中医推拿治疗婴儿脑性瘫痪的疗效观察

Effect of Chinese Medical Massage on Cerebral Palsy Infants

目的观察中医推拿手法对脑瘫婴儿的临床疗效。方法 60例脑瘫婴儿随机分配至治疗组(n=30)和对照组(n=30),分别采用Vojta疗法和中医推拿及单纯Vojta疗法治疗。记录治疗前和治疗3个月后粗大运动功能测试(GMFM)、Gesell发育量表及Ashworth量表评分,并随访3个月。结果治疗后,治疗组GMFM A区,Gesell发育量表社会适应、个人社交评分优于对照组(P<0.05);随访期,治疗组GMFM B区及C区、Ashworth量表评分优于对照组(P<0.05)。结论配合中医推拿可进一步改善脑瘫婴儿的运动和社会功能发育。

Objective To observe the effect of Chinese Medical massage on the development of cerebral palsy infants. Methods 60 in- fants with cerebral palsy were randomly divided into treatment group （n=30）, who accepted Vojta therapy and Chinese massage, and control group （n=30）, who accepted Vojta therapy only, for 3 months. They were assessed with Gross Motor Function Measure （GMFM）, Gesell Developmental Schedules （GDS） and Ashworth scale before, 3 months and 6 months after treatment. Results The scores of Dimension A of GMFM, the adaptative, personal social quotient of GDS improved more in the treatment group than in the control group （P〈0.05） 3 months after treatment, as well as the scores of Dimension B and C of GMFM, and the scores of Ashworth scale 6 months after treatment （P〈0.05）. Conclusion Chinese medical massage can further improve the development of motor and social function in infants with cerebral palsy.