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目的:分析脊背六法推拿在小儿脑性瘫痪(CP)中的应用,改良脑瘫患儿的脊背部推拿疗法。方法:通过对49例辽宁中医药大学附属医院儿科康复疗区2012年门诊及住院的脑性瘫痪患儿的发病特点、临床辨证、高危因素分析及运用“脊背六法”推拿治疗的预后转归等方面进行回顾性分析。结果:对脑瘫高危儿进行脊背六法推拿早期干预可有效减轻患儿的发病情况。患儿年龄、早产、高危因素数、推拿次数与GMFM得分差值进行有序多分类Logistic回归分析,差异具有统计学意义(P<0.05)。结论:脊背六法推拿治疗小儿脑性瘫痪有良好的临床疗效,年龄、早产、高危因素是影响患儿运动发育功能进步的因素。
OBJECTIVE: To analyze the application of six methods of posterior spine manipulation in children with cerebral palsy (CP) and to improve the treatment of spine and back in children with cerebral palsy. Methods: 49 cases of pediatrics rehabilitation hospital of Liaoning University of Traditional Chinese Medicine Hospital in 2012 outpatient and inpatient cerebral palsy in children with onset characteristics, clinical syndrome differentiation, risk factors analysis and the use of “back six” massage treatment prognosis Attribution and other aspects of retrospective analysis. Results: Early rehabilitation of high risk infants with cerebral palsy using six methods of back and back massage can effectively reduce the incidence of children. Logistic regression analysis showed that children age, premature birth, risk factors, massage times and GMFM score differences were statistically significant (P <0.05). CONCLUSION: Six patients with pediatric cerebral palsy have excellent clinical curative effect. The factors of age, premature birth and high risk are the factors that affect the functional development of children with motor development.