头部分区按摩结合针灸治疗小儿脑瘫临床观察

Clinical Observation on the Treatment of Infantile Cerebral Palsy by Head Sub-region Massage Combined with Acupuncture

目的:比较头部分区按摩结合针灸与常规康复治疗小儿脑瘫的疗效差异。方法:将60例患者随机分成两组,每组30例。观察组采用头部分区按摩结合针灸治疗,根据患儿脑组织损伤的区域分成额区、颞区、顶区、枕区,在相对应的区域选择相应的经络和穴位,运用各种不同推拿手法和针刺方法进行针对性的治疗;对照组采用常规康复治疗。按摩、针刺每天1次,20天为1疗程,每个疗程间隔2天,共进行4个疗程。比较两组残疾儿童综合功能评定表、粗大运动功能测试量表(GMFM)。结果:两组患者治疗前后综合功能评定、GMFM比较差异均有统计学意义(P<0.05);治疗后组间比较,观察组高于对照组,差异均有统计学意义(均P<0.05)。观察组总有效率93.33%,高于对照组的73.33%(P<0.05)。表明观察组的治疗效果明显优于对照组。结论:头部分区按摩结合针灸治疗小儿脑瘫疗效确切,方法简单安全,是治疗小儿脑瘫值得推广的一种治疗方案。

The objective is compare the difference of curative effect between head sub-region massage combined with acupuncture and conventional rehabilitation in the treatment of infantile cerebral palsy.The method used is 60 patients were randomly divided into two groups in average.The observation group was treated with head sub-region massage combined with acupuncture.According to the area of brain tissue injury,the children were divided into frontal area,temporal area,parietal area and occipital area.The corresponding meridians and acupoints were selected in the corresponding areas,and various massage techniques and acupuncture methods were used for targeted treatment.The control group received conventional rehabilitation treatment.Massage,acupuncture once a day,20 days as a course of treatment,each treatment interval of 2 days,a total of 4 courses.The comprehensive function assessment scale and gross motor function test scale(GMFM)were compared between the two groups.The results showed that the differences from the comprehensive function assessment scale and GMFM between the two groups before and after treatment were statistically significant(all P<0.05).After treatment,the observation group was higher than the control group,the difference was statistically significant(P<0.05).The total effective rate of the observation group was 93.33%,which was higher than 73.33%of the control group(P<0.05).The therapeutic effect of the observation group was significantly better than that of the control group.Finally,we draw the conclusion that head sub-region massage combined with acupuncture is effective in treating infantile cerebral palsy,and the method is simple and safe.