经络针刺加按摩治疗痉挛型脑瘫患儿
Meridian acupuncture plus massage for children with spastic cerebral palsy.
作者信息
Chen Kunzhi, Shu Shiju, Yang Mei, Zhong Shengbing, Xu Feng
机构信息
Department of Traditional Chinese Medicine, Guiyang Maternal and Child Health Hospital Guiyang 550003, Guizhou Province, China.
Department of Radiology, Guiyang Maternal and Child Health Hospital Guiyang 550003, Guizhou Province, China.
出版信息
Am J Transl Res. 2021 Jun 15;13(6):6415-6422. eCollection 2021.
OBJECTIVE
To evaluate the effect of combination therapy of meridian acupuncture and massage on motor development in children with spastic cerebral palsy (SCP).
METHODS
A total of 113 children with SCP in our hospital were allocated into research group (63 cases, treated with meridian acupuncture plus massage) and control group (50 cases, treated with routine rehabilitation measures). Clinical efficacy and alterations of inflammatory factors were observed. Peabody Developmental Motor Scale (PDMS) and gross motor function measure (GMFM-88; sitting, standing, walking) were employed for the assessment of motor ability. Changes in muscle tension were monitored with the Ashworth scale (AS), and modified Barthel index (MBI) and Gesell's Developmental Schedule (GDS) were used to evaluate children's daily activities, language, fine motor skills, and adaptability. Finally, the development of children in the two groups was monitored.
RESULTS
The research group had higher total effective rate than the control group (P=0.018). After treatment, the levels of interleukin 6 (IL-6) and tumor necrosis factor-α (TNF-α) in the research group were lower than those in the control group (P<0.05); the PDMS and AS scores were reduced in both groups, and the reduction was greater in research group (P<0.05); GFMF-88, Barthel and GDS scores increased in both groups, especially in the research group; children in research group were better developed than those in control group (P<0.05).
CONCLUSION
Meridian acupuncture plus massage contributes to a significant improvement of motor development in children with SCP.
目的
评估经络针刺联合推拿对痉挛型脑瘫（SCP）患儿运动发育的影响。
方法
将我院113例SCP患儿分为研究组（63例，采用经络针刺加推拿治疗）和对照组（50例，采用常规康复措施治疗）。观察临床疗效及炎症因子变化。采用Peabody运动发育量表（PDMS）和粗大运动功能测量量表（GMFM - 88；坐、立、行）评估运动能力。用Ashworth量表（AS）监测肌张力变化，采用改良Barthel指数（MBI）和盖塞尔发育量表（GDS）评估患儿的日常生活活动、语言、精细运动技能及适应性。最后，监测两组患儿的发育情况。
结果
研究组总有效率高于对照组（P = 0.018）。治疗后，研究组白细胞介素6（IL - 6）和肿瘤坏死因子 -α（TNF -α）水平低于对照组（P < 0.05）；两组PDMS和AS评分均降低，研究组降低更明显（P < 0.05）；两组GFMF - 88、Barthel和GDS评分均升高，研究组尤为明显；研究组患儿发育情况优于对照组（P < 0.05）。
结论
经络针刺联合推拿有助于显著改善SCP患儿的运动发育。
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