健脾益气推拿法联合认知训练对脑损伤综合征智力发育迟缓患儿发育商的影响  

Effect of strengthening spleen and replenishing Qi massage method combined with cognitive training on development quotient of children with mental retardation of brain injury syndrome

作　　者：王灿军[1] 胡春维[1] 杨惠婷[1] WANG Canjun;HU Chunwei;YANG Huiting(Pediatric Neurology and Rehabilitation Department,Baoji Maternal and Child Health Care Hospital,Baoji 721000,China)

机构地区：[1]宝鸡市妇幼保健院小儿神经内科与康复科,陕西宝鸡721000

出　　处：《临床医学研究与实践》2021年第23期130-133,共4页Clinical Research and Practice

基　　金：陕西省科技厅2018年陕西省重点研发计划项目(No.2018SF-243)。

摘　　要：目的探讨健脾益气推拿法联合认知训练对脑损伤综合征智力发育迟缓患儿发育商(DQ)的影响。方法以2017年6月至2019年6月我院收治的112例脑损伤综合征智力发育迟缓患儿为研究对象,按随机数字表法将其分为对照组和研究组,每组56例。均给予两组患儿应用行为分析法、引导式教育训练、音乐治疗、感觉统合训练,对照组在上述训练基础上给予认知训练,研究组在对照组基础上给予健脾益气推拿法。比较两组患儿干预前、后的五大能区DQ、脑血流图指标及治疗效果。结果干预后,两组的大运动能区DQ比较,差异无统计学意义(P>0.05);干预后,研究组的精细运动能区、语言能区、适应性能区及个人-社交能区DQ均明显高于对照组(P<0.05)。研究组的治疗总有效率明显高于对照组(P<0.05)。干预后,两组的血流入时间缩短,波幅值及转折高比值升高,且研究组明显优于对照组(P<0.05)。结论健脾益气推拿法联合认知训练提高脑损伤综合征智力发育迟缓患儿的精细运动及认知功能DQ可能是通过调节脑血流来实现的。Objective To explore the effect of strengthening spleen and replenishing Qi massage method combined with cognitive training on development quotient(DQ)of children with mental retardation of brain injury syndrome.Methods A total of 112 children with mental retardation of brain injury syndrome treated in our hospital from June 2017 to June 2019 were taken as the research objects.The children were divided into control group and research group according to random number table method,with 56 cases in each group.Two groups were given applied behavior analysis,guided education training,music therapy,sensory integration training,the control group was given cognitive training on the basis of the above training,the research group was given strengthening spleen and replenishing Qi massage method on the basis of the control group.DQ of five major energy regions,cerebral blood flow indexes before and after intervention and therapeutic effect were compared between the two groups.Results After intervention,there was no significant difference in DQ of large motor energy region between the two groups(P>0.05);after intervention,the DQ of fine motor energy region,language energy region,adaptive energy region and personal-social energy region of the research group were significantly higher than those of the control group(P<0.05).The total effective rate of treatment of the research group was significantly higher than that of the control group(P<0.05).After intervention,the blood inflow time of the two groups shortened,the amplitude value and the ratio of transition height increased,and those of the research group were significantly better than the control group(P<0.05).Conclusion The strengthening spleen and replenishing Qi massage method combined with cognitive training improving the DQ of fine motor and cognitive function in children with mental retardation of brain injury syndrome may be achieved by regulating cerebral blood flow.

关 键 词：健脾益气推拿法 认知训练 脑损伤综合征智力发育迟缓患儿 发育商 

分 类 号：R272[医药卫生—中医儿科学]