偏瘫手按摩八法对痉挛型偏瘫患儿手功能的影响  

Effect of Eight Methods of Hand Massage on Hand Function of Children with Spastic Cerebral Palsy

作　　者：张梦桃 谢洁珊 曾雄 岑敏鸿 黄淑敏 劳秋莹 吴珍梅 李丽花 ZHANG Meng-tao;XIE Jie-shan;ZENG Xiong;CEN Min-hong;HUANG Shu-min;LAO Qiu-ying;WU Zhen-mei;LI LI-Hua(Affiliated Nanhai Maternity and Kid Hospital of Guangzhou University of Chinese Medicine,Foshan,Guangdong 528200)

机构地区：[1]广州中医药大学附属南海妇产儿童医院,广东佛山528200

出　　处：《按摩与康复医学》2020年第14期20-22,共3页Chinese Manipulation and Rehabilitation Medicine

摘　　要：目的:探讨偏瘫手按摩八法对痉挛型偏瘫患儿手功能的治疗效果。方法:将60例痉挛型偏瘫患儿按就诊先后顺序分为对照组和观察组各30例,对照组给予常规作业治疗,观察组在此基础上给予偏瘫手按摩八法,应用PROM和FMQ评价治疗效果。结果:两组患儿PROM和FMQ较治疗前均有不同程度改善(P <0.01),观察组较对照组改善更加显著(P <0.01);对照组和观察组总有效率分别为76.7%和93.3%,差异有统计学意义(P <0.05)。结论:偏瘫手按摩八法改善痉挛型偏瘫患儿手功能疗效显著,值得今后在临床中广泛应用。肌内效贴是一种高弹性、高粘性、高抗过敏性的胶带,早期用于运动损伤的防治,现已经被广泛应用于运动及医疗领域,近年来针刺疗法与肌内效贴结合应用于临床呈现增加趋势。本文首先叙述了国内外近年来针刺结合肌内效贴治疗软织组损伤性疾病及部分神经系统性疾病现状,显示二者结合临床应用具有协同增效性,同时综述了二者结合机理研究现状。最后指出需进一步强化二者结合内在机制研究;需遵照循证医学要求,选定研究病种,临床设计大样本、多地区、随机对照科学试验,进一步观察二者结合临床疗效;需遵循针刺与肌内效贴国内外行业标准,进一步规范临床操作,积极探索二者协同增效新方法;需进一步扩大二者结合临床应用范围,扩大临床应用领域。Objective: To investigate the effect of eight methods of hand massage on the hand function of children with spastic cerebral palsy. Methods: 60 cases of children with spastic cerebral palsy were divided into control group and observation group according to the order of admission, 30 cases in each group. The control group received routine operation treatment, and the observation group received eight methods of hand massage of hemiplegia on this basis, and the application of PROM and FMQ to evaluate the therapeutic effect. Results: The PROM and FMQ of the two groups were improved to different degrees before treatment(P<0.01), and the improvement of the observation group was more significant than that of the control group(P <.01). The total effective rate of the control group and the observation group was 76.7% and 93.3%, respectively, and the comparison between the two groups was statistically significant(P < 0.05). Conclusion: Eight methods of hand massage with hemiplegia can improve the hand function of children with spastic cerebral palsy.

关 键 词：痉挛型偏瘫 按摩 手功能 临床疗效 

分 类 号：R742.3[医药卫生—神经病学与精神病学]