穴位贴敷联合中医按摩法对脑梗死恢复期患儿肢体功能障碍的影响

发布时间：2018-05-25 06:46

本文选题：脑梗死恢复期 + 儿童　；参考：《中医药导报》2017年06期

【摘要】：目的:探讨穴位贴敷联合中医按摩法对儿童脑梗死恢复期肢体功能障碍的影响。方法:将70例脑梗死恢复期患儿随机均分为治疗组和对照组。对照组在常规康复治疗基础上配合中医按摩法;治疗组采取穴位贴敷联合中医按摩法。记录比较两组治疗14 d、28 d后临床疗效,两组治疗前、治疗14 d、28 d后中国脑卒中患者临床神经功能缺损评分标准(CSS)、改良Rankin量表及肌力Lovett法评分;并比较两组治疗前后神经生长因子(NGF)、神经营养因子(NTF)及神经元特异性烯醇化酶(NSE)等血清学指标。结果:两组治疗28 d后总有效率明显高于治疗14 d后的总有效率(P0.05);治疗组治疗14 d后与治疗28 d后总有效率均明显高于对照组同时期的总有效率(P0.05)。两组治疗14 d后CSS、改良Rankin量表及肌力Lovett法评分均比治疗前显著改善(P0.01);两组治疗28 d后3种评分均比治疗14 d后显著好转(P0.01)。两组治疗14 d后3种评分比较,差异均无统计学意义(P0.05);治疗组治疗28 d后3种评分改善幅度较对照组更大(P0.01)。治疗后两组NGF、NTF及NSE水平均较治疗前显著改善(P0.01),且治疗组治疗后NGF、NTF及NSE水平均显著优于对照组(P0.01)。结论:儿童脑梗死恢复期应用穴位贴敷联合中医按摩法疗效显著,更有利于改善患儿肢体功能障碍。
[Abstract]:Objective: to explore the effect of acupoint application combined with traditional Chinese medicine massage on limb dysfunction in convalescent stage of cerebral infarction in children. Methods: 70 children with cerebral infarction were randomly divided into treatment group and control group. The control group was combined with traditional Chinese medicine massage on the basis of routine rehabilitation therapy, and the treatment group was treated with acupoint application combined with traditional Chinese medicine massage. The clinical effects of the two groups were compared after 14 days of treatment and 28 days after treatment. The clinical neurological impairment scores of Chinese stroke patients before and after 14 days of treatment were evaluated with CSSU, modified Rankin scale and muscle strength Lovett method. The serum levels of NGF, NTF and NSE before and after treatment were compared between the two groups. Results: the total effective rate after 28 days of treatment in both groups was significantly higher than that after 14 days of treatment, and the total effective rate in the treatment group after 14 days and 28 days was significantly higher than that in the control group at the same time. After 14 days of treatment, the scores of CSS, modified Rankin and muscle strength Lovett in both groups were significantly improved compared with those before treatment, and the three scores were significantly improved after 28 days of treatment in both groups compared with those after 14 days of treatment. There was no significant difference among the three scores after 14 days of treatment in the two groups, and the improvement of the three scores in the treatment group was greater than that in the control group after 28 days of treatment. After treatment, the levels of NSE and NSE in the two groups were significantly improved compared with those before treatment, and the levels of NGF NTF and NSE in the treatment group were significantly higher than those in the control group (P 0.01). Conclusion: acupoint application combined with traditional Chinese medicine massage is effective in the recovery of cerebral infarction in children, and it is more beneficial to improve limb dysfunction in children.
【作者单位】：西安市儿童医院;西安市第五医院;
【分类号】：R246.6

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