摘要
目的:观察刘氏小儿推拿对伴轻度智力障碍脑瘫患儿的影响。方法:将伴轻度智力障碍脑瘫患儿随机分为治疗组和对照组,治疗组38例,对照组35例,治疗组采用刘氏小儿推拿加上综合疗法,对照组仅采取综合疗法,治疗3个疗程,以格赛尔发展量表、粗大运动功能评估量表进行评价。结果:两组适应性评分在3月、4月比较差异有统计学意义(P<0.05);大运动评分在3月、4月差异有统计学意义(P<0.05);精细运动评分在2、3、4月差异有统计学意义(P<0.05);语言评分在3、4月差异有统计学意义(P<0.05);个人-社会评分在4月差异有统计学意义(P<0.05)。治疗结束时各个能区评分经配对t检验,差异均有统计学意义(P<0.01)。两组粗大运动功能卧位与翻身评分在3月、4月差异有统计学意义(P<0.05);坐位评分在3月、4月差异有统计学意义(P<0.05);爬与跪评分在4月差异有统计学意义(P<0.05);站立评分与行走、跑、跳评分,差异均无统计学意义(P>0.05)。治疗结束时前3项评分经配对t检验,差异均有统计学意义(P<0.01)。结论:刘氏小儿推拿治疗脑瘫患儿有较好的疗效,能提高患儿各能区特别是精细运动功能的发育水平。
Objective： To observe the effect of Liu＇s massage on the intelligence level and the movement level of the children with mild mental retardation. Methods： The children with mild mental retardation were randomly divided into treatment and control groups, respectively with 38 and 35 cases. Patients were treated with Liu＇s children＇s massage plus basic treatment in treatment group, and only basic treatment in control group. In three courses, Gesell Developmental Schedules and Gross Motor Function Measure were used to observe the clinical efficacy. Results： The adaptive score between the groups showed statistically difference at 3^rd and 4^th month （P〈0.05）; the large sports scores between the groups showed statistically difference at 3^rd and 4^th month （P〈0.05）; the fine motor score between the groups showed statistically difference at 2^nd, 3^rd and 4^th month （P〈0.05）; the language score between the groups showed statistically difference at 3^rd and 4^th month （P〈0.05）; the individual-society score between the groups showed statistically difference at 4^th month （P〈0.05）. At the end of the treatment, the scores of each energy region were tested by paired t test, and the difference was statistically significant （P〈0.01）. Gross Motor Function Measure turn score showed statistically difference at 3^rd and 4^th month （P〈0.05）; seat score between the groups showed statistically difference at 3^rd and 4^th month （P〈0.05）, and the climb to kneel score showed statistically difference at 4^th month （P〈0.05）; Scoring for standing and walking, running, jumping score showed no statistically difference （P〉0.05）. At the end of the treatment, the first 3 scores were tested by paired t test, and the difference was statistically significant （P〈0.01）. Conclusion： Liu＇s infantile massage can showed good efficacy on cerebral palsy children, and improve various area especially fine motor function development.
出处
《中医药导报》
2016年第9期47-51,共5页
Guiding Journal of Traditional Chinese Medicine and Pharmacy
基金
湖南省科技厅社会发展支撑计划(2014SK4039)
湖南省中医药管理局重点项目(201405)
关键词
脑瘫
智力障碍
刘氏小儿推拿
格赛尔发展量表
粗大运动功能评估量表
cerebral palsy
mental retardation
Liu＇s infantile massage
Gesell Developmental Schedules
Gross Motor Function Measure
