通督醒脑益肾健脾按摩对脑损伤早产儿神经发育影响的观察

Observation of effect on neural development on massage of Tongduxingnao and Yishenjianpi in the brain damage in preterm infants

【目的】探讨中医按摩法在促进早产儿脑损伤的神经发育方面是否存在优势,能否进一步的确立中医在早产儿脑损伤的早期干预中的重要地位。【方法】对纳入符合纳入标准病例82例随机分为两组,两组均在常规早期干预治疗(中药浴水疗、运动疗法)的基础上,试验组加通督醒脑益肾健脾按摩,对照组加婴儿抚触,分别于治疗前及治疗3个月后,用粗大运动功能评定量表(Gross Motor Function Measure,GMFM)、贝利婴幼儿发育量表Ⅱ及Gesell发育商数(DQ)进行评估。【结果】治疗后试验组大运动(DQ)发育商均数及GMFM的B区总体均数高于对照组,两组差异有统计学意义(P<0.05),余下几项两组对比均无统计学意义(P>0.05);MDI及PDI治疗前后两组差异均无统计学意义(P>0.05)。【结论】通督醒脑益肾健脾按摩在改善脑损伤患儿的大运动功能,尤其在坐位方面比婴儿抚触具有疗效优势。

[Objectives] The effects of the two groups was compared to see whether there were superiority in early in- tervention of brain damage in preterm infants with the Massage of Tongduxingnao and Yishenjianpi. Whether to further es- tablished the important position of traditional Chinese medicine in the early intervention of brain damage in premature in- fants. [Methods] 82 infants with brain demage in preterm infants were selected and randomly divided into two groups. The experimental group received the treatment of Massage of Tongduxingnao and Yishenjianpi combined with routine inter- vention. The control group received Massage of Sensory Stimulation combined with routine intervention. The Gross Motor Function Measure,Bayley scales of infant development 11 （MDI, PDI）and the Gesell Developmental Scales were tested be- fore,right after and 3 months after the treatment designed. [Results] The experimental group had a significant superiori- ty in improving the DQ of gross motor function by Gesell Developmental Scales and GMFM（B area）compared with the con- trol group（P〈0.05）, but no discrepancy in the others. After the treatment, the score of experimental group reach normaliza- tion in MDI and PDI by BSID was higher compared with the control group（P〉0, 05）. [Conclusion] The Massage of Tongduxingnao and Yishenjianpi has a significant superiority in improving the DQ of gross motor function and sitting posi- tion（B area of GMFM）compare with the Massage of Sensory Stimulation.