[1]王 冬.针灸推拿联合吞咽协调训练治疗小儿脑性瘫痪流涎症临床研究*[J].陕西中医,2019,(3):398-401.
　WANG Dong..Clinical studies of acupuncture and moxibustion combined with 〖JZ〗swallowing coordination training in treating children with cerebral turbulence[J].,2019,(3):398-401.
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针灸推拿联合吞咽协调训练治疗小儿脑性瘫痪流涎症临床研究*
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《陕西中医》[ISSN:1000-7369/CN:61-1281/TN]

卷:
期数:
2019年3
页码:
398-401
栏目:
针灸经络
出版日期:
2019-03-05

文章信息/Info

Title:
Clinical studies of acupuncture and moxibustion combined with 〖JZ〗swallowing coordination training in treating children with cerebral turbulence
文章编号:
DOI: 10.3969/j.issn.10007369.2019.03.037
作者:
王 冬
河南省洛阳市妇女儿童医疗保健中心儿童康复科（洛阳471000）
Author(s):
WANG Dong.
Department of Children's Rehabilitation, Luoyang Municipal Center for Women and Children' Health Care in Henan Province（Luoyang 471000）
关键词:
脑性瘫痪; 流涎症; 中医疗法; 针灸; 按摩; 吞咽协调训练; 安全性
Keywords:
Key words Brain scrofula;  Flow syndrome;  Chinese medicine therapy;  Acupuncture;  Massage;  Swallowing coordination training;  Safety
分类号:
R742.3
文献标志码:
A
摘要:
摘 要 目的：探讨中医针灸、穴位按摩及吞咽协调训练联合应用在小儿脑性瘫痪（脑瘫）流涎症治疗中的疗效及安全性。方法：将符合脑瘫流涎症诊断标准的60例患儿分为两组，对照组单独实施中药贴敷及吞咽协调训练法进行治疗；试验组则在此基础上实施针灸加穴位按摩治疗。记录两组TDS分级、可进行面部精细活动、临床治疗效果及安全分级情况；对比两组治疗前后Gesell 发育商改善情况。结果：治疗后试验组临床总有效率为93.33%，对照组为70.00%，两组间比较差异存在统计学意义（P＜0.05）。治疗后对照组及试验组患儿TDS分级均得到明显改善，Gesell粗运动、精细运动、语言、社会适应性及个人社交能力方面明显提高（P＜0.05）；且与对照组比，试验组TDS分级改善情况更明显，可进行唇部活动、舌头活动、咀嚼动作、吞咽动作及自主进食者例数明显增加，Gesell 5个方面发育改善更为明显（P＜0.05）。治疗期间，两组患儿对两种治疗方案安全耐受性分级间对比分析，差异无统计学意义（P>0.05）。结论：中医针灸、穴位按摩及吞咽协调训练联合治疗小儿脑瘫性流涎症疗效较确切，可有效控制患儿流涎症状，改善患儿面部肌群运动功能，提高患儿生活质量，且安全性较高。
Abstract:
Abstract Objective: To investigate the efficacy and safety of acupuncture, massage and swallowing coordination training in the treatment of children with cerebral palsy cerebral palsy.Methods:60 children with cerebral phlegm disease were divided into two groups. The control group was individually treated with Chinese medicine sticking and swallowing coordination training. The experimental group was treated with acupuncture and acupoint massage on the basis of treatment in the control group.TDS classification, the number of cases that can perform facial fine activities, clinical treatment effects, and safety classification were recorded in the two groups. The improvement of Gesell development quotient before and after treatment in both groups was compared. Results: After treatment, the total effective rate was 93.33% in the experimental group and 70.00% in the control group. There was statistically significant difference between the two groups (P<0.05).After treatment, the TDS scores of the control group and the experimental group were significantly improved, and the developmental quotient of the gross movement, fine movement, language, social adaptability, and personal social ability of Gesell was significantly improved (P<0.05).Compared with the control group, the improvement of the TDS classification in the experimental group was significantly more pronounced, the number of patients who could perform lip movement, tongue activity, chewing movements, swallowing movements, and selffeeding increased significantly, and the developmental quotient of Gesell in five areas improved more significantly (P<0.05).During the treatment period, there was not a statistically significant difference between the two groups in the safety tolerance of the two treatment groups (P>0.05).Conclusion: Acupuncture, massage and swallowing coordination training for the treatment of children with cerebral palsy has an effective curative effect, which can effectively control the symptoms of children with runny nose, improve the appearance of children with motor function, improve the quality of life of children, and high safety.

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备注/Memo

备注/Memo:
*河南省科技攻关项目（122102310166）
更新日期/Last Update: 2019-03-13