西部中医药
西部中醫藥
서부중의약
Western Journal of Traditional Chinese Medicine
2015年
10期
109-110,111
,共3页
脑性瘫痪%小儿%针灸%按摩%流涎症
腦性癱瘓%小兒%針灸%按摩%流涎癥
뇌성탄탄%소인%침구%안마%류연증
cerebral palsy%children%acupuncture%massage%salivation
目的：探讨针灸按摩治疗小儿脑性瘫痪流涎症的临床效果。方法：将48例患儿随机分为2组：对照组24例给予中药穴位贴敷和口舌操训练，观察组24例在对照组治疗的基础上加用针灸按摩治疗。结果：治疗后TDS分级评定对照组Ⅰ级5例，Ⅱ级4例，Ⅲ级10例，Ⅳ级2例，Ⅴ级3例；观察组Ⅰ级10例，Ⅱ级7例，Ⅲ级4例，Ⅳ级2例，Ⅴ级1例。观察组TDS分级评定优于对照组。对照组、观察组治疗后大脑动脉血流速度分别为(135.64±13.72)cm/s、(144.78±16.45)cm/s；对照组、观察组患儿治疗后血管搏动指数分别是(1.05±0.17)、(0.90±0.18)。治疗后2组发音训练无明显差异(P＞0.05)，观察组自行进食的人数明显多于对照组(P＜0.05)。治疗后观察组语言、社会适应、个人社交发育商水平明显高于对照组(P＜0.05)。2组均未出现严重不良反应。结论：针灸按摩康复治疗小儿脑性瘫痪流涎症安全，疗效显著，能增加脑血流量，促进局部肌肉发生收缩运动，可控制流涎症，提高脑瘫患儿的生活质量。
目的：探討針灸按摩治療小兒腦性癱瘓流涎癥的臨床效果。方法：將48例患兒隨機分為2組：對照組24例給予中藥穴位貼敷和口舌操訓練，觀察組24例在對照組治療的基礎上加用針灸按摩治療。結果：治療後TDS分級評定對照組Ⅰ級5例，Ⅱ級4例，Ⅲ級10例，Ⅳ級2例，Ⅴ級3例；觀察組Ⅰ級10例，Ⅱ級7例，Ⅲ級4例，Ⅳ級2例，Ⅴ級1例。觀察組TDS分級評定優于對照組。對照組、觀察組治療後大腦動脈血流速度分彆為(135.64±13.72)cm/s、(144.78±16.45)cm/s；對照組、觀察組患兒治療後血管搏動指數分彆是(1.05±0.17)、(0.90±0.18)。治療後2組髮音訓練無明顯差異(P＞0.05)，觀察組自行進食的人數明顯多于對照組(P＜0.05)。治療後觀察組語言、社會適應、箇人社交髮育商水平明顯高于對照組(P＜0.05)。2組均未齣現嚴重不良反應。結論：針灸按摩康複治療小兒腦性癱瘓流涎癥安全，療效顯著，能增加腦血流量，促進跼部肌肉髮生收縮運動，可控製流涎癥，提高腦癱患兒的生活質量。
목적：탐토침구안마치료소인뇌성탄탄류연증적림상효과。방법：장48례환인수궤분위2조：대조조24례급여중약혈위첩부화구설조훈련，관찰조24례재대조조치료적기출상가용침구안마치료。결과：치료후TDS분급평정대조조Ⅰ급5례，Ⅱ급4례，Ⅲ급10례，Ⅳ급2례，Ⅴ급3례；관찰조Ⅰ급10례，Ⅱ급7례，Ⅲ급4례，Ⅳ급2례，Ⅴ급1례。관찰조TDS분급평정우우대조조。대조조、관찰조치료후대뇌동맥혈류속도분별위(135.64±13.72)cm/s、(144.78±16.45)cm/s；대조조、관찰조환인치료후혈관박동지수분별시(1.05±0.17)、(0.90±0.18)。치료후2조발음훈련무명현차이(P＞0.05)，관찰조자행진식적인수명현다우대조조(P＜0.05)。치료후관찰조어언、사회괄응、개인사교발육상수평명현고우대조조(P＜0.05)。2조균미출현엄중불량반응。결론：침구안마강복치료소인뇌성탄탄류연증안전，료효현저，능증가뇌혈류량，촉진국부기육발생수축운동，가공제류연증，제고뇌탄환인적생활질량。
Objective:To explore clinical effects of acupuncture and massage in treating salivation of the chil-dren with cerebral palsy. Methods:All 48 children were randomized into two groups:the control group received acu-point sticking with herbs and tongue exercise, and the observation group acupuncture and massage on the basis of the therapy the control group received. Results:After treating, there were five cases in gradeⅠ, four cases in gradeⅡ, ten cases in gradeⅢ, two cases in gradeⅣ, and three cases in gradeⅤof the control group according to TDS classification assessment;there were ten cases in gradeⅠ, seven cases in gradeⅡ, four cases in gradeⅢ, two cases in gradeⅣ, and one case in gradeⅤof the observation group. The observation group was superior to the control group in TDS classification assessment. After treating, cerebral artery blood flow velocities of the control group and the observation group were (135.64±13.72) cm/s and (144.78±16.45) cm/s respectively;vassal pulsatility indexes of the control group and the observation group were (1.05 ±0.17) and (0.90 ±0.18) after treating respectively. After treating, there was no obvious difference in the comparison of pronunciation exercise (P>0.05), the observation group was more than the control group in the persons who ate by themselves obviously (P<0.05). The observation group was higher than the control group in the levels of language, social adjustment and personal social development quotient (P<0.05). No severe adverse reaction happened in both groups. Conclusion:Acupuncture and massage are safe and effective in treating salivation of the children with cerebral palsy, which could increase cerebral blood flow, promote contraction of local muscles, control salivation and improve quality of life in the children with cerebral palsy.
