):655-658.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.028]
 SONG Yao,GUO Jianxin,WANG Xian,et al.Curative effect of Wenyang Tongluo acupuncture combined with massage on children with cerebral palsy[J].,2023,(5):655-658.[doi:DOI:10.3969/j.issn.1000-7369.2023.05.028]
点击复制

温阳通络针灸法联合推拿治疗小儿脑瘫疗效观察
分享到:

《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2023年5期
页码:
655-658
栏目:
针灸经络
出版日期:
2023-05-05

文章信息/Info

Title:
Curative effect of Wenyang Tongluo acupuncture combined with massage on children with cerebral palsy
作者:
宋 瑶郭建新王 娴瞿梦婷周 钰
(新疆医科大学第一附属医院,新疆 乌鲁木齐 830054)
Author(s):
SONG YaoGUO JianxinWANG XianQU MengtingZHOU Yu
(The First Affiliated Hospital of Xinjiang Medical University,Urumqi 830054,China)
关键词:
脑瘫 温阳通络针灸法 推拿 智力发育 运动功能发育 氧化应激
Keywords:
Cerebral palsy Wenyang Tongluo acupuncture Massage Intelligence development Motor function development Oxidative stress
分类号:
R 742.3
DOI:
DOI:10.3969/j.issn.1000-7369.2023.05.028
文献标志码:
A
摘要:
目的:观察温阳通络针灸法联合推拿治疗小儿脑瘫的疗效。方法:选取100例痉挛型小儿脑瘫患者按照随机数字表法均分为对照组和观察组。对照组进行推拿治疗,观察组采用温阳通络针灸法联合推拿治疗。比较两组临床疗效以及患儿智力[以发育商(DQ)评估]、运动功能发育情况(以GMFM-88和FMFM量表评估),比较两组患儿氧化应激指标[超氧化物歧化酶(SOD)、丙二醛(MDA)、半胱氨酸天冬氡酸蛋白酶3(Caspase-3)]。结果:治疗后,观察组总有效率高于对照组(P<0.05)。治疗后,两组患儿DQ评分、GMFM-88和FMFM量表评分均升高,且观察组得分较高(P<0.05)。治疗后,两组患儿血清SOD水平均升高,血清MDA、Caspase-3水平均下降,且观察组血清SOD水平较高,血清MDA、Caspase-3水平较低(P<0.05)。两组患儿不良反应发生率比较差异无统计学意义(P>0.05)。结论:温阳通络针灸法联合推拿能够显著改善小儿脑瘫的智力及运动功能发育,提高临床治疗效果,其作用机制可能与改善患儿氧化应激损伤有关。
Abstract:
Objective:To observe the curative effect of Wenyang Tongluo acupuncture combined with massage on children with cerebral palsy.Methods:According to random number table method,100 children with spastic cerebral palsy were divided into control group and observation group.The control group was treated with massage,while observation group was additionally treated with Wenyang Tongluo acupuncture.The clinical curative effect,intelligence development [development quotient(DQ)],motor function development(GMFM-88,FMFM)and oxidative stress indexes [superoxide dismutase(SOD),malondialdehyde(MDA),cysteine proteinase 3(Caspase-3)] were compared between the two groups.Results:After treatment,total response rate of observation group was higher than that of control group(P<0.05).After treatment,the above scores were increased in both groups,which were higher in observation group than control group(P<0.05).After treatment,level of serum SOD was increased,while levels of serum MDA and Caspase-3 were decreased in both groups.The level of serum SOD was higher in observation group than control group,while levels of serum MDA and Caspase-3 were lower in observation group(P<0.05).The incidence of adverse reactions in the observation group was similar to that in the control group(P>0.05).Conclusion:Wenyang Tongluo acupuncture combined with massage can significantly improve the development of intelligence and motor function in children with cerebral palsy,and improve clinical curative effect.The mechanism may be related to improving oxidative stress injury.

参考文献/References:

