内科

目的探讨穴位药物注射联合针刺推拿康复治疗对脑性瘫痪流涎症患儿面部肌群运动功能的影响。方法选取2018年1月至2020年4月在我院就诊的脑性瘫痪流涎症患儿80例，采用随机数字法分为试验组与对照组，每组40例。对照组患儿给予针刺推拿康复治疗，试验组患儿在对照组的基础上给予穴位药物注射，疗程3个月。比较两组患儿的临床治疗效果以及治疗前后的口部运动功能评分、大脑动脉血流速度（BFV）和血管搏动指数（PI）、格赛尔（Gesell）智能发育商变化情况。结果治疗3个月，试验组患儿的治疗总有效率（95.0%）显著高于对照组（77.5%），临床疗效显著优于对照组，差异有统计学意义（P＜0.05）。治疗3个月后，两组患儿的口部运动评分均显著升高，试验组患儿的评分显著高于对照组，差异有统计学意义（P＜0.05）；两组患儿的大脑动脉BFV显著升高、PI显著降低，试验组患儿的BFV显著高于对照组、PI显著低于对照组，差异有统计学意义（P＜0.05）；两组患儿的Gesell智能发育各能区发育商均显著升高，试验组患儿的发育商显著高于对照组，差异有统计学意义（P＜0.05）。结论穴位药物注射联合针刺推拿康复治疗脑性瘫痪流涎症患儿临床效果显著，能显著提高患儿的口部运动能力，改善患儿大脑动脉血供状况以及发育状况，治疗脑性瘫痪流涎症具有巨大的潜力。

ObjectiveTo explore the effect of acupoint drug injection combined with acupuncture and massage in the rehabilitation on the motor function of facial muscles in children with cerebral palsy and salivation. MethodA total of 80 children with cerebral palsy and salivation who were treated in our hospital from January 2018 to April 2020 were selected, and they were divided into experimental group and control group by the random number method, with 40 cases in each group. Children in the control group were given acupuncture and massage for rehabilitation therapy, based on which children in the experimental group were given acupoint drug injection, for a treatment course of 3 months. The clinical efficacy and the pre- and post-treatment oral motor function scores, cerebral arterial blood flow velocity (BFV) and vascular pulsatility index (PI), as well as the changes of intelligent developmental quotient in Gesell development schedule were compared between the two groups. ResultsAfter 3 months of treatment, the total effective rate in the experimental group (95.0%) was significantly higher than that in the control group (77.5%), and the clinical efficacy was significantly superior to that in the control group, with statistically significant differences (P＜0.05). After 3 months of treatment, the oral movement scores significantly increased in both groups, and the score of the experimental group was significantly higher than that of the control group, with statistically significant difference (P＜0.05). The cerebral arterial BFV significantly increased, whereas the PI significantly decreased in both groups; compared with the control group, the experimental group yielded significantly higher BFV, whereas significantly lower PI, with statistically significant difference (P＜0.05). The developmental quotient in various intelligent areas of Gesell intelligent development significantly increased in both groups, and the experimental group yielded a higher developmental quotient as compared with the control group, with statistically significant differences (P＜0.05). ConclusionAcupoint drug injection combined with acupuncture and massage has a significant clinical effect in the rehabilitation of children with cerebral palsy and salivation, which can significantly improve the oral movement ability, improve the blood supply and the developments of the cerebral arteries in children, and thus it has great potential to treat cerebral palsy and salivation.