分析抑强扶弱推拿在痉挛型脑性瘫痪患儿中的应用效果  

To analyzethe application effect of suppressing strong and weak massage in children with spastic cerebral palsy

作　　者：丁燕青 许星 罗滨[1] DING Yanqing;XU Xing;LUO Bin(Department of Rehabilitation,Jiangxi Children's Hospital,NanChang,330006,China;Ji'an Maternal and Child Health Hospital,JiAn 343000,China)

机构地区：[1]江西省儿童医院康复科,江西南昌330006 [2]江西省吉安市妇幼保健院,江西吉安343000

出　　处：《内蒙古中医药》2025年第2期1-4,共4页Inner Mongolia Journal of Traditional Chinese Medicine

摘　　要：目的:分析抑强扶弱推拿在痉挛型脑性瘫痪患儿中的应用效果。方法:选取2021年1月—2023年11月江西省儿童医院康复收治的48例痉挛型脑性瘫痪患儿作为研究对象,根据随机数表法分为研究组(n=24例)和对照组(n=24例)。对照组行常规康复训练,研究组在对照组的基础上行抑强扶弱推拿。结果:研究组总治疗有效率为91.67%,高于对照组的62.50%(P<0.05)。治疗30 d后,研究组肢体痉挛评分、足背屈角、肌肉协同收缩率显著降低,腘角、股角显著升高,且变化幅度比对照组显著(P<0.05)。观察组粗大运动功能评分显著升高,且升高幅度比对照组显著(P<0.05)。结论:抑强扶弱推拿可进一步缓解痉挛型脑性瘫痪患儿的肢体痉挛,改善关节活动度,降低肌肉协同收缩率,提高粗大运动功能评分。Objective:To analyze the application effect of suppressing strong and weak massage in children with spastic cerebral palsy.Method:A total of 48 children with spastic cerebral palsy admitted to Jiangxi Children's Hospital for rehabilitation from January 2021 to November 2023 were selected as the study subjects. They were randomly divided into a study group(n=24 cases)and a control group(n=24cases)using a random number table method. The control group received routine rehabilitation training,while the study group received massage therapy to suppress the strong and support the weak on the basis of the control group. The total effective rate of treatment in the study group was 91.67%,which was higher than the control group's 62.50%(P<0.05). After 30 days of treatment,the study group showed a significant decrease in traditional Chinese medicine symptom scores,upper and lower limb spasticity scores,dorsiflexion angle of the foot,muscle co contraction rate,and a significant increase in popliteal and femoral angles,with a significant change amplitude compared to the control group(P<0.05). The gross motor function score of the observation group significantly increased,and the increase was more significant than that of the control group(P<0.05). Conclusion:Suppressing the strong and supporting the weak Tui Na can further alleviate the traditional Chinese medicine syndrome of children with spastic cerebral palsy,alleviate upper and lower limb spasms,improve joint range of motion,and reduce muscle co contraction rate.

关 键 词：抑强扶弱推拿 痉挛型 脑性瘫痪 肌肉协同收缩率分 

分 类 号：R742.3[医药卫生—神经病学与精神病学]