Clinical observation on 30 cases of pediatric cerebral palsy with liver and kidney deficiency syndrome treated with Tiaoshen Tongdu acupuncture combined with acupoint tuina
Objective To observe the clinical efficacy of the combination of Tiaoshen Tongdu acupuncture and acupoint tuina in the treatment of cerebral palsy in children with liver and kidney deficiency syndrome.Methods Sixty cases of cerebral palsy in children with liver and kidney deficiency syndrome admitted to the Rehabilitation Department of Jiangshan People's Hospital and the Rehabilitation Department of Jiangshan Fourth People's Hospi-tal from July 2020 to July 2022 were selected.They were randomly divided into a treatment group and a control group,with 30 cases in each group,using a random number table method.The control group was given intramuscular injection of rat nerve growth factor and monosialotetrahexosylganglioside sodium injection,while the treatment group was given the combination of Tiaoshen Tongdu acupuncture and acupoint tuina therapy.Both groups were treated for one month as a course of treatment,and the clinical efficacy was calculated after a total of three courses of treat-ment.Results The total clinical effective rate of the treatment group was 96.67％(29/30),while that of the con-trol group was 83.33％(25/30).The difference between the two groups was statistically significant(P＜0.05).There was no statistically significant difference(P＞0.05)in the CDCC scores and developmental quotient(DQ)between the two groups before treatment,indicating comparability.After treatment,the CDCC score and DQ value of both groups significantly increased,with statistical significance(P＜0.05)compared to before treatment in the same group,and the treatment group showed a more significant increase(P＜0.05).There was no statistically significant difference(P＞0.05)in the scores of the gross motor function scale(GMFM)and fine motor function scale(FM-FM)between the two groups before treatment,indicating comparability.After treatment,the GMFM and FMFM scores in both groups significantly increased,with statistical significance(P＜0.05)compared to before treatment in the same group,and the treatment group showed a more significant increase(P＜0.05).Before treatment,the two groups of anterior cerebral artery(ACA),middle cerebral artery(MDA),vertebral artery(VA),and basilar artery(BA)were compared,and the pulsatile index(PI)values were calculated.The difference was not statistically sig-nificant(P＞0.05),indicating comparability.After treatment,the values of ACA,MDA,VA,BA,and PI in both groups significantly increased.Compared with the same group before treatment,the difference was statistically signifi-cant(P＜0.05),and the treatment group showed a more significant increase(P＜0.05).Conclusion The combina-tion of Tiaoshen Tongdu acupuncture and acupoint tuina has a significant therapeutic effect on the liver and kidney deficiency syndrome in children with cerebral palsy.It is beneficial for improving the intellectual level and motor function of children,improving cerebral blood flow perfusion,and is worthy of clinical promotion and application.
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