LAUSR

ObjectiveTo observe the clinical efficacy of Governor Vessel-unblocking and brain-refreshing scalp acupuncture for cerebral palsy (CP) complicated with intellectual disabilities.MethodsA total of 300 CP cases aged between 1 and 5 years were randomly allocated into a treatment group (n=150) and a control group (n=150). Patients in the treatment group were treated with Governor Vessel-unblocking and brainrefreshing scalp acupuncture combined with rehabilitation training, whereas patients in the control group received rehabilitation training alone. The Beijing Gesell developmental (Gesell) scale and gross motor function measure (GMFM) scale were used to assess the motor and intellectual development before and 3 months after the treatment. In addition, the head CT/MRI examination was applied to assess the brain nerve repair before and after the treatment.ResultsAfter the treatment, the total effective rate in the treatment group was 78.0%, versus 42.7% in the control group, showing a statistical significance (P<0.05). As for scores of five subscales in the Gesell scale, there were significant intra-group differences in the treatment group (all P<0.05); and the scores in the treatment group were significantly better than those in the control group (all P<0.05). As for scores of five dimensions in GMFM scale, there were significant intra-group differences in the treatment group (all P<0.05); and the scores in the treatment group were significantly better than those in the control group (all P<0.05). According to the head CT/MRI findings, the total effective rate was 73.3% in the treatment group, versus 62.0% in the control group, showing a statistical significance (P<0.05).ConclusionWhen used in combination with rehabilitative training, Governor Vessel-unblocking and brain-refreshing scalp acupuncture can significantly improve the clinical efficacy for cerebral palsy complicated with intellectual disabilities. It can also improve the patients’ motor function, intelligence and language ability.摘要目的观察通督醒脑头针疗法治疗脑性瘫痪(CP)合并智力障碍的临床疗效。方法将纳入研究的300例1~5岁CP患儿随机分为两组, 治疗组(150例)采用通督醒脑头针治疗, 并配合康复训练; 对照组(150例)仅接受康复训练。分别于治疗前及治疗后3个月使用北京盖什尔量表(Gesell)、神经发育评定量表及美国粗大运动功能量表(GMFM)评定患儿在运动、智力发育的变化情况, 并应用头颅CT/MRI检查评估患儿治疗前后脑神经修复情况。结果治疗后, 治疗组总有效率78.0%, 明显高于对照组的42.7% (P<0.05)。在Gesell量表五个能区评分方面, 治疗组治疗前后差异均有统计学意义(均P<0.05); 治疗后, 治疗组Gesell量表五个能区的评分均优于对照组(均P<0.05)。在GMFM量表五个能区评分方面, 治疗组治疗后均比本组治疗前有显著提高(均P<0.05)。头颅影像学检查显示治疗后治疗组有效率为73.3%, 对照组有效率为62.0%, 差异具有统计学意义(P<0.05)。结论通督醒脑头针疗法能在康复训练的基础上显著提高脑性瘫痪合并智力障碍的临床疗效, 能较好地改善脑性瘫痪患儿的运动功能及提高智商、语言能力。