按摩督脉和夹脊穴对不随意运动型脑瘫患儿侧弯反射、肌张力及粗大运动功能的影响  

Effects of massage of Du Channel and Jiaji(EX-B2) on incurvation reflex, muscular tension and gross motor function in children with involuntary exercise-induced cerebral palsy

作　　者：张娟[1] 覃蓉 ZHANG Juan;QIN Rong(Department of Rehabilitation,Hunan Children's Hospital,Changsha,Hunan,410007,China)

机构地区：[1]湖南省儿童医院康复科,湖南长沙410007

出　　处：《中医儿科杂志》2021年第3期84-89,共6页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察按摩督脉和夹脊穴对不随意运动型脑瘫患儿侧弯反射、肌张力及粗大运动功能的影响。方法选取2018年8月至2019年8月湖南省儿童医院康复科就诊的不随意运动型脑瘫患儿68例,按照随机数字表法分为治疗组和对照组,各34例。对照组给予常规康复训练和针刺疗法,治疗组在对照组治疗方法的基础上采取按摩督脉和夹脊穴治疗。2组均4周为1个疗程,连续治疗3个疗程后统计粗大运动功能(GMFM)评分、肌张力波动程度、侧弯反射强度、核心肌群能力和临床疗效。结果治疗前,2组GMFM评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组GMFM评分均显著增加,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组增加更显著,与对照组治疗后比较,差异有统计学意义(P<0.05)。治疗前,2组侧弯反射比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组侧弯反射呈强的例数均下降,弱、无例数均增加,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组侧弯反射呈强、弱的例数低于对照组,呈无的例数高于对照组,差异均有统计学意义(P<0.05)。治疗前,2组张力波动程度比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组肌张力波动呈强的例数均明显降低,呈弱的例数均显著增加,与同组治疗前比较,差异均有统计学意义(P<0.05),且治疗组数据改善更明显,与对照组治疗后比较,差异均有统计学意义(P<0.05)。治疗前,2组后伸位、中立位向后倾斜45°、中立坐位下左右竖脊肌、左右腹直肌表面肌电平均值比较,差异均无统计学意义(P>0.05),具有可比性;治疗后,2组后伸位、中立位向后倾斜45°、中立坐位下左右竖脊肌、左右腹直肌表面肌电平均值均显著升高,与同组治疗前比较,差异均有统计学意义(P<0.05或P<0.01),且治疗组升高更显著,与对照组治疗后比较,差异有统计学意义(P<0.05)�Objective To observe the effects of massage of Du Channel and Jiaji(EX-B2) on incurvation reflex, muscular tension and gross motor function in children with involuntary exercise-induced cerebral palsy.Methods From August 2018 to August 2019,68 children with involuntary exercise-induced cerebral palsy consulted in rehabilitation department of Hunan Children’s Hospital were chosen and divided into treatment group and control group according to random number table method, with 34 cases in each group.The control group was given routine rehabilitation training and acupuncture, on this basis, the treatment group was given massage of Du Channel and Jiaji(EX-B2).Four weeks constituted 1 course of treatment for both groups.After 3 courses of treatment, we kept statistics about gross motor function measure(GMFM) score, muscular tension fluctuation degree, incurvation reflex intensity, core muscle group ability and clinical efficacy of the 2 groups.Results Before treatment, the difference was not statistically significant in GMFM score between the 2 groups(P>0.05),and they were comparable.After treatment, GMFM score of the 2 groups all significantly increased, and the difference was statistically significant compared with the same group before treatment(P<0.05),moreover, the treatment group increased more significantly, and the difference was statistically significant compared with the control group after treatment(P<0.05).Before treatment, the difference was not statistically significant in incurvation reflex between the 2 groups(P>0.05),and they were comparable.After treatment, the number of cases with strong incurvation reflex in both groups decreased, while the number of cases with weak and no incurvation reflex increased, and the differences were statistically significant compared with the same group before treatment(P<0.05),moreover, the number of cases with strong and weak incurvation reflex in the treatment group was lower than that in the control group, and the number of cases with no incurvation reflex in the tr

关 键 词：不随意运动型脑瘫 小儿 夹脊穴 督脉 肌张力 侧弯反射 粗大运动功能 临床观察 

分 类 号：K255.6[历史地理—历史学]