健脾益肾推拿法治疗小儿脑瘫姿势运动发育异常的临床观察

发布时间：2018-11-14 21:12

【摘要】：目的:观察健脾益肾推拿法治疗脑瘫患儿姿势运动发育异常的临床疗效,为临床治疗小儿脑瘫提供一种新的治疗方法和思路。方法:按照纳入标准选择60例病例,根据随机数字表法将其随机分为实验组和对照组,每组各30例。实验组采用健脾益肾推拿法及康复治疗,对照组采用康复治疗。使用粗大运动功能评价量表(GMFM)对治疗前及治疗3个疗程后患儿姿势运动发育进行评分并记录,对所得数据进行统计学分析并做出疗效评价。结果:1.两组患儿治疗前后粗大运动功能评价量表(GMFM)各区评分比较,实验组A区(仰卧和翻身)、B区(坐)、C区(爬和跪)、D区(站立)、E区(走跑跳)姿势运动发育差异有统计学意义(P0.05);对照组A区(仰卧和翻身)、B区(坐)、C区(爬和跪)、D区(站立)、E区(走跑跳)姿势运动发育差异有统计学意义(P0.05);2.两组患儿治疗后粗大运动功能评价量表(GMFM)各区评分比较,A区、B区差异有统计学意义(P0.05),C区、D区、E区差异无统计学意义(P0.05);3.两组患儿治疗前后粗大运动功能评价量表(GMFM)总评分组内比较,差异均有统计学意义(P0.05);4.两组患儿治疗后,粗大运动功能评价量表(GMFM)评分组间比较,差异有统计学意义(P0.05);5.两组患儿姿势运动发育异常疗效经比较,试验组有效率为90%,对照组有效率为83.33%,差异有统计学意义(P0.05);6.两组患儿在治疗中均未出现与推拿相关的骨折、出血、晕厥、感染、软组织损伤等不良反应。结论:1.健脾益肾推拿法结合康复治疗与单纯康复治疗均能改善患儿姿势运动发育异常的情况;2.健脾益肾推拿法结合康复治疗疗效优于单纯康复治疗;3.健脾益肾推拿法结合康复治疗在改善患儿仰卧、翻身、坐立能力三方面疗效优于改善爬跪、站立、走、跑、跳能力。
[Abstract]:Objective: To observe the clinical effect of strengthening the spleen and tonifying the kidney to treat the abnormal posture of children with cerebral palsy, and to provide a new treatment method and thought for the treatment of cerebral palsy in children. Methods: 60 cases were selected according to the criteria of inclusion, and they were randomly divided into the experimental group and the control group according to the random digital form method. The experimental group adopted the method of strengthening the spleen and benefiting the kidney and the rehabilitation treatment, and the control group adopted the rehabilitation treatment. The movement and development of the posture of the children before and after 3 courses of treatment were scored and recorded by using the coarse motion function evaluation scale (GMFM), and the data obtained were statistically analyzed and the efficacy evaluation was made. Results: 1. The results showed that there was a significant difference between the two groups in the group A (supine and turn-over), B (sitting), C (climbing and kneeling), D (standing), and E (walking), and the difference of the movement of the two groups was statistically significant (P0.05). In control group A (supine and turn-over), B (sitting), C (climbing and kneeling), D-region (standing) and E-region (walking-jump) posture were statistically significant (P0.05); There was no significant difference between the two groups (P0.05). The difference between the two groups was statistically significant (P0.05). The difference between the two groups was statistically significant (P0.05). The effective rate of the test group was 90%, the effective rate of the control group was 83.3%, and the difference was statistically significant (P0.05). There were no side effects such as fracture, hemorrhage, carsickness, infection, soft tissue injury, etc. in both groups. Conclusion: 1. The combination of the strengthening of the spleen and the kidney and the combination of the rehabilitation and the simple rehabilitation can improve the abnormal movement of the children's posture. The curative effect of strengthening the spleen and benefiting the kidney and the combination of the rehabilitation therapy is superior to that of the simple rehabilitation therapy; The invention has the advantages of strengthening the spleen and benefiting the kidney, and combining the rehabilitation treatment in the three aspects of improving the supine, turning-over and standing capacity of the child, and has the advantages of improving the kneeling, standing, walking, running and jumping ability.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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