| 聂晶莉,缪圣星,文文兵,姚霞秋,吴婧,李闪,李左娟.头皮针联合重复经颅磁刺激改善脑瘫儿童平衡功能及生活质量的效果研究[J].实用中西医结合临床,2025,25(6): |
| 头皮针联合重复经颅磁刺激改善脑瘫儿童平衡功能及生活质量的效果研究 |
| The effect of scalp acupuncture combined with repeated transcranial magnetic stimulation on improving balance function and quality of life in children with cerebral palsy |
| 投稿时间：2024-07-22 修订日期：2024-10-02 |
| DOI： |
| 中文关键词: 头皮针 重复经颅磁刺激 脑瘫 平衡功能 生活质量 |
| 英文关键词: Scalp needle Repetitive transcranial magnetic stimulation Cerebral palsy Balance function Quality of life |
| 基金项目:江西省中医药管理局科技计划（编号：2023B0542） |
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| 中文摘要: |
| 目的：探讨头皮针联合重复经颅磁刺激技术在改善脑瘫患儿平衡功能和生活质量上的治疗实效性，量化疗效水平，并观察操作的安全性。方法 将2022年1月至2023年12月帐治的60例西医确诊痉挛型脑瘫（偏瘫）、中医辨证分型为肝肾亏虚证、气虚血瘀证、痰湿阻滞证的脑瘫患儿纳入研究，随机分为两组，各30例。对照组予单一头皮针治疗，试验组予头皮针联合重复经颅磁刺激治疗，观察两组临床疗效。结果 试验组BBS评分、WeeFIM评分、PDMS-GM评分、FMFM评分均高于对照组，PedsQLTM评分低于对照组，差异有统计学意义（P＜0.05）；试验组步长长于对照组，步宽窄于对照组，步速快于对照组；家属满意度试验组明显高于对照组，差异有统计学意义（P＜0.05）；不良反应差异无统计学意义（P＞0.05）。结论 头皮针联合重复经颅磁刺激技术治疗痉挛型小儿脑瘫，有助于促进患儿粗大运动和精细运动发育，改善患儿的平衡功能，提高患儿独立生活能力与生活质量，操作安全性理想。 |
| 英文摘要: |
| [Abstract]Purpose Exploring the therapeutic effectiveness of scalp acupuncture combined with repetitive transcranial magnetic stimulation technology in improving balance function and quality of life in children with cerebral palsy, quantifying the therapeutic effect level, and observing the safety of the operation.Method 90 children with spastic cerebral palsy (hemiplegia) diagnosed by Western medicine and diagnosed with liver and kidney deficiency syndrome, qi deficiency and blood stasis syndrome, and phlegm dampness obstruction syndrome in traditional Chinese medicine were included in the study, The patients were randomly divided into three groups of 30 cases each, control group 1 was given a single scalp needle treatment, control group 2 was given a single repetitive transcranial magnetic stimulation treatment. and treatment group was treated with scalp acupuncture combined with repeated TMS. The clinical efficacy of the three groups was observed.BBS, WeeFIM, PDMS-GM, and FMFM scores were higher than those of control group 1 and control group 2, the control group 1 and control group 2 were higher than PedsQLTM The score, The difference was statistically significant (P<0.05); The step length of the test group was longer than that of control 1 and control 2, Step width was narrower than that of control group 1 and control group 2, Step faster than in control group 1 and control group 2, Limb stiffness, muscle atrophy, fatigue are lower than control group 1 and control group 2, The difference was statistically significant (P<0.05); In terms of treatment efficiency and family treatment satisfaction, The test group all had the highest results, The difference was statistically significant (P<0.05); On the incidence rate of adverse reactions, There was no significant difference between the three groups (P>0.05).Result BBS, WeeFIM, PDMS-GM, and FMFM scores were higher than those of control group 1 and control group 2, PedsQLTM The score was lower than the control group 1 and control group 2, The difference was statistically significant (P<0.05); The step length of the test group was longer than that of control 1 and control 2, Step width was narrower than that of control group 1 and control group 2, Step faster than in control group 1 and control group 2, Limb stiffness, muscle atrophy, fatigue are lower than control group 1 and control group 2, The difference was statistically significant (P<0.05); In terms of treatment efficiency and family treatment satisfaction, The experimental group had the highest results, and the difference was statistically significant (P<0.05); in terms of the incidence of adverse reactions, the difference between the three groups was not conspicuous(P>0.05).Conclusion The combination of scalp acupuncture and repetitive transcranial magnetic stimulation technology in the treatment of spastic cerebral palsy in children can help promote the development of gross and fine motor skills, thereby improving the balance function of children, enhancing their independent living ability and quality of life. The treatment effect is significant, and the operation safety is ideal. |
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