针刺联合推拿治疗3~6岁儿童运动发育障碍肝肾亏损证的临床疗效及对肌张力的影响  

Clinical efficacy of acupuncture combined with tuina on 3-6 years old children with motordevelopment disorder with liver and kidney deficiency syndrome and its influence on muscle tension

作　　者：刘琴 董庆[2] 应彦斌 LIU Qin;DONG Qing;YING Yanbin(Children’s Rehabilitation Department,Yongkang Maternal and Child Health Hospital,Yongkang,Zhejiang,321300,China;Children’s Rehabilitation Department,Children’s Hospital Affiliated to Zhejiang University School of Medicine,Hangzhou,Zhejiang,310005,China)

机构地区：[1]永康市妇幼保健院儿童康复科,浙江永康321300 [2]浙江大学医学院附属儿童医院儿童康复科,浙江杭州310005

出　　处：《中医儿科杂志》2023年第6期88-92,共5页Journal of Pediatrics of Traditional Chinese Medicine

摘　　要：目的观察针刺联合推拿治疗3~6岁儿童运动发育障碍肝肾亏损证的临床疗效及对肌张力的影响。方法选取2020年9月至2022年8月在永康市妇幼保健院儿童康复科及浙江大学医学院附属儿童医院儿童康复科接受治疗的3~6岁运动发育障碍肝肾亏损证患儿94例,按照随机数字表法分为治疗组和对照组,各47例。2组均行常规康复治疗,对照组在常规康复治疗的基础上行运动发育推拿法治疗,治疗组在对照组治疗方法的基础上行循经针刺治疗。2组均8周为1个疗程,连续治疗3个疗程后统计临床疗效、运动发育障碍和肌张力改善情况,并评估日常生活能力。结果对照组总有效率为78.72%(37/47),治疗组为95.74%(45/47),2组比较,差异有统计学意义(P<0.05)。治疗前2组粗大运动功能(GMFM-88)评分和Barthel指数评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组GMFM-88评分和Barthel指数评分均明显升高,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。治疗前2组肌张力分级比较,差异无统计学意义(P>0.05),具有可比性;治疗后2组肌张力分级显著改善,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组改善更显著(P<0.05)。结论针刺联合推拿治疗3~6岁儿童运动发育障碍肝肾亏损证,有利于改善患儿的肌张力和运动发育能力,提高日常生活能力,疗效显著,值得临床推广应用。Objective To observe the clinical efficacy of acupuncture combined with tuina on 3-6 years old children motor development disorder with liver and kidney deficiency syndrome and its influence on muscle tension.Methods Atotal of 94 children motor development disorder with liver and kidney deficiency syndrome aged 3-6 years old who received treatment in the Children’s Rehabilitation Department of Yongkang Maternal and Child Health Hospital and the Children’s Rehabilitation Department of Children’s Hospital Affiliated to Zhejiang Univer⁃sity School of Medicine from September 2020 to August 2022 were selected and divided into a treatment group and a control group in a random number table,with 47 cases in each group.Both groups received routine rehabilitation treatment.The control group received motor development tuina therapy on the basis of routine rehabilitation treat⁃ment,while the treatment group received acupuncture along the meridian on the basis of the control group’s treat⁃ment method.Both groups were treated for 8 weeks as a course of treatment.After 3 consecutive courses of treatment,clinical efficacy,motor development disorders,and muscle tone improvement were recorded,and daily living ability was evaluated.Results The total effective rate of the control group was 78.72%(37/47),while the treatment group was 95.74%(45/47).There was a statistically significant difference between the two groups(P<0.05).There was no statistically significant difference in GMFM⁃88 scores between the two groups before treatment(P>0.05),indica⁃ting comparability.After treatment,both groups showed a significant increase in GMFM⁃88 scores,with a statistically significant difference compared to the same group before treatment(P<0.05),and the treatment group showed a more significant increase(P<0.05).There was no statistically significant difference in muscle tone grading between the two groups before treatment(P>0.05),indicating comparability.After treatment,the muscle tone grading of the two groups significantly

关 键 词：儿童 运动发育障碍 肝肾亏损证 针刺 推拿 临床观察 

分 类 号：R255.6[医药卫生—中医内科学]