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我国近10年针刺治疗小儿脑瘫临床应用概况 被引量:25

Literature review of clinical application of acupuncture in child cerebral palsy in resent 10 years in China
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摘要 目的:对国内近10年针刺治疗小儿脑瘫的临床应用概况进行总结。方法:计算机检索CNKI中国期刊全文数据库、维普资讯-中文科技期刊数据库1999-2008年中文期刊,得到相关临床和机制研究文献143篇;从临床选穴、治疗方法、治疗时间、治疗机制4个方面对国内近10年针刺治疗小儿脑瘫的临床运用概况进行分析、总结。结果:针刺治疗小儿脑瘫取穴以头针功能区、体穴为主;头部多平刺、躯干多直刺,临床中除了单独使用针刺,亦与穴位埋线、穴位注射、推拿等方法结合;留针时间从半刺、速刺不留针,到头针20min-4h、体针20-40min不等,疗程以1个月为单位,临床治疗多在3个疗程以上;针刺治疗多从先天禀赋不足、肝肾亏虚,后天调养失当、气血虚弱进行论治,其治疗机制现代医学多认为与改善脑循环、恢复脑细胞功能有关。结论:针刺治疗小儿脑瘫在恢复患儿肢体功能方面具有优势,但在研究方法、试验设计、机制探讨方面尚待进一步完善。 Objective:To make a synthetic comment on treatment of children cerebral palsy with acupuncture in recent 10 years in China.Methods:Related papers were gotten from the journals between 1999-2008 in Chinese journal full-test database and VIP information-Chinese technology journal database by computer retrieval.The collected 143 papers were analyzed from the terms of clinical acupoints selection,treatment methods,time,and mechanism,and then summarized the clinical effects of acupuncture in treating children cerebral palsy.Results:The acupoints selection was focus on scalp acupuncture functional area and body points(including scalp points).Beside acupuncture treatment,the combination of acupoint embedding therapy,acupoint injection,and massage were also used.The therapy time was different from 20min to 4h,and the treatment course was usually be counted by month.The effects of acupuncture treatment were considered to be significant through improving brain circulation and recovering brain cells' function. Conclusion:Acupuncture treatment had advantages in improving the child'limbs function,nevertheless further studies on the research methods,study design and mechanism were all needed.
作者 陈滢如 朱江
出处 《中华中医药杂志》 CAS CSCD 北大核心 2010年第6期896-900,共5页 China Journal of Traditional Chinese Medicine and Pharmacy
基金 国家重点基础研究发展计划(973计划) (No.2006CB504503)~~
关键词 针刺 小儿脑瘫 述评 Acupuncture Child cerebral palsy Review
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