Study on effect of acupuncture and massage combined with acupoint injection of astragalus on motor function and cerebral blood flow in children with cerebral palsy
Objective To analyze the effect of acupuncture and massage combined with acupoint injection of astragalus on motor function and cerebral blood flow in children with cerebral palsy(CP).Methods 100 children with CP were studied and divided into a conventional group and a treatment group according to random number table method,with 50 patients in each group.The conventional group received acupuncture and massage therapy,and the treatment group received acupuncture and massage combined with acupoint injection of astragalus therapy.Both groups were compared in terms of clinical effects,the scores of Gross Motor Function Measure(GMFM)and Fine Motor Function Measure Scale(FMFM),cerebral blood flow[mean blood flow velocity and vascular pulse index(PI)of middle cerebral artery(MCA),anterior cerebral artery(ACA),posterior cerebral artery(PCA)]before and after treatment.Results The total effective rate of the treatment group was 96.00%,which was significantly higher than 82.00%of the conventional group,and the comparison between the two groups showed differences(P＜0.05).The comparison of GMFM and FMFM before treatment showed similarity between the two groups(P＞0.05).After treatment,GMFM score of(199.76±21.22)points and FMFM score of(154.37±14.65)points in the treatment group were higher than(176.56±20.34)and(141.43±13.48)points in the conventional group,and the comparison between the two groups showed differences(P＜0.05).The mean blood flow velocity and PI of MCA,ACA and PCA before treatment were similar between the two groups(P＞0.05).After treatment,the mean blood flow velocity of MCA,ACA and PCA in the treatment group were(48.21±6.37),(36.25±3.45)and(33.27±3.78)cm/s,respectively,which were higher than(42.45±6.53),(34.78±3.27)and(30.76±4.12)cm/s in the conventional group;and PI of(0.87±0.23)was lower than(1.23±0.45)in the conventional group;and the comparison between the two groups showed differences(P＜0.05).Conclusion The combined application of acupuncture and massage and acupoint injection of astragalus in the treatment of CP children can improve the gross and fine motor functions of the children,and improve the cerebral blood flow,so that the muscle tension and postural abnormalities of CP children can be significantly improved,and play an irreplaceable effect of other therapies.
万方数据
维普
