中医穴位按摩治疗小儿发育迟滞临床研究  

Clinical Study on Chinese Medicine Point Massage for Developmental Retardation in Children

作　　者：任莉[1] 万鸽[1] 李孟[1] 谢小培[1] 张靖[1] REN Li;WAN Ge;LI Meng;XIE Xiaopei;ZHANG Jing(Nanyang Central Hospital,Nanyang Henan 473000,China)

机构地区：[1]南阳市中心医院,河南南阳473000

出　　处：《新中医》2024年第5期174-180,共7页New Chinese Medicine

基　　金：2019年度河南省医学科技攻关计划联合共建项目(LHGJ20191453)。

摘　　要：目的:观察中医穴位按摩在小儿发育迟滞康复治疗中的应用效果。方法:选取2 000例发育迟滞患儿,按随机数字表法分为研究组及常规组各1 000例。研究组治疗期间脱落48例,最终纳入952例患儿;常规组治疗期间脱落51例,最终纳入949例患儿。常规组给予常规康复治疗,研究组在常规组基础上联合中医穴位按摩。比较2组智商发育、语言功能[Gesell发育量表(GDS)]、运动功能[Peabody精细运动发育量表(PDM-FM)、粗大运动功能评估量表(GMFM)]、日常生活能力[日常生活能力量表(ADL)]、脑神经损伤相关指标[S100β蛋白、髓鞘碱性蛋白(MBP)、神经元特异性烯醇化酶(NSE)]值的变化。结果:治疗3个月、6个月后,2组语言商、操作商、全智商分数均较治疗前上升,研究组上述3项分数均高于常规组(P<0.05);治疗6个月后,2组语言商、操作商、全智商分数均较治疗3个月升高(P<0.05)。治疗3个月、6个月后,2组抓握能区、视觉运动统合能区、GMFM、GDS评分均较治疗前上升,研究组上述4项评分均高于常规组(P<0.05);治疗6个月后,2组抓握能区、视觉运动统合能区、GMFM、GDS评分均较治疗3个月上升(P<0.05)。治疗3个月、6个月后,2组生活自理量表、工具性日常生活能力量表评分及ADL总分均较治疗前下降,研究组上述3项评分均低于常规组(P<0.05);治疗6个月后,2组生活自理量表、工具性日常生活能力量表评分及ADL总分均较治疗3个月下降(P<0.05)。治疗3个月、6个月后,2组S100β蛋白、MBP、NSE水平均较治疗前下降(P<0.05),研究组上述3项水平均低于常规组(P<0.05)。治疗6个月后,2组S100β蛋白、MBP、NSE水平均较治疗3个月下降(P<0.05)。结论:中医穴位按摩在治疗小儿发育迟滞康复中效果显著,可减轻患儿脑神经损伤,促进患儿智力发育,改善患儿语言、运动功能,提升日常生活能力。Objective:To observe the effect of Chinese medicine point massage on developmental retardation in children.Methods:A total of 2000 children with developmental retardation were selected and divided into the study group and the routine group according to the random number table method,with 1000 cases in each group.In the study group,48 cases fell off during treatment,and 952 cases were finally included.In the routine group,51 cases fell off during treatment,and 949 cases were finally included.The routine group was given routine rehabilitation treatment,and the study group was additionally treated with Chinese medicine point massage based on the treatment of the control group.The changes in IQ development,language function[Gesell Development Schedule(GDS)],motor function[Peabody Fine Motor Development Motor Scale(PDM-FM),and Gross Motor Function Measure(GMFM)],activity of daily living(ADL),and brain nerve injury-related indexes[S100βprotein,myelin basic protein(MBP),and neuron-specific enolization(NSE)]were compared between the two groups.Results:After 3 and 6 months of treatment,the scores of language quotient,operation quotient and total intelligence quotient in the two groups were increased when compared with those before treatment,and the above three scores in the study group were higher than those in the routine group(P<0.05).After 6 months of treatment,the scores of language quotient,operation quotient and total intelligence quotient in the two groups were increased when compared with those after 3 months of treatment(P<0.05).After 3 and 6 months of treatment,the scores of grasping energy range,visual motor integration energy range,GMFM,and GDS in the two groups were increased when compared with those before treatment,and the above four scores in the study group were higher than those in the routine group(P<0.05).After 6 months of treatment,the scores of grasping energy range,visual motor integration energy range,GMFM,and GDS in the two groups were increased when compared with those after 3 months of treatmen

关 键 词：发育迟滞 穴位按摩 运动功能 智商 日常生活能力 

分 类 号：R246.5[医药卫生—针灸推拿学]