针灸推拿联合语言康复训练对脑瘫患儿语言功能和运动功能的影响  

Effect of acupuncture and tuina combined with language rehabilitation training on language function and motor function of children with cerebral palsy

作　　者：黄伊萌 阳伟红[1] 刘春雷[1] 熊英[1] 胡继红[1] HUANG Yimeng;YANG Weihong;LIU Chunlei;XIONG Ying;HU Jihong(Rehabilitation Center,Hunan Children's Hospital,Changsha,Hunan,410007,China)

机构地区：[1]湖南省儿童医院康复中心,湖南长沙410007

出　　处：《中医儿科杂志》2023年第1期90-94,共5页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察针灸推拿联合语言康复训练对脑瘫(CP)患儿语言功能和运动功能的影响。方法选取2020年3月至2021年3月湖南省儿童医院康复中心收治的70例CP患儿,采用随机数字表法分为对照组和治疗组,各35例。2组均给予常规治疗,包括脑神经活性药物治疗、营养物质及维生素补充。对照组在常规治疗方法的基础上给予Bobath治疗法联合语言康复训练,治疗组在常规治疗方法的基础上给予针灸推拿联合语言康复训练。2组均治疗3个月后统计临床疗效、语言功能情况、运动功能情况、血液流变学指标变化。结果治疗组总有效率为91.43%(32/35),显著高于对照组的71.43%(25/35),2组比较,差异有统计学意义(P<0.05)。治疗前,2组听及理解能力、复述能力、阅读能力、书写能力评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述语言功能评分较同组治疗前显著升高(P<0.05),且治疗组升高更显著,差异有统计学意义(P<0.05)。治疗前,2组粗大运动功能量表(GMFM)、精细运动功能量表(FMFM)评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述运动功能评分较同组治疗前显著升高(P<0.05),且治疗组升高更显著,差异有统计学意义(P<0.05)。治疗前,2组全血黏度低切、血液黏度、红细胞压积等血液流变学指标比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述指标水平均降低,且治疗组降低更显著,差异有统计学意义(P<0.05)。结论针灸推拿联合语言康复训练治疗小儿CP,可显著提高患儿的语言功能和运动功能,降低血液流变学指标水平,改善脑部微循环,缓解脑组织缺氧、缺血状态,促进了脑细胞的自我修复能力,值得临床推广应用。Objective To observe the effect of acupuncture and tuina combined with language rehabilitation training on language function and motor function of children with cerebral palsy.Methods Seventy children with cerebral palsy admitted to the Rehabilitation Center of Hunan Children’s Hospital from March 2020 to March 2021 were divided into control group and treatment group in a random number table,with 35 cases in each group.Both groups were given conventional treatment,including neuroactive drug therapy,nutrition and vitamin supplementation.The control group was given Bobath therapy combined with speech rehabilitation training on the basis of conventional treatment,and the treatment group was given acupuncture and tuina combined with speech rehabilitation training on the basis of conventional treatment.The clinical efficacy,language function,motor function and hemorheology indexes of the 2 groups were counted after 3 months of treatment.Results The total effective rate of the treatment group was 91.43%(32/35),which was significantly higher than 71.43%(25/35)of the control group,and the difference between the two groups was statistically significant(P<0.05).Before treatment,there was no significant difference in the scores of listening and comprehension ability,retelling ability,reading ability and writing ability between the two groups(P>0.05),which was comparable.After treatment,the above language function scores in the 2 groups were significantly higher than those in the same group before treatment(P<0.05),and the increase was more significant in the treatment group,with statistical significance(P<0.05).Before treatment,there was no significant difference in Gross Motor Function Measure(GMFM)and Fine Motor Function Scale Measure(FMFM)scores between the two groups(P>0.05),indicating comparability.After treatment,the above motor function scores in the 2 groups were significantly higher than those in the same group before treatment(P<0.05),and the increase was more significant in the treatment group,with statistical

关 键 词：小儿脑瘫 针灸 推拿 语言功能 语言康复训练 临床观察 

分 类 号：R255.6[医药卫生—中医内科学]