刘氏小儿推拿治疗脑瘫儿伴轻度智障疗效及对患者智力、运动水平的影响

Effect of Liu's massage on infantile cerebral palsy accompanied by mild mental retardation and its influence on intelligence and exercise level

目的:探讨刘氏小儿推拿治疗脑瘫患儿伴轻度智障的疗效及对患者智力、运动水平的影响。方法:选取脑瘫伴轻度智障患儿36例,采用随机法分为对照组和研究组各18例。两组患儿均给予物理治疗、认知功能训练、作业疗法及药物治疗等常规治疗,研究组患儿在常规治疗基础上联合刘氏小儿推拿进行治疗。观察并比较两组患儿TNF-α、IL-6及IL-10水平和治疗后临床疗效、GMFM评分及综合功能量表评分情况。结果:研究组患儿治疗后卧位和翻身,爬和跪,坐位,站立及走、跑、行走等评分均高于对照组患儿(P<0.05)。研究组患儿治疗后应物能力、言语能力及应人能力评分均高于对照组患儿(P<0.05)。对照组患儿治疗后综合能力评分为(52.57±5.24)分,研究组患儿治疗后综合能力评分为(57.69±3.69)分,研究组患儿综合能力评分高于对照组患儿(P<0.05)。两组患儿治疗前TNF-α、IL-6及IL-10水平比较无统计学差异(P>0.05)。两组治疗后TNF-α和IL-6水平较治疗前下降,IL-10水平较治疗前上升(P<0.05)。研究组治疗后TNF-α和IL-6水平低于对照组,IL-10水平高于对照组(P<0.05)。研究组临床总有效率为94.44%高于对照组患儿66.67%(P<0.05)。结论:刘氏小儿推拿治疗脑瘫患儿伴轻度智障是通过调节促炎和抗炎因子水平,改善患儿粗大运动功能和综合功能来达到提高智力和临床疗效的目的。

Objective： To investigate the effect of Liu’s massage on children with cerebral palsy accompanied by mild mental retardation and its influence on intelligence and exercise level.Methods：36 children with cerebral palsy accompanied by mild mental retardation were randomly divided into two groups： the control group and the study group,with 18 children in each group.Two groups of children were given physical therapy,cognitive function training,occupational therapy and drug treatment and other conventional treatment,the study group on the basis of conventional treatment combined with Liu＇s children massage treatment.TheTNF-α,IL-6 and IL-10 levels and the clinical efficacy after treatment,GMFM score and comprehensive functional scale score were observed and compared between the two groups.Results：The scores of lying and turning,climbing and kneeling,sitting,standing and walking,running and walking were higher in the study group than in the control group （ P 〈0.05）.The scores of coping ability,speech ability and coping ability of the patients in the study group were higher than those in the control group （ P 〈0.05）.The comprehensive ability score of the control group was （52.57±5.24） after treatment. The comprehensive ability score of the study group was （57.69±3.69） points,and the comprehensive ability score of the study group was higher than that of the control group （ P 〈0.05）.There was no significant difference in TNF-α,IL-6 and IL-10 levels between the two groups before treatment （ P 〉0.05）.The levels of TNF-α and IL-6 in the two groups were lower than those before treatment,and the level of IL-10 was higher than that before treatment （ P 〈0.05）.The levels of TNF-α and IL-6 in the study group were lower than those in the control group. After treatment,the level of IL-10 was higher than that of the control group （ P 〈0.05）.The children in the study group the total effective rate was 94.44%,higher than that in the control group 66.67%（ P 〈0.05）.Conclusion：Lius children massage treatment of children with cerebral palsy accompanied by mild mental retardation,through regulating the level of proinflammatory and anti-inflammatory factors,improve the children＇s gross motor function and comprehensive function,to achieve the purpose of improving intelligence and clinical efficacy.