C26. Therapy of strengthening spleen and Nourishing Kidney Massage in the Treatment of Global Developmental Delay
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Abstract
Objective: To investigate the clinical research plan of the therapy of strengthening spleen and nourishing kidney massage in the treatment of children with global developmental delay (GDD).
Methods: A total of 60 children with GDD were randomly divided into the treatment group and the control group, 30 children of each group. Both groups of children accepted routine rehabilitation and the children were treated with Strengthening Spleen and Nourishing Kidney Massage in the treatment group plus the above treatment. The total course of two groups was 12 weeks. Before and after the treatment, children in both groups were evaluated with the Gesell Development Scale (GDS), Gross Motor Function Measure-88 (GMFM-88) and Infant-Junior Middle School Students Social life Abilities Scale (S-M scale). And the safety of the treatment was evaluated.
Conclusion: Pediatric Massage, as a non-pharmaceutical therapy, provides a new idea for the treatment of GDD.
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References
儿免疫力，其后通过调控脑内神经递质以活跃不同脑功能区，从而改善患儿认知、记忆、交流等功能 [20]。并且，通过调节交感及副交感神经，增强胃肠蠕动，促进消化液分泌，增强消化吸收功能 [21]，提升患儿体质。同时，腹肌是躯干与四肢的连接部位，通过腹部推拿可以有效改善患儿脏腑整体功能，提高患儿的运动能力及社会适应能力，改善患儿的生活质量 [22,23]。
在背部，选取脾俞、肾俞、命门、脊等穴位。脾俞、肾俞为背俞穴，与五脏六腑相关联，不仅能反应脏腑功能状态，也能对其状态进行调整。脾俞、肾俞配合补脾经、补肾经，可以增强健脾益肾的作用。命门，为督脉要穴，“命门者，诸神精之所舍，原气之所系也”，在两肾之间，为肾间动气，在操作中与肾俞配合，可发挥补肾固精、壮骨柔筋之功效。脊，为小儿推拿特定穴，位于背后正中，为督脉所行之处，常用手法为捏脊。施术部位在督脉、两侧夹脊穴及膀胱经，有调阴阳、理气血、和脏腑、培元气的作用 [24]，在脑瘫幼鼠的研究中表明，捏脊可以促进幼鼠的生长发育 [25]。临床研究表明，捏脊可以通过调节脑瘫患儿体内微量元素的吸收，促进神经、运动系统的发育 [26]，可明显改善婴儿期患儿的运动发育迟缓 [27]。并且，体表的机械刺激可增强脑神经细胞发育速度，减少或避免部分迟发性神经细胞的凋亡 [28]。
Conclusion
综上所述，中医理论认为，GDD的病机为脾肾不足，气血亏虚，精髓不充。故此，健脾益肾是该疾病治疗中的主要原则。健脾益肾推拿法，通过对于体表穴位的刺激，可以增强脾肾两脏的功能，调补气血、填精固髓，使筋骨强健、脑髓得养，从而促进儿童生长发育，提高患儿的生存质量。小儿推拿是临床常用的非药物治疗手段，具有安全有效的治疗优势。该方案的提出，不仅为推拿治疗GDD提供了理论依据，也为该病的治疗提供了新的思路及可行方案。
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