益脑增智针法联合康复训练治疗脑瘫患儿临床疗效及对精细运动功能和智力发育的影响

蔡志军1，李巧秀1，朱佳宁2，王军 1 1.郑州大学第三附属医院，河南 郑州 450052；2.郑州市妇幼保健院，河南 郑州 450052

摘要：目的 观察益脑增智针法联合康复运动治疗脑瘫患儿临床疗效及对患儿精细运动功能和智力发育的影响。方法 将 132例脑瘫患儿随机分为观察组和对照组各66例。对照组予 Bobath 疗法、作业疗法及引

导式教育等康复治疗，观察组在对照组基础上予益脑增智针法。2组均连续治疗3个月。比较2组临床疗效、Peabody 精细运动发育量表（PDMS-FM）评分、精细运动功能评估量表（FMFM）评分、Gesell 量表发育商（DQ）和脑血流灌注指标。结果 观察组总有效率为 92.42%（61/66），对照组为 80.30%（53/66），观察组明显优于

对照组（P＜0.05）。与本组治疗前比较，2组治疗后 PDMS-FM 及 FMFM 评分、Gesell 量表各能区DQ值明显

升高（P＜0.05）。2 组治疗后比较，观察组 PDMS-FM、FMFM 评分及 Gesell 量表各能区DQ值明显高于对照

组（P＜0.05）。与本组治疗前比较，观察组大脑中动脉血流速度（VP）明显升高，血流阻力指数（RI）明显降

低（P＜0.05）。2 组治疗后比较，观察组VP 明显高于对照组，RI 明显低于对照组（P＜0.05）。结论 益脑增智针法联合康复运动可有效改善脑瘫患儿的精细运动功能，促进智力发育，改善脑血流量，增加脑组织血流灌注，并提高疗效。

关键词：益脑增智针法；脑瘫；精细运动；智力发育

DOI：10.3969/j.issn.1005-5304.2018.12.008

中图分类号：R272.974.2 文献标识码：A 文章编号：1005-5304(2018)12-0028-04

Clinical Efficacy of Yinao Zengzhi Acupuncture Combined with Rehabilitation Exercise for Children with Cerebral Palsy and Effects on Fine Motor Function and Intelligence Development

CAI Zhi-jun1, LI Qiao-xiu1, ZHU Jia-ning2, WANG Jun1

1. The Third Hospital Affiliated to Zhengzhou University, Zhengzhou 450052, China;

2. Zhengzhou Maternal and Child Health Care Hospital, Zhengzhou 450052, China

Abstract: Objective To observe the clinical efficacy of Yinao Zengzhi Acupuncture combined with rehabilitation exercise for children with cerebral palsy and effects on fine motor function and intelligence development. Methods Totally 132 children with cerebral palsy were selected and randomly divided into observation group and control group, with 66 cases in each group. The control group received rehabilitation treatment, such as Bobath therapy, homeopathic therapy and guided education. Observation group received Yinao Zengzhi Acupuncture based on the control group. The treatment for both groups lasted for three months. Clinical efficacy, Peabody Development Motor Scale - Fine Motor (PDMS-FM) and Fine Motor Function Assessment Scale (FMFM) score, Gesell scale development quotient (DQ), and cerebral blood perfusion indicators were compared between the two groups. Results The total effective rate was 92.42% (61/66) in the observation group and 80.30% (53/66) in the control group, which was significantly higher in the observation group than in the control group (P<0.05). Compared with before treatment, PDMS-FM and FMFM scores and DQ values of Gesell scale of both groups significantly increased

(P<0.05). After treatment, PDMS-FM and FMFM scores and DQ values of Gesell scale in the observation group were significantly higher than those in the control group (P<0.05). The blood flow velocity (VP) of middle cerebral artery in the observation group was significantly higher than that before treatment, and the blood flow resistance index (RI) was significantly lower than that before treatment (P<0.05). After treatment, the VP of observation group was significantly higher than that of the control group, and the RI was significantly lower than that of the control group

(P<0.05). Conclusion Yinao Zengzhi Acupuncture combined with rehabilitation exercise can effectively improve fine