围生期缺氧缺血性脑损伤患儿医学按摩的康复效果分析

The rehabilitative effects of medical massage techniques to promote the recovery of hypoxic-ischemic brain damage due to perinatal period.

目的探讨围生期缺氧缺血性脑损伤(hypoxic-ischemicbraindamage,HIBD)患儿医学按摩康复治疗效果。方法选取1998年至2005年140例HIBD患儿,分成医学按摩组和对照组。待患儿病情稳定后,按摩组采用全身皮肤按摩和8个保健穴位按摩的方法治疗1年。用生长发育指标和发育商(DQ)、智力指数(MI)评价治疗效果。结果比较两组患儿生后1年的生长发育指标、DQ值及MI值,按摩组明显高于对照组,差异有显著意义(P<0.01)。按摩组的预后不良率明显低于对照组,差异有显著意义(P<0.05)。结论医学按摩能促进HIBD患儿康复,对改善预后具有价值。

Objective To explore more effectively the therapeutic effects of hypoxlc-ischemic brain damage （HIBD） by prenatal period. Methods 140 infants with HIBD were divided into a treatment group, which received medical massage, and a control group. After stabilization, infants in the treatment group received both full-body massage and massage at 8 hygienic points for 1 year. Growth measures, development quotient （DQ） and mental index（MI） were used to evaluate the effects of the treatment. Results Infant growth measures, MI and DQ value were compared the massage group with the control group of one year old. All measures value were significantly higher in the massage group （P〈0. 01）. Furthermore, the incidence of unfavorable prognosis was significantly lower in the massage group （P〈0.05）. Conclusion The results demonstrated medical massage could promote the rehabilitation of infants suffering from HIBD-related nervous system damage, and improve patient prognosis.