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目的:探讨中医小儿穴位按摩对围生期窒息及颅内出血患儿恢复的作用,为临床治疗围生期窒息和颅内出血提供参考。方法:选取2014年6月至2015年6月在广州市番禺区何贤纪念医院出生并有窒息及颅内出血患儿68例,所有患儿均给予苯巴比妥、单唾液酸神经节苷脂等药物治疗,按有无后续进行中医小儿穴位按摩治疗分为中医穴位按摩治疗组33例和对照组35例,治疗组患儿每天进行30 min穴位按摩,7 d为1个疗程,共3个疗程;对照组没有进行康复治疗,仅随访观察。两组患儿在治疗前3个月和6个月分别评定大运动和精细运动评分。结果:治疗3个月和6个月后,中医穴位按摩治疗组的大运动评分以及精细运动评分均比对照组高,差异具有统计学意义(P<0.05)。结论:中医小儿穴位按摩在围生期窒息及颅内出血的康复治疗中,可明显改善患儿身体机能,促进新生儿的生长发育,减少脑瘫、智力低下等并发症。
Objective: To investigate the effect of pediatric acupoint massage on the recovery of children with perinatal asphyxia and intracranial hemorrhage and to provide reference for the treatment of perinatal asphyxia and intracranial hemorrhage. Methods: From June 2014 to June 2015, 68 children with asphyxia and intracranial hemorrhage were born in He Xian Memorial Hospital, Panyu District, Guangzhou. All children were given phenobarbital, monosialoganglioside And other drug treatment, according to whether the follow-up of traditional Chinese medicine pediatric acupressure treatment is divided into 33 cases of acupoint massage treatment group and 35 cases of control group, treatment group, 30 min acupoint massage every day, 7 d for a course of treatment, a total of 3 Treatment; control group without rehabilitation treatment, only follow-up observation. Two groups of children in the treatment of 3 months and 6 months were assessed major exercise and fine motor score. Results: After 3 and 6 months of treatment, the scores of locomotion and locomotion in the acupoint massage group were higher than those in the control group, with statistical significance (P <0.05). Conclusion: Chinese pediatric acupoint massage in perinatal asphyxia and intracranial hemorrhage rehabilitation can significantly improve children’s physical function, promote newborn growth and development, reduce cerebral palsy, mental retardation and other complications.