【目的】 探讨中医按摩法在促进早产儿脑损伤的神经发育方面是否存在优势,能否进一步的确立中医在早产儿脑损伤的早期干预中的重要地位。 【方法】 对纳入符合纳入标准病例82例随机分为两组,两组均在常规早期干预治疗(中药浴水疗、运动疗法)的基础上,试验组加通督醒脑益肾健脾按摩,对照组加婴儿抚触,分别于治疗前及治疗3个月后,用粗大运动功能评定量表(Gross Motor Function Measure,GMFM)、贝利婴幼儿发育量表Ⅱ及Gesell发育商数(DQ)进行评估。 【结果】 治疗后试验组大运动(DQ)发育商均数及GMFM 的B区总体均数高于对照组,两组差异有统计学意义(P<0.05),余下几项两组对比均无统计学意义(P>0.05);MDI及PDI治疗前后两组差异均无统计学意义(P>0.05)。 【结论】 通督醒脑益肾健脾按摩在改善脑损伤患儿的大运动功能,尤其在坐位方面比婴儿抚触具有疗效优势。
Abstract
【Objectives】 The effects of the two groups was compared to see whether there were superiority in early intervention of brain damage in preterm infants with the Massage of Tongduxingnao and Yishenjianpi.Whether to further established the important position of traditional Chinese medicine in the early intervention of brain damage in premature infants. 【Methods】 82 infants with brain demage in preterm infants were selected and randomly divided into two groups.The experimental group received the treatment of Massage of Tongduxingnao and Yishenjianpi combined with routine intervention.The control group received Massage of Sensory Stimulation combined with routine intervention.The Gross Motor Function Measure,Bayley scales of infant developmentⅡ(MDI、PDI)and the Gesell Developmental Scales were tested before,right after and 3 months after the treatment designed. 【Results】 The experimental group had a significant superiority in improving the DQ of gross motor function by Gesell Developmental Scales and GMFM(B area)compared with the control group(P<0.05),but no discrepancy in the others.After the treatment,the score of experimental group reach normalization in MDI and PDI by BSID was higher compared with the control group(P>0.05). 【Conclusion】 The Massage of Tongduxingnao and Yishenjianpi has a significant superiority in improving the DQ of gross motor function and sitting position(B area of GMFM)compare with the Massage of Sensory Stimulation.
关键词
早产儿脑损伤 /
早期干预 /
通督醒脑益肾健脾按摩
Key words
brain demage in preterm infants /
early intervention /
massage of Tongduxingnao and Yishenjianpi
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
参考文献
[1] 农绍汉,谢衍铭.早产儿生发层-脑室内出血的研究新进展[J].中华围产医学杂志,2003,41(1):55-57.
[2] 鲍秀兰.高危儿早期干预和脑瘫发生率的降低[J].中国康复医学杂志,2005,20(6):403-404.
[3] 李松,洪世欣,王太梅,等.早产和低出生体重及小于胎龄儿与脑性瘫痪发病的关系[J].中华儿科杂志,2003,54(5):28-31.
[4] 胡亚美,江载芳.诸福棠实用儿科学[M].北京:人民卫生出版社,2002:425-427.
[5] 常立文,刘敬,李文斌.早产儿缺氧缺血性脑损伤的诊断与分度探讨[J].中国当代儿科杂志,2007,9(4):293-296.
[6] Gibbs RS.The relationship between infections and adverse pregnancy outcomes: an overview[J].Annals of Periodontology,2001,6(1):153-163.
[7] 王乐,李明霞.早产儿脑损伤发生率调查及临床分析[J].新疆医科大学学报,2006,29(6):499-501.
[8] 段洋,毛健,富建华,等.以磁共振成像诊断早产儿脑损伤相关危险因素的回顾性分析[J].中国循证儿科杂志,2007,2(6):427-433.
[9] 陈秀洁,李晓捷.小儿脑性瘫痪的神经发育学治疗法[M].郑州:河南科学技术出版社,2004.
[10] 赵勇.捏脊疗法合节段性按摩对痉挛型脑性瘫痪患儿坐位能力的影响[J].中国医药科学,2011,12(1):30-31.
[11] Schanberg SM,Field TM.Sensory deprivation stress and supplemental stimulation in the rat pup and preterm human neonate[J].Child Development,1987,5-8:1431-1447.
PDF(475 KB)
