本文關(guān)鍵詞：劉氏小兒推拿配合焦氏頭針治療伴輕度智力障礙腦癱患兒的療效　出處：《湖南中醫(yī)藥大學(xué)》2016年碩士論文　論文類型：學(xué)位論文

  更多相關(guān)文章： 劉氏小兒推拿 焦氏頭針 智力 腦癱 療效觀察

【摘要】：目的:觀察劉氏小兒推拿配合焦氏頭針對(duì)伴輕度智力障礙腦癱患兒智力發(fā)育的影響。為臨床治療小兒腦癱,改善智力發(fā)育提供科學(xué)的依據(jù)。方法:將80例伴輕度智力障礙腦癱患兒隨機(jī)分為治療組40例,對(duì)照組40例,在基礎(chǔ)治療的基礎(chǔ)上治療組采用劉氏小兒推拿配合焦氏頭針,對(duì)照組在基礎(chǔ)治療的基礎(chǔ)上采用普通推拿配合焦氏頭針。兩組治療1次/日,6次/周,4周為1個(gè)療程,共治療3個(gè)療程,兩療程間休息7天。兩組分別于治療前及治療3個(gè)療程后采用GDDS、BSID和GMFM進(jìn)行康復(fù)評(píng)定。結(jié)果:1.GDDS各能區(qū)發(fā)育商:兩組患兒治療前后比較,DQ、適應(yīng)性、大運(yùn)動(dòng)、精細(xì)動(dòng)作、語言、個(gè)人-社交五大能區(qū)差異具有統(tǒng)計(jì)學(xué)意義(P0.05);兩組患兒治療后比較,DQ及適應(yīng)性、大運(yùn)動(dòng)、精細(xì)動(dòng)作、語言、個(gè)人-社交五大能區(qū)差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組在DQ及五大能區(qū)改善方面明顯優(yōu)于對(duì)照組。2.BSID智力與運(yùn)動(dòng)指數(shù):兩組患兒治療前后比較智力粗分、指數(shù)和運(yùn)動(dòng)粗分、指數(shù)差異具有統(tǒng)計(jì)學(xué)意義(P0.05);兩組患兒治療后比較,智力粗分、指數(shù)和運(yùn)動(dòng)粗分、指數(shù)差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組在智力及運(yùn)動(dòng)改善方面明顯優(yōu)于對(duì)照組。3.GMFM比較:兩組患兒治療前后比較臥位與翻身、坐位、爬與跪、站立、行、走、跑、跳差異具有統(tǒng)計(jì)學(xué)意義(P0.05);兩組患兒治療后比較,臥位與翻身、坐位、爬與跪等粗大運(yùn)動(dòng)差異具有統(tǒng)計(jì)學(xué)意義(P0.05),站立、行、走、跑、跳等粗大運(yùn)動(dòng)差異具無統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組在臥位與翻身、坐位、爬與跪等粗大運(yùn)動(dòng)改善方面明顯優(yōu)于對(duì)照組。4.臨床療效:治療組總有效率94.12%;對(duì)照組總有效率80.56%,兩組療效之間,差異具有統(tǒng)計(jì)學(xué)意義(P0.05),說明治療組在臨床療效方面明顯優(yōu)于對(duì)照組。結(jié)論:1.劉氏小兒推拿配合焦氏頭針療法和常規(guī)推拿配合焦氏頭針療法均可以改善伴輕度智力障礙腦癱患兒的DQ以及適應(yīng)性、粗大運(yùn)動(dòng)、精細(xì)動(dòng)作、語言、個(gè)人-社交能區(qū)、智力、運(yùn)動(dòng)、臥位與翻身、坐位、爬與跪、站立、行、走、跑、跳的發(fā)育情況,而且劉氏小兒推拿配合焦氏頭針療法在改善DQ、五大能區(qū)、智力、運(yùn)動(dòng)、臥位與翻身、坐位、爬與跪發(fā)育方面明顯優(yōu)于常規(guī)推拿配合焦氏頭針療法。2.劉氏小兒推拿配合焦氏頭針可以提高腦癱患兒智力,改善臨床癥狀,增強(qiáng)康復(fù)效果,提高生活和生存的質(zhì)量,其療效確切,為小兒腦癱的治療提供了思路,值得臨床推廣。
[Abstract]:Objective: to observe the effect of Liu's pediatric massage combined with Jiao's head on intelligence development in children with mild cerebral palsy. Methods: 80 children with mild cerebral palsy were randomly divided into treatment group (n = 40) and control group (n = 40). On the basis of basic treatment, the treatment group was treated with Liu's pediatric massage combined with Jiao's scalp acupuncture, while the control group was treated with ordinary massage combined with Jiao's scalp acupuncture on the basis of basic treatment. Four weeks as a course of treatment, a total of 3 courses of treatment, the two courses of rest between 7 days. The two groups were treated before and after treatment of three courses of GDDS. BSID and GMFM were evaluated for rehabilitation. Results 1. Development quotient of GDDS energy region: the two groups were compared before and after treatment with DQ, adaptability, large motor, fine movement and language. The difference of the five energy regions between individuals and social groups was statistically significant (P 0.05). After treatment, the difference of DQ and adaptability, large motor, fine movement, language, personal and social interaction were statistically significant (P 0.05). The results showed that the improvement of DQ and five energy areas in the treatment group was significantly better than that in the control group. 2. BSID intelligence and motor index: the two groups of children before and after treatment compared the intelligence gross score, index and exercise gross score. The index difference was statistically significant (P 0.05). After treatment, there were significant differences between the two groups in intelligence gross score, index and motor gross score, and index difference (P 0.05). The improvement of intelligence and movement in the treatment group was significantly better than that in the control group. 3. GMFM comparison: the two groups of children before and after treatment compared with lying position, sitting position, climbing and kneeling, standing, walking, running. The jump difference was statistically significant (P 0.05). Two groups of children after treatment, lying and turning over, sitting, climbing and kneeling and other coarse movement differences were statistically significant (P 0.05), standing, walking, walking, running. There was no statistical significance in the difference of the coarse exercise such as jumping, indicating that the treatment group was in the supine position and the turn over position and the sitting position. The improvement of coarse movement such as climbing and kneeling was obviously better than that of control group .4.Clinical effect: the total effective rate of treatment group was 94.12; The total effective rate of the control group was 80.56.The difference between the two groups was statistically significant (P 0.05). Conclusion: the treatment group is superior to the control group in clinical effect. 1. Liu's pediatric massage combined with Jiao's scalp acupuncture therapy and routine massage combined with Jiao's head acupuncture therapy can improve DQ and adaptability of children with mild cerebral palsy. Gross movement, fine movement, language, personal-social energy zone, intelligence, movement, lying and turning, sitting position, climbing and kneeling, standing, walking, running, jumping development. And Liu's Pediatric Massage combined with Jiao's scalp acupuncture therapy can improve DQ, five energy areas, intelligence, movement, lying position and turning over, sitting position. Climbing and kneeling development is obviously superior to the routine massage combined with Jiao's head acupuncture therapy. 2. Liu's pediatric massage combined with Jiao's head acupuncture can improve the intelligence of children with cerebral palsy, improve clinical symptoms, and enhance the effect of rehabilitation. To improve the quality of life and life, the curative effect is definite, which provides a way of thinking for the treatment of cerebral palsy in children and is worth popularizing in clinic.
【學(xué)位授予單位】：湖南中醫(yī)藥大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2016
【分類號(hào)】：R244.1

