吴东亮 关楚翘 杜洁 潘全冠

[摘要]目的 探討捏脊联合体感振动音乐疗法（VAT）治疗3～5岁生长迟缓患儿的效果。方法 选取我院2017年3月收治的80例3～5岁生长迟缓患儿为研究对象，按照随机数字表法分为对照组（n=40）与观察组（n=40）。对照组采用常规治疗，观察组在对照组基础上应用捏脊联合VAT。比较两组患儿治疗前后不同时段的身高变化、运动功能改善及发育指数情况。结果 观察组患儿治疗后第3、6、9、12个月的身高均高于对照组，差异有统计学意义（P<0.05）。两组患儿治疗前的运动功能水平、智能发育指数（MDI）与运动发育指数（PDI）水平比较，差异无统计学意义（P>0.05）。观察组治疗后的粗大运动功能（GM）、精细运动功能（FM）水平高于对照组，差异有统计学意义（P<0.05）。观察组患儿治疗后的PDI、MDI水平高于对照组，差异有统计学意义（P<0.05）。结论 对于生长迟缓儿童，在临床治疗中应用捏脊联合VAT可促进患儿身高增长，改善神经运动功能，保障患儿健康成长发育。

[关键词]捏脊;体感振动音乐疗法;生长迟缓;身高;运动功能水平

[中图分类号] R729          [文献标识码] A          [文章编号] 1674-4721（2020）7（c）-0109-04

Effect of chiropractic combined with vibroacoustic therapy in the treatment of 3-5-year-old children with growth retardation

WU Dong-liang   GUAN Chu-qiao   DU Jie   PAN Quan-guan

Department of Pediatric Internal Medicine， Huangpu People′s Hospital of Zhongshan City in Guangdong Province， Zhongshan   528429， China

[Abstract] Objective To explore the effect of chiropractic combined with vibroacoustic therapy （VAT） in the treatment of 3-5-year-old children with growth retardation. Methods A total of 80 cases of 3-5-year-old children with growth retardation admitted to our hospital in March 2017 were selected as the research objects. According to the method of random number table， they were divided into the control group （n=40） and the observation group （n=40）. The control group was treated with routine treatment， while the observation group was treated with chiropractic combined with VAT on the basis of the control group. The height changes in different periods， motor function improvement and development index of the two groups before and after treatment were compared. Results The height of children in the observation group at the 3rd， 6th， 9th and 12th month after treatment was higher than that in the control group， the difference was statistically significant （P<0.05）. There were no significant difference in motor function， mental development index （MDI） and psychomotor development index （PDI） before treatment between the two groups （P>0.05）. After treatment， the level of gross motor （GM） function and fine motor （FM） function in the observation group were higher than those in the control group， the differences were statistically significant （P<0.05）. The levels of PDI and MDI in the observation group after treatment were higher than those in the control group， the differences were statistically significant （P<0.05）. Conclusion For children with growth retardation， chiropractic therapy combined with VAT can promote their height growth， improve their neuromotor function， and ensure their healthy growth and development.

[Key words] Chiropractic; Vibroacoustic therapy; Growth retardation; Height; Motor function level

生长迟缓主要是指与早期喂养紊乱相关的生长障碍，其身高（长）相比同性别或同年龄段人群身高（长）中位数降低2个标准差[1]。生长迟缓不仅会影响儿童在青少年时期的体质发育，也可导致其在成年后劳动生产能力降低。以往临床中对于这一病症主要应用药物进行干预治疗，但多数疗效不确定，且伴随多种副作用，因此还需寻求治疗生长迟缓的有效方式。捏脊作为中医疗法的一种，可对患儿某一器官及其所属系统与全身各系统功能进行调节，以达到疏经通络与促进气血循行的良好效果[2]。音乐体感振动疗法（vibroacoustic therapy，VAT）是指应用音乐使患儿体内各个器官与音乐产生共振，进而对脏器功能调节[3]。基于此，本研究将针对捏脊联合VAT治疗儿童生长迟缓的临床效果进行探讨。……