[1] 李晓捷,邱洪斌,姜志梅,等.中国十二省市小儿脑性瘫痪流行病学特征[J].中华实用儿科临床杂志,2018,33(5):378-383.
[2] 王 勇.脑瘫中医辨证思路刍议[J].中华中医药杂志,2012,27(1):202-204.
[3] 王丹蓉,吴云川.中医推拿治疗小儿脑性瘫痪研究现状[J].医学综述,2015,21(19):3519-3521.
[4] 刘嘉林,朱普贤,韩雪娟,等.泻阴补阳针刺法联合化痰通络解痉汤治疗脑卒中痉挛性瘫痪[J].吉林中医药,2017,37(12):1275-1279.
[5] 汪林英,肖洪波,张庆萍,等.化瘀通络灸结合针刺治疗脑卒中后轻度认知障碍的临床疗效观察[J].安徽中医药大学学报,2021,40(5):40-44.
[6] 江载芳,申昆玲,沈 颖.诸福棠实用儿科学[M].8版.北京:人民卫生出版社,2015:2006-2008.
[7] 国家食品药品监督管理局.中药新药临床研究指导原则(试行)[M].北京:中国医药科技出版社,2002:346-349.
[8] 中国康复医学会儿童康复专业委员会,中国残疾人康复协会小儿脑性瘫痪康复专业委员会,《中国脑性瘫痪康复指南》编委会.中国脑性瘫痪康复指南(2015):第七部分[J].中国康复医学杂志,2016,31(1):118-128.
[9] 宋彩虹,张 瑜,杨学武,等.氢质子磁共振波谱联合Gesell发育量表对足月新生儿缺氧缺血性脑病预后的评估价值[J].陕西医学杂志,2021,50(3):323-326.
[10] 拉塞尔,吴卫红,陆华保,等. 粗大运动功能测量(GMFM-66和GMFM-88)使用手册[M].北京:华夏出版社,2015:169-172.
[11] 孙思媛,高雪婷,肖 琳,等.晚期早产儿160例Gesell婴幼儿智能测评研究[J].陕西医学杂志,2019,48(9):1171-1174.
[12] 沈红岩,张 程,贾广良.王雪峰采用输合配穴针刺疗法从疏肝健脾论治小儿痉挛型脑性瘫痪[J].广州中医药大学学报,2018,35(5):915-919.
[13] 戚潇禹,杨 曦,刘璐佳,等.中西医疗法治疗痉挛型脑瘫研究进展[J].陕西中医,2017,38(7):981-982.
[14] 吕晓琳,孙忠人,郝吉顺,等.近5年针刺为主治疗小儿脑瘫研究概况[J].中医药学报,2017,45(1):51-56.
[15] 耿丽娟,王葆辉,刘 洁,等.醒脑开窍汤联合针灸治疗脑瘫疗效及对患儿运动与日常生活能力的影响[J].陕西中医,2019,40(5):664-666.
[16] 田利娟,王 苗,周 钰.基于JAK/STAT通路探讨温阳通络针灸法干预缺氧脑瘫幼鼠的作用机制研究[J].四川中医,2021,39(9):42-47.
[17] Solevag AL,Schmolzer GM,Cheung PY.Novel interventions to reduce oxidative-stress related brain injury in neonatal asphyxia[J].Free Radic Biol Med,2019,142(1):113-122.
[18] 冯珊珊,阎 宇,王 磊.积雪草苷对大鼠缺血再灌注脑组织损伤的保护作用研究[J].解放军医药杂志,2021,33(2):1-4.
[19] 刘爱国,吴秀玲,徐静红,等.针灸对帕金森病患者血清MDA、SOD及胱抑素C水平的影响[J].中医药导报,2018,24(22):104-106.
[20] 高 亭,高 慧.针灸联合通心活血解毒汤对缺血性脑卒中纤维细胞生长因子和血管内皮生长因子及细胞凋亡相关指标的影响[J].中国中医急症,2018,27(6):1048-1050.

相似文献/References:

[1]耿丽娟,王葆辉,刘 洁,等.醒脑开窍汤联合针灸治疗脑瘫疗效及对患儿运动 与日常生活能力的影响*[J].陕西中医,2019,(5):664.
[2]安晓菲䥺Symbol`@@,李 璟,黄馨云,等.针灸结合康复疗法治疗痉挛型脑瘫临床疗效Meta分析[J].陕西中医,2019,(10):1477.
 AN Xiaofei,LI Jing,HUANG Xinyun,et al.Metaanalysis of clinical efficacy of the treatment combined with acupuncture and rehabilitation therapy for spastic cerebral palsy[J].,2019,(5):1477.
[3]单娥仙,余恒希,闵彦清,等.推拿治疗小儿脑瘫研究进展[J].陕西中医,2022,(1):130.[doi:DOI:10.3969/j.issn.1000-7369.2022.01.034]
[4]周 钰,热米拉·卡玛力.温阳通络针灸法联合穴位埋线治疗小儿痉挛型脑瘫临床研究[J].陕西中医,2023,(12):1800.[doi:DOI:10.3969/j.issn.1000-7369.2023.12.030]
 ZHOU Yu,REMILA Camali.Clinical study on the treatment of children spastic cerebral palsy by Wenyang Tongluo acupuncture and moxibustion combined with acupoint catgut embedding[J].,2023,(5):1800.[doi:DOI:10.3969/j.issn.1000-7369.2023.12.030]

备注/Memo

备注/Memo:
基金项目:国家自然科学基金资助项目(8196150350)
更新日期/Last Update: 2023-05-09