世界中医药
文章摘要
引用本文:安晓菲,吴梦蝶,侯瑜超,陈晓桐,李璟.针灸治疗痉挛型脑瘫的临床应用[J].世界中医药,2020,(21):.  
针灸治疗痉挛型脑瘫的临床应用
Clinical Application of Acupuncture and Moxibustion in Treating Spastic Cerebral Palsy
投稿时间:2019-07-22  
DOI:10.3969/j.issn.1673-7202.2020.21.016
中文关键词:  针灸  痉挛型  脑瘫  临床应用  康复疗法  文献
English Keywords:Acupuncture  Spasticity  Cerebral palsy  Clinical application  Rehabilitation therapy  Literature
基金项目:上海市十三五临床重点专科(中医)项目(shslczdzk04701)
作者单位
安晓菲,吴梦蝶,侯瑜超,陈晓桐,李璟 上海中医药大学附属岳阳中西医结合医院上海200437 
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中文摘要:
      目的:回顾和整理近10年针灸治疗痉挛型脑瘫临床应用现状,为临床治疗方法和穴位选择,以及临床研究设计提供参考依据。方法:通过检索Web of Science、Science Direct、Pubmed、中国期刊全文数据库、中文科技期刊数据库、万方医学数据库、生物医学等数据库中已发表的关于针灸治疗痉挛型脑瘫临床随机对照试验的相关文献,按照纳入及排除标准筛选文献,整理资料,评价文献质量,提取数据,分析整理。结果:根据检索策略,最终纳入文献65篇,针灸治疗痉挛型脑瘫的方法以针灸疗法+康复疗法为主,结合或未结合其他疗法。头针使用率高,常头针、体针并用。头针使用中以焦氏头针、靳氏头针和标准头穴线多用。体针取穴以足阳明胃经、足少阳胆经、足太阴脾经、手阳明大肠经、足太阳膀胱经及督脉的所属经穴使用最多,使用频率最高的腧穴依次为足三里、三阴交、合谷、曲池、阳陵泉、肩髃、百会等。观察疗程的设定各临床试验差异较大。疗效观察指标以粗大运动功能量表和Ashworth痉挛评定量表使用最多。结论:针灸治疗痉挛型脑瘫疗效肯定,但临床试验方案设计的诸多环节尚有欠缺,影响临床研究的可重复性和临床结论的准确可靠性。
English Summary:
      To review and sort out the current status of the clinical application of acupuncture and moxibustion in the treatment of spastic cerebral palsy in the past 10 years,and provide a reference for clinical treatment methods,acupoint selection,and clinical research design.Methods:Through the related literature published in the databases of Web of Science,Science Direct,Pubmed,CNKI,Wanfang,VIP,Biomedicine and other database,clinical randomized controlled trials of acupuncture and moxibustion treatment of spastic cerebral palsy was searched.According to inclusion and exclusion criteria literature,data was organized,document quality was evaluated,data was extracted,analyzed and organized.Results:According to the retrieval strategy,a total of 65 papers were finally included.The method of acupuncture treatment of spastic cerebral palsy was mainly acupuncture therapy+rehabilitation therapy,with or without other therapies.The scalp acupuncture rate was high,and the regular scalp acupuncture and body acupuncture were used together.In the use of scalp needles,Jiao's scalp needles,Jin's scalp needles and standard scalp thread were used.The body acupuncture points were most frequently used in the corresponding meridians of the foot-shaoyang,spleen meridian of foot-taiyin,large intestinal meridian of hand-yangming,bladder meridian of foot-taiyang and governor meridian,and the most frequently used acupoints in order were Zusanli(ST36),Sanyinjiao(SP6),Hegu(LI4),Quchi(LI11),Yanglingquan(GB34),Jianyu(LI15),Baihui(DU20)etc.The setting of the observation course of treatment varies greatly among clinical trials.The efficacy observation indicators are mostly the Gross Motor Function Scale and Ashworth Spasticity Rating Scale.Conclusion:The curative effect of acupuncture and moxibustion in the treatment of spastic cerebral palsy is definite,but many links in the design of the clinical trial plan are still lacking,which affects the reproducibility of clinical research and the accuracy and reliability of clinical conclusions.It needs to be improved and perfected in future clinical research.
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