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| 以中醫辨證理論為指導的津沽小兒推拿治療腦性癱瘓兒童的臨床試驗研究 |
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張健1,2, 趙澎1, 牛巖1, 辛慶剛1, 徐剛1, 陳淑娟1, 盛倩倩1
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1.天津市兒童醫院康復科, 天津 300134;2.天津中醫藥大學, 天津 301617
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| 摘要: |
| [目的] 探討以中醫辨證理論為指導的津沽小兒推拿治療腦性癱瘓的有效性和安全性，并運用現代康復醫學手段進行療效評估，初步制定腦性癱瘓中醫推拿治療規范。[方法] 招募天津市兒童醫院2019年6月10日—2020年6月10日兒童康復中心的患兒，選擇符合腦性癱瘓西醫診斷標準、中醫疾病分類為“五遲”“五軟”“五硬”的患兒60例，隨機分為3組，即津沽小兒推拿治療組、常規推拿對照組及單純運動治療組，每組20例，分別予以相應的方法進行干預，4周為1個療程，共治療3個療程。同時進行盲法的實施，采用SAS 9.1統計學軟件進行統計學分析。[結果] 將數據進行統計學處理，可見津沽小兒推拿治療組患兒經過治療后，其中粗大運動功能測試（GMFM）評分臥位、翻身、坐、爬、跪及站立位的得分較其余兩組明顯提高（P＜0.05）；在髖、膝、踝關節痙攣狀況改善上優于其余兩組（P＜0.05）；從3組腦癱患兒整體臨床療效來看，津沽小兒推拿組患兒的功能獨立狀態和日常生活活動能力均較其余兩組有明顯改善（P<0.05）。[結論] 根據中醫辨證推拿治療腦性癱瘓，確立相應治則治法，進行有的放矢的中醫推拿治療，與現代康復醫學相接壤，體現中西醫結合的優勢以及治療的針對性，為廣大腦癱患兒提供了合理、明確及顯效的治療方案。 |
| 關鍵詞: 腦性癱瘓 五遲五軟 中醫辨證 津沽小兒推拿 |
| DOI：10.11656/j.issn.1672-1519.2023.05.06 |
| 分類號:R244.1 |
| 基金項目:天津市衛健委中醫藥重點領域課題（20170010）。 |
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| A clinical trial study on the treatment of children with cerebral palsy by Jingu pediatric tuina guided by the theory of Chinese medicine identification |
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ZHANG Jian1,2, ZHAO Peng1, NIU Yan1, XIN Qinggang1, XU Gang1, CHEN Shujuan1, SHENG Qianqian1
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1.Department of Rehabilitation, Tianjin Children's Hospital, Tianjin 300134, China;2.Tianjin University of Traditional Chinese Medicine, Tianjin 301617, China
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| Abstract: |
| [Objective] To explore the clinical trial observation of massage therapy for cerebral palsy in children under the guidance of TCM syndrome differentiation theory in Jinggu，and to evaluate the curative effect by modern rehabilitation medical means，and preliminarily establish the standard of TCM massage therapy for cerebral palsy. [Methods] Recruiting children’s hospital of Tianjin on June 10，2019 to 2020，June 10 children rehabilitation center，children choose to accord with cerebral palsy the diagnosis of western medicine，Chinese medicine disease classification for the “five late” “five soft” “five hard” of 60 cases were randomly divided into 3 groups，namely Jingu infantile massage treatment group，treatment group routine massage group and simple movement，20 cases in each group were treated with corresponding intervention methods，4 weeks as a course，a total of 3 courses of treatment. At the same time，the blind method was implemented and SAS 8.3 statistical software was used for statistical analysis. [Results] The data were statistically processed，and it could be seen that after treatment，GMFM scores of decubitus position，turning over，sitting，crawling，kneeling and standing and walking in the treatment group were significantly higher than those in the other two groups （P<0.05）. The improvement of hip，knee were better than the other two groups （P<0.05）. From the overall clinical effect of the three groups of children with cerebral palsy，the function independence state and the ability of daily living activities of children in the Jingu group were significantly improved compared with the other two groups （P<0.05）. [Conclusion] According to the TCM massage treatment of cerebral palsy，the establishment of the corresponding treatment，targeted Chinese massage treatment，and modern rehabilitation medicine border，reflect the advantages of integrated traditional Chinese and western medicine and targeted treatment，for the majority of children with cerebral palsy to provide a reasonable，clear and effective treatment plan. |
| Key words: cerebral palsy five late and five soft TCM syndrome differentiation Jingu pediatric massage |
