Clinical observation of Tiao Shen Tong Du Tuina in promoting neuropsychological development of premature infants  

调神通督推拿促进早产儿神经心理发育的临床观察

作　　者：CHEN Jie LI Xueli CHONG Yuexian YANG Lihong YIN Zhongxin ZHANG Ping GUO Zhankun ZHANG Ning HONG Jue 陈杰;李雪莉;种月先;杨丽红;尹中信;张平;郭战坤;张宁;洪珏(Baoding Maternal and Child Health Hospital,Hebei Province,Baoding 071000,China;Hospital of the 82nd Group Army,Baoding 071000,China;不详)

机构地区：[1]Baoding Maternal and Child Health Hospital,Hebei Province,Baoding 071000,China [2]Hospital of the 82nd Group Army,Baoding 071000,China [3]不详

出　　处：《Journal of Acupuncture and Tuina Science》2022年第6期482-488,共7页针灸推拿医学（英文版）

基　　金：This work was supported by the Science and Technology Plan Project of Baoding City,Hebei Province(河北省保定市科技计划项目,No.2041ZF142).

摘　　要：Objective To observe the impact of Tiao Shen Tong Du(regulating the mind and unblocking the Governor Vessel)Tuina(Chinese therapeutic massage)on neuropsychological development of premature infants,discover effective early-stage intervention techniques,and improve the prognosis of premature infants.Methods A total of 115 eligible premature infants were recruited and divided into a control group of 59 cases and an observation group of 56 cases based on different interventions.The control group received three-month physical therapy(PT)and conventional early-stage intervention,and the observation group received additional Tiao Shen Tong Du Tuina treatment.Before and after treatment and at the one-year follow-up,the Gesell developmental schedule was adopted to evaluate neuropsychological development.Results After treatment,the gross motor development quotient(DQ)was higher in the observation group than in the control group,and the difference was statistically significant(P<0.05);there were no significant differences in the other four domains between the two groups(P>0.05).At the one-year follow-up,the observation group showed more notable improvements in all five domains’DQs than the control group,and the between-group differences were statistically significant(P<0.05 or P<0.01).Conclusion Based on conventional intervention,Tiao Shen Tong Du Tuina can significantly improve the gross motor function of premature infants in the short term,alongside valid long-term efficacy for gross motor function,fine motor function,adaptive behaviors,language,and personal-social behaviors.目的:观察调神通督推拿治疗对早产儿神经心理发育的影响,探索有效的早产儿早期干预技术,改善早产儿预后.方法:收集符合入组标准的早产儿115例,根据干预方式分为对照组59例和观察组56例.对照组接受物理治疗(PT)及常规早期干预治疗,观察组在对照组治疗基础上加用调神通督推拿治疗,共治疗3个月.治疗前后及治疗结束后1年随访时采用Gesell发育量表进行神经心理发育评估.结果:治疗后观察组粗大运动发育商(DQ)高于对照组,两组差异有统计学意义(P<0.05);其余四个能区两组均无统计学差异(P>0.05).治疗后1年随访,观察组五个能区DQ均较对照组改善明显,组间差异有统计学意义(P<0.05或P<0.01).结论:常规干预基础上加用调神通督推拿改善早产儿粗大运动方面的近期疗效明显,对早产儿粗大运动、精细动作、社会适应、语言及个人社交方面的远期疗效肯定.

关 键 词：TUINA MASSAGE Pediatric Massage(Tuina) Infant Premature Child Development 

分 类 号：R246.6[医药卫生—针灸推拿学]