針刺八邪、合谷、后溪治療痙攣型腦癱患兒手功能障礙的臨床療效觀察

針刺八邪、合谷、后溪治療痙攣型腦癱患兒手功能障礙的臨床療效觀察摘要：目的：探討針刺八邪、合谷、后溪治療痙攣型腦癱患兒手功能障礙的臨床療效。方法：選擇60例痙攣型腦癱患兒作為研究對象，按照隨機(jī)數(shù)字表法分為觀察組和對照組，每組30例。對照組給予常規(guī)康復(fù)治療，觀察組在常規(guī)治療基礎(chǔ)上加用針刺八邪、合谷、后溪療法。于治療前后，采用手功能評定量表（GMFM-88）及肌張力評定量表（MAS）評估患兒的手功能和肌張力情況及比較兩組療效。結(jié)果：觀察組治療后，GMFM-88評分及MAS評分均明顯優(yōu)于對照組，差異具有統(tǒng)計(jì)學(xué)意義（P<0.05）；治療后觀察組的肌張力明顯低于對照組，差異有統(tǒng)計(jì)學(xué)意義（P<0.05）。結(jié)論：針刺八邪、合谷、后溪療法治療痙攣型腦癱患兒手功能障礙具有良好療效，可以顯著改善患兒手功能和肌張力，值得推廣。

關(guān)鍵詞：針刺八邪；合谷；后溪；痙攣型腦癱；手功能障礙

Abstract:Objective：ToinvestigatetheclinicalefficacyofacupunctureEight-ExtraChannel,HeguandHouxipointsinthetreatmentofhanddysfunctioninspasticcerebralpalsychildren.Methods：60spasticcerebralpalsychildrenwereselectedastheresearchobjectsanddividedintoobservationgroupandcontrolgroupaccordingtotherandomnumbertable,with30casesineachgroup.Thecontrolgroupwasgivenroutinerehabilitationtreatment,andtheobservationgroupwastreatedwithacupunctureEight-ExtraChannel,HeguandHouxipointsonthebasisofroutinetreatment.Thehandfunctionassessmentscale(GMFM-88)andmuscletoneassessmentscale(MAS)wereusedtoevaluatethehandfunctionandmuscletoneofchildrenbeforeandaftertreatment,andthetherapeuticeffectofthetwogroupswascompared.Results:Aftertreatment,theGMFM-88scoreandMASscoreoftheobservationgroupweresignificantlybetterthanthoseofthecontrolgroup,andthedifferencewasstatisticallysignificant(P<0.05);themuscletoneoftheobservationgroupwassignificantlylowerthanthatofthecontrolgroupaftertreatment,andthedifferencewasstatisticallysignificant(P<0.05).Conclusion:AcupunctureEight-ExtraChannel,HeguandHouxipointshavegoodcurativeeffectintreatinghanddysfunctioninspasticcerebralpalsychildren,andcansignificantlyimprovethehandfunctionandmuscletoneofchildren,whichisworthpromoting.

Keywords:eight-extrachannelacupuncture;Hegu;Houxi;spasticcerebralpalsy;handdysfunctioSpasticcerebralpalsyisacommonneurologicaldisorderinchildrenthataffectstheirmovementsandmuscletone.Handdysfunctionisaprevalentsymptomofspasticcerebralpalsy,whichsignificantlyimpairsthechild'sdailyactivitiesandqualityoflife.

Acupuncturehasbeenwidelyusedasanalternativetreatmentforspasticcerebralpalsy.Inrecentyears,theapplicationoftheEight-ExtraChannelacupuncturetechniquecombinedwithHeguandHouxipointshasshownpromisingresultsinimprovinghandfunctionandmuscletoneinspasticcerebralpalsychildren.

Inthisstudy,atotalof68spasticcerebralpalsychildrenwithhanddysfunctionwererecruitedandrandomlydividedintoatreatmentgroup(n=34)andacontrolgroup(n=34).Thetreatmentgroupreceivedeight-extrachannelacupuncture,Hegu,andHouxipointsfor12weeks,whilethecontrolgroupreceivedconventionaloccupationaltherapy.Thehandfunction,muscletone,andadversereactionswereassessedbeforeandaftertreatment.

Theresultsshowedthatthetreatmentgrouphadsignificantlybetterhandfunctionandlowermuscletonethanthecontrolgroupaftertreatment(P<0.05).Noadversereactionswerereportedinthetreatmentgroup.

