针刺八邪、合谷、后溪治疗痉挛型脑瘫患儿手功能障碍的临床疗效观察

针刺八邪、合谷、后溪治疗痉挛型脑瘫患儿手功能障碍的临床疗效观察摘要：目的：探讨针刺八邪、合谷、后溪治疗痉挛型脑瘫患儿手功能障碍的临床疗效。方法：选择60例痉挛型脑瘫患儿作为研究对象，按照随机数字表法分为观察组和对照组，每组30例。对照组给予常规康复治疗，观察组在常规治疗基础上加用针刺八邪、合谷、后溪疗法。于治疗前后，采用手功能评定量表（GMFM-88）及肌张力评定量表（MAS）评估患儿的手功能和肌张力情况及比较两组疗效。结果：观察组治疗后，GMFM-88评分及MAS评分均明显优于对照组，差异具有统计学意义（P<0.05）；治疗后观察组的肌张力明显低于对照组，差异有统计学意义（P<0.05）。结论：针刺八邪、合谷、后溪疗法治疗痉挛型脑瘫患儿手功能障碍具有良好疗效，可以显著改善患儿手功能和肌张力，值得推广。

关键词：针刺八邪；合谷；后溪；痉挛型脑瘫；手功能障碍

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