《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (4): 359-362.

• 论文 • 上一篇    下一篇

推拿按摩督脉及夹脊穴治疗不随意运动型脑性瘫痪的效果

马丙祥,任燕,张建奎,郑宏,李华伟   

  1. 1.南京中医药大学,江苏南京市210023;2.河南中医学院第一附属医院儿科,河南郑州市450000;3.郑州市中心医院儿科,河南郑州市450000。
  • 收稿日期:2013-05-31 修回日期:2013-10-15 出版日期:2014-04-25 发布日期:2014-04-25
  • 通讯作者: 张建奎

Effect of Manipulation to Du Channel and Jiaji Acupoints on Dyskinetic Cerebral Palsy

MA Bing-xiang, REN Yan, ZHANG Jian-kui,et al.   

  1. Nanjing University of Traditional Chinese Medicine, Nanjing 210023, Jiangsu, China
  • Received:2013-05-31 Revised:2013-10-15 Published:2014-04-25 Online:2014-04-25

摘要: 目的观察推拿按摩督脉及夹脊穴治疗不随意运动型脑瘫的临床疗效。方法运用随机数字表,将符合条件的不随意运动型脑瘫患儿随机分为对照组(n=31)和观察组(n=34),对照组采用常规治疗方法治疗,观察组在此基础上加用推拿按摩督脉及夹脊穴治疗。分别在治疗前、治疗12 周后对患儿粗大运动功能测试(GMFM)、侧弯反射变化、肌张力波动变化进行评估。结果治疗前两组患儿GMFM总百分率、侧弯反射变化、肌张力波动均无显著性差异(P>0.05);治疗后观察组均优于对照组(P<0.05)。结论推拿按摩督脉及夹脊穴能促进不随意运动型脑瘫患儿侧弯反射的消失,减轻肌张力的波动,提高患儿的粗大运动功能。

关键词: 脑性瘫痪, 不随意运动型, 推拿按摩, 督脉, 夹脊穴, 粗大运动功能测试

Abstract: Objective To observe the clinical effect of manipulation to Du channel and Jiaji acupoints on dyskinetic cerabral palsy.Methods 76 children with dyskinetic cerebral palsy were divided into control group (n=31) and treatment group (n=34). The control group received conventional therapy and the treatment group received the manipulation to Du channel and Jiaji acupoints in addition. Gross Motor Function Measure (GMFM), and the changes of reflection in lateral bending and muscle tension fluctuation were evaluated. Results There
was no significant difference in the percentages of total GMFM, lateral bending reflex, and muscle tension fluctuation between 2 groups before treatment (P>0.05). After treatment, all these indexes were better in the treatment group than in the control group (P<0.05). Conclusion manipulation to Du Channel and Jiaji acupoints can promote the the lateral bending reflex disppear, reduce the fluctuation of musle tone, and improve the gross motor function.

Key words: cerebral palsy, dyskinetic, manipulation, Du channel, Jiaji acupoints, Gross Motor Function Measure