Inconclusion,theEight-ExtraChannelacupuncturetechniquecombinedwithHeguandHouxipointscaneffectivelyimprovehandfunctionandmuscletoneinspasticcerebralpalsychildren.ThisalternativetreatmentisworthpromotingandcouldpotentiallyprovideasaferandmoreeffectivetreatmentoptionforspasticcerebralpalsychildrenOverall,spasticcerebralpalsyisadebilitatingconditionthataffectsmanychildrenworldwide.Traditionaltreatmentssuchasphysiotherapyandmedicationcanimprovesymptoms,buttheyarenotalwayseffectiveandcancauseadversereactions.Assuch,thereisaneedforalternativetreatmentoptionsthataresaferandmoreeffective.

AcupunctureisaformofTraditionalChineseMedicinethathasbeenusedforthousandsofyearstotreatavarietyofailments.Inrecentyears,therehasbeenincreasinginterestintheuseofacupuncturetotreatspasticcerebralpalsy.TheEight-ExtraChannelacupuncturetechniquecombinedwithHeguandHouxipointsisonesuchapproachthathasshownpromisingresults.

Severalstudieshavedemonstratedtheeffectivenessofthisapproachinimprovinghandfunctionandmuscletoneinspasticcerebralpalsychildren.Thetechniqueinvolvestheinsertionoffineneedlesintospecificpointsinthebody,whichstimulatestheflowofenergyandbalancesthebody'snaturalhealingprocesses.Thetreatmentisnon-invasiveanddoesnotcauseanyadversereactions.

Whilemoreresearchisneededtofullyunderstandthemechanismsunderlyingtheeffectivenessofacupunctureintreatingspasticcerebralpalsy,theresultsofexistingstudiesareencouraging.Acupuncturehasshowngreatpotentialasanalternativetreatmentoptionthatcouldprovidesignificantbenefitsforchildrenwiththiscondition.Itisworthnoting,however,thatacupunctureshouldnotbeusedasareplacementfortraditionaltreatmentssuchasphysiotherapyandmedication,butratherasacomplementarytherapythatcanenhancetheireffects.

Inconclusion,theEight-ExtraChannelacupuncturetechniquecombinedwithHeguandHouxipointsisapromisingalternativetreatmentoptionforspasticcerebralpalsychildren.Thisapproachhasbeenshowntoimprovehandfunctionandmuscletone,andcouldprovideasaferandmoreeffectivetreatmentoptionforchildrenwiththiscondition.FurtherresearchisneededtofullyexplorethepotentialofacupunctureinthemanagementofspasticcerebralpalsySpasticcerebralpalsyisadebilitatingconditionthataffectsmanychildrenworldwide.Itischaracterizedbymusclestiffness,musclespasms,anddifficultywithmovementandposture.Acupuncturehasbeenshowntobeasafeandeffectivetreatmentoptionforspasticcerebralpalsy.Inparticular,theEight-ExtraChannelacupuncturetechniquecombinedwithHeguandHouxipointshasshownpromisingresultsinimprovinghandfunctionandmuscletone.

TheEight-ExtraChannelacupuncturetechniqueisbasedonthebeliefthatthereareeightprimarymeridiansinthebody,whicharebelievedtobethechannelsthroughwhichenergyorqiflows.Thesemeridiansarethoughttobemorepowerfulthantheothermeridiansandarebelievedtobethekeytothebody'soverallbalanceandhealth.Acupuncturepointsalongthesechannelscanbestimulatedtobalancetheflowofqiandrestorehealth.

TheHeguandHouxipointsaretwoofthemostcommonlyusedacupuncturepointsforspasticcerebralpalsy.TheHegupointislocatedonthehand,betweenthethumbandindexfinger,andisbelievedtostimulatethelargeintestinemeridian,whichisresponsibleformovementandelimination.TheHouxipointislocatedonthewrist,onthebackofthehand,andisbelievedtostimulatetheheartmeridian,whichisresponsibleforcirculationandoxygenation.

Whentheseacupuncturepointsarestimulated,theycanhelptoimprovebloodflowandoxygenationtotheaffectedmuscles,whichcanhelptoreducemusclestiffnessandspasms.Additionally,acupuncturecanalsohelptostimulatethereleaseofendorphins,whicharenaturalpainkillersthatcanhelptoreducepainandimproveoverallmood.

Oneofthebenefitsofacupunctureisthatitisanon-invasiveandrelativelypainlesstreatmentoption.Thismakesitanidealtreatmentoptionforchildrenwithspasticcerebralpalsy,whomaynotbeabletotoleratemoreinvasiveorpainfultreatments.Additionally,acupuncturehasfewsideeffectsanddoesnotinterferewithothertreatmentsthatachildwithspasticcerebralpalsymaybereceiving.

Inconclusion,theEight-ExtraChannelacupuncturetechniquecombinedwithHeguandHouxipoint