ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2023, Vol. 15 ›› Issue (3): 258-261.

• 中医应用研究 • 上一篇    下一篇

循经推拿联合针刺对脑性瘫痪患儿脑神经功能及脑血流动力学的影响

  

  • 出版日期:2023-06-25 上线日期:2023-11-22

Effects of massage and acupuncture on cerebral nerve function and cerebral hemodynamics in children with cerebral palsy

  • Published:2023-06-25 Online:2023-11-22

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摘要： 目的 探讨循经推拿疗法联合针刺治疗脑性瘫痪(简称脑瘫)患儿的效果。方法 以我院2019年3月至2022年3月收治的脑瘫患儿102例为研究对象，随机分为观察组和对照组各51例。对照组予以常规康复训练治疗，观察组在对照组的基础上予以循经推拿疗法联合针刺治疗。治疗3个月后观察两组患儿临床疗效、脑神经功能、智力发育情况以及脑血流动力学。结果 治疗3个月后观察组总有效率为90.20%(46/51),高于对照组72.55%(37/51),差异有统计学意义(P<0.05)。治疗3个月后两组患者脑源性神经营养因子水平均较治疗前上升，且观察组高于对照组，两组神经元特异性烯醇化酶、肌酸激酶脑型同工酶水平均较治疗前下降，且观察组低于对照组，差异均有统计学意义(P<0.05)。治疗3个月后两组智力发育情况各维度得分均较治疗前上升，且观察组高于对照组，差异有统计学意义(P<0.05)。治疗3个月后两组脑动脉收缩期峰流速度和平均血流速度均较治疗前上升，且观察组高于对照组，两组血管搏动指数和血管阻力指数均下降，且观察组低于对照组，差异均有统计学意义(P<0.05)。结论 对脑瘫患儿予以循经推拿疗法联合针刺治疗，通过改善脑神经因子水平，调节脑血流动力学，促进患儿智力发育，进而提高临床疗效。 

关键词: 脑性瘫痪, 循经推拿疗法, 针刺, 智力, 儿童

Abstract: ObjectiveTo investigate the effect of massage therapy combined with acupuncture on children with cerebral palsy.MethodsA total of 102 children with cerebral palsy admitted to our hospital from March 2019 to March 2022 were selected as research subjects,and were randomly divided into the observation group and the control group with 51 cases in each group.The control group was given routine rehabilitation training treatment,and the observation group was given meridian massage therapy combined with acupuncture treatment on the basis of the treatment for control group.After 3 months of treatment,the clinical effect,cerebral neurological function,intellectual development and cerebral hemodynamics of the two groups were observed.ResultsAfter 3 months of treatment,the total effective rate of the observation group was 90.20%(46/51),which was higher than that of the control group (72.55%,37/51),and the difference was statistically significant (P<0.05).After 3 months of treatment,the brain-derived neurotrophic factor levels in both groups were increased compared with before treatment,and the observation group was higher than the control group; the neuron-specific enolase and creatine kinase brain isoenzyme levels in both groups were decreased compared with before treatment,and the observation group was lower than the control group,the difference being with statistical significance(P<0.05).After 3 months of treatment,scores in all dimensions of intellectual development in both groups were higher than those before treatment,and the observation group was higher than the control group,the difference being statistically significant(P<0.05).After 3 months of treatment,cerebral artery systolic peak flow velocity and average blood flow velocity were increased in both groups compared with before treatment,and the observation group was higher than the control group; the vascular pulsation index and vascular resistance index were decreased in both groups,and the observation group was lower than the control group,the differences being statistically significant(P<0.05).ConclusionThe combination of massage therapy with acupuncture therapy in children with cerebral palsy can improve the level of cerebral nerve factors,regulate cerebral hemodynamics,promote the intellectual development of children,and thus improve the clinical efficacy.

Key words:

Cerebral palsy, Massage therapy, Acupuncture, Intelligence, Children