针灸、推拿联合健脑散治疗小儿脑瘫疗效及对脑血流灌注状态的影响
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R246.6

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Therapeutic Effect of Acupuncture, Moxibustion and Tuina Combined with Jiannao Powder for Children with Cerebral Palsy and Its Effect on Cerebral Blood Perfusion
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    摘要:

    目的:观察针灸、推拿联合健脑散治疗小儿脑瘫的临床疗效及对脑血流灌注状态的影响。方法:选取90 例脑瘫患儿,按随机数字表法分为对照组及观察组各45 例,治疗期间2 组各脱落1 例,各44 例。对照组采用常规康复及西药治疗,观察组在对照组基础上加用针灸、推拿联合健脑散治疗。观察2 组临床疗效,比较2 组治疗前后粗大运动功能量表(GMFM-88) 评分、盖塞尔语言发育商(DQ) 及口部运动功能评分、日常生活能力评估量表(ADL) 评分、脑血流灌注[动脉血流速度(VP)、血流阻力指数(RI)]变化。结果:观察组临床疗效总有效率为86.36%,高于对照组63.64%,2 组比较,差异有统计学意义(P<0.05)。治疗后,2 组GMFM-88 的5 个功能区评分均较治疗前上升(P<0.05),观察组5 个功能区评分均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组DQ 及口部运动评分均较治疗前上升,观察组上述2 项评分均高于对照组,差异均有统计学意义(P<0.05)。治疗后,2 组ADL 评分均较治疗前下降,观察组ADL 评分低于对照组,差异均有统计学意义(P<0.05)。治疗后,观察组VP、RI 指标值均较治疗前上升,差异均有统计学意义(P<0.05),对照组VP、RI 指标值与治疗前比较,差异均无统计学意义(P>0.05);治疗后,观察组VP、RI 指标值均高于对照组,差异均有统计学意义(P<0.05)。结论:针灸、推拿联合健脑散能有效提高脑瘫患儿的临床疗效,提高患儿运动、语言、日常生活能力,改善脑血流。

    Abstract:

    Abstract:Objective:To observe the effect of acupuncture,moxibustion and tuina combined with Jiannao powder for children with cerebral palsy and its effect on cerebral blood perfusion. Methods:A total of 90 cases of children with cerebral palsy were selected and divided into the control group and the observation group according to the random number table method, with 45 cases in each group, during the treatment period, 1 case dropped out in each of the 2 groups, with 44 cases in each. The control group was given routine rehabilitation and western medicine treatment,and the observation group was additionally treated with acupuncture,moxibustion and Chinese medicine Jiannao powder based on the treatment of the control group. Clinical effects were observed in the two groups. Before and after treatment,changes in scores of Gross Motor Function Measure (GMFM-88),developmental quotient (DQ) in Gesell Developmental Schedules,oral motor function scores,Activity of Daily Living (ADL),and cerebral blood perfusion [arterial blood flow velocity (VP),blood flow resistance index (RI)] were compared between the two groups. Results:The total effective rate was 86.36% in the observation group, higher than that of 63.64% in the control group,the difference being significant (P<0.05). After treatment,the scores of five functions in GMFM- 88 in the two groups were increased when compared with those before treatment (P<0.05),and the scores in the observation group were higher than those in the control group, differences being significant (P<0.05). After treatment, scores of DQ and oral motor function were increased when compared with those before treatment (P<0.05), and the above two scores in the observation group were higher than those in the control group,differences being significant (P<0.05). After treatment,scores of ADL in the two groups were decreased when compared with those before treatment (P<0.05),and the ADL score in the observation group was lower than that in the control group,differences being significant (P<0.05). After treatment,VP and RI in the observation group were increased when compared with those before treatment, differences being significant(P<0.05), and the comparison of VP and PRT in the control group before treatment and after treatment showed no significance in differences(P>0.05);after treatment,VP and RI in the observation group were higher than those in the control group, differences being significant(P<0.05). Conclusion: Acupuncture, moxibustion and tuina combined with Jiannao powder can improve the clinical effect of children with cerebral palsy,and enhance motor function, language,activities of daily living,and cerebral blood flow.

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任莉,张仁培,刘萌,陈振辉,陈玉.针灸、推拿联合健脑散治疗小儿脑瘫疗效及对脑血流灌注状态的影响[J].新中医,2022,54(5):200-204

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  • 在线发布日期: 2022-03-10
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