Clinical observation on Nie-pinching spine manipulation combined with point therapy for cerebral palsy in children with spleen deficiency  

捏脊配合穴位疗法治疗脾虚证脑性瘫痪的临床观察(英文)

作　　者：谭晓如 刘振寰 谢洁珊 金炳旭 罗冠君 招文健 赵伊黎 韩丑萍 

机构地区：[1]Department of Pediatric Neurological Rehabilitation, Nanhai Maternity and Children's Hospital Affiliated to Guangzhou University of Traditional Chinese Medicine

出　　处：《Journal of Acupuncture and Tuina Science》2015年第4期222-226,共5页针灸推拿医学（英文版）

基　　金：supported by Project of Guangdong Provincial Administration of Traditional Chinese Medicine;No.21031055~~

摘　　要：Objective： To observe the clinical effect of Nie-pinching spine coupled with point application and injection for cerebral palsy （CP） in children with spleen deficiency. Methods： A total of 70 CP children with spleen deficiency were randomly allocated into a treatment group （n=35） and a control group （n=35）. Children in the treatment group were treated with comprehensive rehabilitation training, Nie-pinching spine, point application and point injection, whereas children in the control group were treated with comprehensive rehabilitation training and oral administration of multi-enzyme tablets. One course of treatment made up of 20 d. There was a 20-day interval between two courses. The cases were treated for a total of 3 courses. Then the therapeutic efficacies were evaluated using scores of spleen-deficiency symptoms and gross motor function measure （GMFM）. Results： After 3 courses of treatment, the total effective rates for spleen-deficiency symptoms and rehabilitation were 85.7% and 77.1% respectively in the treatment group, versus 51.4% and 57.1% respectively in the control group, showing statistical differences （both P〈0.05）. Conclusion： In addition to comprehensive rehabilitation training, Nie-pinching spine combined with point application and injection obtained better effects than oral administration of multi-enzyme tablets.目的:观察捏脊、穴位贴敷结合穴位注射治疗脾虚证脑性瘫痪(cerebral palsy,CP)的临床疗效。方法:将70例脾虚证CP患儿简单随机法分为治疗组和对照组,每组35例。治疗组在采用综合康复疗法的基础上加用捏脊、穴位敷贴及穴位注射;对照组在采用综合康复疗法基础上口服多酶片。两组均治疗20 d为1个疗程,疗程结束后休息20 d,再行下一个疗程,共治疗3个疗程。根据治疗后脾虚证主要症状评分及粗大运动功能评估(gross motor function measure,GMFM)量表评分变化情况评价疗效。结果:治疗3个疗程后,治疗组脾虚证症状总有效率为85.7%,对照组为51.4%;治疗组康复总有效率为77.1%,对照组为57.1%。治疗组脾虚证症状总有效率及康复总有效率均明显高于对照组,两组差异均具有统计学意义(均P<0.05)。结论:在综合康复疗法基础上应用捏脊、穴位贴敷及穴位注射治疗脾虚证CP的疗效优于综合康复疗法结合口服多酶片治疗。

关 键 词：TUINA MASSAGE Chiropractics （TCM） Acupoint Therapy Acupoint Sticking Therapy HYDRO-ACUPUNCTURE Cerebral Palsy Infant 

分 类 号：R244.1[医药卫生—针灸推拿学]