【參考文獻(xiàn)】

相關(guān)期刊論文 前10條

1 姚志勇;;推拿按摩在小兒腦癱康復(fù)中的應(yīng)用分析[J];當(dāng)代醫(yī)學(xué);2015年36期

2 Hesham Abdel-Hady;Nehad Nasef;Abd Elazeez Shabaan;Islam Nour;;Caffeine therapy in preterm infants[J];World Journal of Clinical Pediatrics;2015年04期

3 齊放;;焦氏頭針結(jié)合靳三針取穴配電針治療小兒腦性癱瘓合并智力低下的臨床研究[J];中醫(yī)臨床研究;2015年26期

4 李潔冰;;針灸與推拿治療小兒腦性癱瘓患者28例的療效觀察[J];臨床醫(yī)藥文獻(xiàn)電子雜志;2015年23期

5 于冬麗;羅丹娜;;針灸推拿治療小兒腦癱28例臨床療效分析[J];中國(guó)實(shí)用醫(yī)藥;2015年20期

6 謝安樹;劉立席;;針刺推拿治療腦性癱瘓流涎癥臨床觀察[J];上海針灸雜志;2015年06期

7 彭定玉;;小兒推拿在腦癱康復(fù)中的臨床意義[J];大家健康(學(xué)術(shù)版);2015年08期

8 金炳旭;趙勇;李諾;;“痙攣三針”對(duì)痙攣型腦癱患兒內(nèi)收肌肌張力的影響[J];中國(guó)針灸;2015年03期

9 陳冬冬;鐘寧;黃華玉;史惟;施炳培;;運(yùn)動(dòng)發(fā)育推拿法與神經(jīng)發(fā)育療法對(duì)小兒腦性癱瘓的療效比較[J];中國(guó)康復(fù)理論與實(shí)踐;2015年01期

10 張謙;吳家滿;卓緣圓;鐘宇玲;;益腎通督針法結(jié)合現(xiàn)代康復(fù)治療痙攣型腦性癱瘓[J];吉林中醫(yī)藥;2014年10期

，

本文編號(hào)：1357927