目的:观察中医穴位推拿治疗小儿肌张力增高的临床疗效.方法:对80例肌张力增高的患儿给予穴位推拿治疗.取穴:上肢穴肩髑、曲池、外关、合谷,下肢穴风市、足三里、悬钟、太溪、太冲、解溪、委中.医生拇指罗纹面置于穴位上,进行节律性按压揉动15至20 min.之后配合揉推患儿双侧足太阳膀胱经和捏脊疗法.每天治疗1次,20 d为一疗程.每一疗程结束后对患儿进行肌张力检查,若恢复到0级,则停止治疗;若未恢复到0级,则继续治疗.结果:全部患儿均恢复正常.其中,1个疗程后,患儿肌张力恢复到0级的为12例,占全部80例患儿的15.0％ (12/80);2个疗程后,患儿肌张力恢复到0级的为56例,占全部80例患儿的70％ (56/80);3个疗程后,肌张力恢复到0级10例,占全部80例患儿的12.5％(10/80);治疗3个疗程以上肌张力恢复到0级为2例,占2全部80例患儿的2.5％(2/80).结论:中医穴位推拿是治疗小儿肌张力增高的一种有效疗法.%Objective To observe the clinical efficacy of tuina on the acupoints for infantile hypermyotonia.Methods Tuina on the acupoints was given to 80 cases of infantile hypermyotonia.Acupoint selection:Jiāny(u)(肩髃 LI 154 Q(u)chi (曲池LI 11),Wàiguān(外关 TE 5) and Hég(u)(合谷 LI 4) were adoted on the upper limbs,and Fēngshì(风市 GB 31),Z(u)sānlǐ(足三里 ST 36),Xuánzh6ng(悬钟 GB 39),Tàixī(太溪 KI 3),Tàichōng(太冲 LR 3),Jiěxī(解溪 ST 41) and Wěizhōng(委BL 40) were adopted on the lower limbs.The acupoints were pressed and rubbed rhythmically with the fingerprint surface of thumb of the doctor for 15-20 min.Then the foot-taiyang bladder meridian was rubbed and pushed,and the therapy of pinching along the spine was applied.The treatment was conducted for once a day,and treatment for 20 days was considered as one course.The muscular tension of the infantile patients was examined after each course of treatment,when the muscular tension returned to level 0,the treatment can be ceased,otherwise,the treatment should be continued.Results After one course of treatment,the muscular tension of 12 infantile patients returned to level 0,accounting for 15.0％ (12/80),after two courses of treatment,the muscular tension of 56 infantile patients returned to level 0,accounting for 70.0％ (56/80),after three courses of treatment,the muscular tension of 10 infantile patients returned to level 0,accounting for 12.5％ (10/80),the muscular tension of 2 infantile patients returned to level 0 after more than three courses of treatment,accounting for 2.5％ (2/80).Conclusion Tuina on the acupoints is an effective therapy for infantile hypermyotonia.
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