推拿促动手法干预脾肾两虚型运动发育迟缓临床研究

Clinical Study on the Intervention of Massage Manipulation for Promoting Motor in Motor⁃Retardation Patients with Spleen⁃Kidney Deficiency Syndrome

目的:观察推拿促动手法干预脾肾两虚型运动发育迟缓的临床疗效。方法:选取2020年9月至2022年8月在南阳市中医院儿童康复科住院治疗的脾肾两虚型运动发育迟缓患儿80例,随机分为对照组39例和治疗组41例,两组均给予基础治疗,对照组在基础治疗的基础上采用常规运动疗法,治疗组在对照组治疗的基础上采用推拿促动手法,两组均每日治疗2次,每次30 min,每周治疗5.5 d,休息1.5 d,以8周为1个疗程。治疗1个疗程后观察两组患者临床疗效及粗大运动功能测试量表(gross motor function measure,GMFM)-88评分、中医证候积分的改善情况。结果:对照组有效率为77.14%,治疗组有效率为97.22%,两组有效率比较,差异有统计学意义(P<0.05)。对照组中医证候有效率为68.57%,治疗组为91.67%,两组中医证候有效率比较,差异有统计学意义(P<0.05)。两组患儿治疗后GFMF-88评分均升高、中医证候积分均降低,差异有统计学意义(P<0.05),且组间比较,差异有统计学意义(P<0.05)。两组患儿治疗后精细动作、语言、适应性、个人-社交评分均升高,与治疗前比较,差异有统计学意义(P<0.05),且组间比较,差异有统计学意义(P<0.05)。结论:推拿促动手法可明显提高运动发育迟缓患儿运动功能。

Objective:To observe the clinical efficacy of the intervention of massage manipulation for promoting motor on motor⁃retarda⁃tion patients with spleen⁃kidney deficiency syndrome.Methods:A total of 80 motor⁃retardation children with spleen⁃kidney deficiency syndrome who were hospitalized in the Children′s Rehabilitation Department of Nanyang Hospital of Traditional Chinese Medicine from September 2020 to August 2022 were randomly divided into the control group with 39 cases and the treatment group with 41 cases re⁃spectively.Both groups were first given basic treatment,then the control group received conventional exercise therapy on the basis of the basic treatment,while the treatment group was additionally given massage manipulation for promoting motor on the basis of the control group.Both groups were treated twice a day,30 minutes each time,5.5 days of treatment per week,and 1.5 days of rest.Both groups took 8 weeks as a course of treatment.After one course,the clinical efficacy,Gross Motor Function Measure(GMFM)⁃88 score and TCM syndrome score improvement were observed.Results:The effective rate of the control group was 77.14%,while that of the treat⁃ment group was 97.22%.The difference between the two groups was statistically significant(P<0.05).The effective rate of TCM syn⁃drome in the control group was 68.57%,while that in the treatment group was 91.67%.The difference between the two groups was sta⁃tistically significant(P<0.05).After treatment,the GFMF⁃88 score of the two groups increased,while the TCM syndrome score de⁃creased,and the differences were statistically significant compared with those before treatment(P<0.05),and the differences between groups were also statistically significant(P<0.05).After treatment,the fine motor,language,adaptability and personal⁃social scores of the two groups were increased,and all the differences were statistically significant compared with those before treatment(P<0.05),and all the differences between the two groups were also statistically significant(P<0.05).Conclusion:Massage manipulation for promoting motor can significantly improve motor function in children with motor retardation.