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醒脑通督针刺联合推拿治疗小儿脑瘫的效果

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目的:观察醒脑通督针刺联合推拿治疗小儿脑瘫的效果.方法:选取 2022 年 2 月至 2023 年 2 月该院收治的 70 例脑瘫患儿进行前瞻性研究,按照随机数字表法将其分为研究组与对照组各 35 例.对照组采用中医推拿治疗,研究组在对照组基础上联合醒脑通督针刺疗法.比较两组临床疗效,治疗前后日常生活能力[儿童生活质量量表脑瘫模块(PedsQL-CP)]评分、运动功能[粗大运动功能评估量表(GMFM)]评分、脑血流动力学指标[大脑前动脉(ACA)、基底动脉(BA)血流速度]水平及改良Ashworth痉挛量表分级.结果:研究组治疗总有效率为 94.29%(33/35),高于对照组的 77.14%(27/35),差异有统计学意义(P<0.05);治疗后,研究组PedsQL-CP、GMFM评分及ACA、BA血流速度均高于对照组,改良Ashworth痉挛量表分级低于对照组,差异有统计学意义(P<0.05).结论:醒脑通督针刺联合推拿治疗小儿脑瘫效果显著,能够提高患儿运动功能和日常生活能力,改善脑血流动力学指标水平,减轻肢体痉挛程度,效果优于单用推拿治疗.
Effects of Xingnao Tongdu acupuncture combined with massage on children with cerebral palsy
Objective:To observe effects of Xingnao Tongdu acupuncture combined with massage in treatment of cerebral palsy in children.Methods:A prospective study was conducted on 70 children with cerebral palsy admitted to this hospital from February 2022 to February 2023.According to the random number table method,they were divided into study group and control group,35 cases in each group.The control group was treated with traditional Chinese medicine massage,while the study group was combined with Xingnao Tongdu acupuncture therapy on the basis of that of the control group.The clinical efficacy,the daily living ability[pediatric quality of life inventory-cerebral palsy(PedsQL-CP)]score,the motor function[gross motor function measure(GMFM)]score,the cerebral hemodynamics index[anterior cerebral artery(ACA),basilar artery(BA)blood flow velocity]levels,and the modified Ashworth spasm scale classification were compared between the two groups before and after the treatment.Results:The total effective rate of the study group was 94.29%(33/35),which was higher than 77.14%(27/35)of the control group,and the difference was statistically significant(P<0.05).After the treatment,the scores of PedsQL-CP,GMFM and the blood flow velocities of ACA and BA in the study group were higher than those in the control group;the modified Ashworth spasm scale classification was lower than that of the control group;and the differences were statistically significant(P<0.05).Conclusions:Xingnao Tongdu acupuncture combined with massage is effective in the treatment of cerebral palsy in the children.It can improve the motor function and the self-care ability of these children,improve the cerebral hemodynamic indexes and reduce the degree of limb spasm.Moreover,it is superior to single massage therapy.

Xingnao TongduAcupuncture therapyMassageChildrenCerebral palsySpasmCerebral hemodynamic index

许艳艳

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郏县妇幼保健院儿科,河南 平顶山 467100

醒脑通督 针刺疗法 推拿 儿童 脑瘫 痉挛 脑血流动力学指标

2024

中国民康医学
中国社会工作协会

中国民康医学

影响因子:0.649
ISSN:1672-0369
年,卷(期):2024.36(12)
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