辨证聆听中医五行音乐治疗小儿脑瘫睡眠障碍42例临床观察

Clinical observation on 42 cases of somnipathy in children with cerebral palsy treated by differentiation listening Chinese medicine five elements music

目的观察辨证聆听中医五行音乐治疗小儿脑瘫睡眠障碍的临床疗效。方法选取2017年10月至2018年7月于佛山市南海区妇幼保健院儿童康复科住院治疗的伴有睡眠障碍的脑瘫患儿84例,按随机数字表法分为对照组和治疗组,各42例。2组均给予基础康复治疗,如物理治疗、推拿治疗、针灸治疗;对照组予一般护理,治疗组在对照组护理措施的基础上辨证聆听中医五行音乐,2组均连续治疗3个月后统计疗效。结果治疗组总有效率为95.2%,显著高于对照组的71.4%,差异有统计学意义(P<0.01)。治疗前,2组的儿童睡眠习惯问卷(CSHQ)积分比较,差异均无统计学意义(P>0.05),具有可比性。治疗后,对照组CSHQ积分变化不明显(P>0.05);治疗组CSHQ积分除入睡潜伏期1项无明显变化外,其他均明显降低,与同组治疗前及对照组治疗后比较,差异均有统计学意义(P<0.05)。治疗前,2组的北京盖什尔神经发育评定量表(Gesell)评分比较,差异均无统计学意义(P>0.05),具有可比性。治疗后,对照组的Gesell评分仅大运动发育商(DQ)和精细运动DQ 2个能区明显增加,差异有统计学意义(P<0.05);而治疗组5个能区的Gesell评分均显著增加(P<0.05),与对照组治疗后比较,差异均有统计学意义(P<0.05)。结论辨证聆听中医五行音乐对小儿脑瘫睡眠障碍具有明显的改善作用,且能较好地改善脑瘫患儿的运动功能,提高其发育商、语言能力,值得临床推广应用。

Objective To observe the clinical efficacy of differentiation listening Chinese medicine five elements music in the treatment of somnipathy in children with cerebral palsy.Methods Eighty-four cases of somnipathy in children with cerebral palsy hospitalized in department of pediatric rehabilitation in Foshan Nanhai District Maternal and Child Health Hospital from October 2017 to July 2018 were divided into control group and treatment group according to random number table method,with 42 cases in each.The 2 groups were both given basic rehabilitation treatment,such as physical therapy,tuina therapy and acupuncture therapy.The control group was given general nursing,on this basis,the treatment group was given differentiation listening Chinese medicine five elements music.We kept statistics about the curative effects after the 2 groups were both consecutively treated for 3 months.Results The total effective rate of the treatment group was 95.2%,which was significantly higher than 71.4%of the control group,and the difference was statistically significant(P<0.01).Before treatment,the difference was not statistically significant in children’s sleep habits questionnaire(CSHQ)scores between the two groups(P>0.05),and they were comparable.After treatment,the changes of CSHQ scores in the control group was not significant(P>0.05);except that the item of sleep latency had no significant changes,other CSHQ scores all significantly decreased,and the difference was statistically significant compared with the same group before treatment and the control group after treatment(P<0.05).Before treatment,the difference was not statistically significant in Beijing Gesell development schedule scores between the two groups(P>0.05),and they were comparable.After treatment,the Gesell scores in the control group only increased significantly in 2 function areas including gross motor development quotient(DQ)and fine motor DQ,and the difference was statistically significant(P<0.05);the Gesell scores in the treatment group significantly increased in 5 function areas(P<0.05),and the difference was statistically significant compared with the control group after treatment(P<0.05).Conclusion It has marked improvement to use differentiation listening Chinese medicine five elements music in the treatment of somnipathy in children with cerebral palsy,which can better improve the motor function of children with cerebral palsy and improve their DQ and language ability.It deserves clinical promotion and application.