Clinical Observation on Combined Tuina and Medicated Bath for Early Intervention of Neonatal Brain Injuries  

作　　者：刘振寰 丁建英 

机构地区：[1]Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine, Guangdong 528200, E R. China [2]Guangzhou University of Traditional Chinese Medicine, Guangdong 510405, R R. China

出　　处：《Journal of Acupuncture and Tuina Science》2010年第5期310-314,共5页针灸推拿医学（英文版）

摘　　要：Objective： To observe the clinical effect of early intervention of combined tuina with medicated bath for neonatal brain injuries. Methods： Brain-benefiting tuina manipulations, medicated bath and music plus exercise therapies were employed in 60 infants with medium or severe brain injuries. The Gesell measurement methods were adopted prior to and 3 months after treatment to evaluate the development quotient （DQ）. In addition, the long-term follow-up was made after one and a hall years. Result： The scores of DQ prior to treatment, 3 month after treatment and 1.5 years after treatment were （34.98±28.94）, （66.17±14.91） and （75.40±14.69） respectively, showing a marked improvement after 3 months and 1.5 years of treatment （P=0.000）. Conclusion： Early intervention using tuina manipulations could enhance the brain development, repair the nerve injury, improve the motion and cognitive ability and prevent the sequela of the nervous system.目的：观察推拿、药浴等中医疗法早期干预对婴儿脑损伤的临床疗效。方法：对60例中重度脑损伤婴儿进行小儿健脑推拿及中药浴式水疗，同时配合中医传统五行音乐聆听及运动疗法等治疗。分别于治疗前、治疗3个月后采用Gesell测查法进行发育商（Development Quotient，DQ）评估，并在治疗1年半后进行远期随访。结果：治疗前、治疗3个月及一年半后发育商分别为（34．98±28．94），（66．17±14．91）和（75．40±14．69），与治疗前比较，治疗3个月及一年半后发育商各指标均有显著提高（P=0．000）。结论：对脑损伤婴儿进行推拿中医早期干预可促进大脑发育，修复神经损伤，促进运动、认知的发育，有效预防神经系统后遗症的发生。

关 键 词：Brain Injuries TUINA MASSAGE Hydrotherapy Rehabilitation Music Therapy 

分 类 号：R244.1[医药卫生—针灸推拿学]