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宜宾市妇幼保健院,儿科,四川 宜宾 644600
宜宾市妇幼保健院,儿童保健科,四川 宜宾 644600
宜宾市妇幼保健院,中医科,四川 宜宾 644600
谢伦燕,副主任医师。E-mail:13778900872@163.com
收稿:2025-05-06,
网络首发:2026-01-19,
纸质出版:2026-06-12
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谢伦燕, 邓先玉, 彭小平. 揿针联合西医康复训练干预高危儿:随机对照试验[J]. 中国针灸, 2026,46(6):909-916.
XIE Lunyan, DENG Xianyu, PENG Xiaoping. Thumbtack needle combined with western medicine rehabilitation training for high-risk infants: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(6): 909-916.
谢伦燕, 邓先玉, 彭小平. 揿针联合西医康复训练干预高危儿:随机对照试验[J]. 中国针灸, 2026,46(6):909-916. DOI: 10.13703/j.0255-2930.20250506-0002.
XIE Lunyan, DENG Xianyu, PENG Xiaoping. Thumbtack needle combined with western medicine rehabilitation training for high-risk infants: a randomized controlled trial[J]. Chinese Acupuncture & Moxibustion, 2026, 46(6): 909-916. DOI: 10.13703/j.0255-2930.20250506-0002.
目的:
2
探究揿针联合西医康复训练干预高危儿的效果。
方法:
2
将160例高危儿按1∶1比例随机分为观察组和对照组,每组80例。对照组高危儿接受西医康复训练,观察组在对照组基础上联合揿针治疗,穴取气海、关元、大椎及双侧足三里、肾俞、三阴交,每2天治疗1次,每次留针24 h,共治疗2个月。比较两组高危儿治疗前,治疗1、2个月后,治疗后4个月体格生长指标(身长、体质量、头围)和神经心理发育指标[大动作、精细运动、适应能力、语言、社会行为评分及发育商(DQ)值]。采用Pearson相关分析法评估治疗前后体格生长指标与神经心理发育指标的相关性。采用Log-binomial回归模型分析2种干预措施对高危儿不良结局发生风险的影响。
结果:
2
两组高危儿身长、体质量、头围及大动作、精细运动、适应能力、语言、社会行为各项评分和DQ值随治疗时间的增加呈升高趋势(
P
<
0.001);观察组治疗1、2个月后及治疗后4个月上述指标高于对照组(
P
<
0.001,
P
<
0.01,
P
<
0.05)。相关性分析结果显示,治疗1、2个月后及治疗后4个月身长与对应时点的适应能力、社会行为评分和DQ值呈正相关(
P
<
0.01,
P
<
0.001,
P
<
0.05)。Log-binomial回归模型分析显示,观察组高危儿不良结局发生风险低于对照组(
RR
<
1,
P
<
0.01)。
结论:
2
揿针联合西医康复训练能改善高危儿体格生长和神经心理发育,降低不良结局的发生风险。
Objective
2
To explore the efficacy of thumbtack needle combined with western medicine rehabilitation training for high-risk infants.
Methods
2
A total of 160 high-risk infants were randomly divided into an observation group and a control group at a ratio of 1∶1
80 cases in each group. High-risk infants in the control group received western medicine rehabilitation training alone
while those in the observation group were treated with thumbtack needle at Qihai (CV6)
Guanyuan (CV4)
Dazhui (GV14)
and bilateral Zusanli (ST36)
Shenshu (BL23) and Sanyinjiao (SP6) on the basis of the treatment in the control group
the treatment was given once every 2 days
the needles were retained for 24 h each time
and the treatment lasted for 2 months. Before treatment
after 1
2 months of treatment
and after 4 months of treatment completion
the physical growth indexes (body length
body weight
head circumference) and neuropsychological development indexes (scores of gross motor skills
fine motor skills
adaptive ability
language
social behavior and developmental quotient[DQ] value) were compared between the two groups. Pearson correlation analysis was conducted to evaluate the correlation between physical growth indexes and neuropsychological development indexes before and after treatment. Log-binomial regression model was established to analyze the effect of the two intervention strategies on the risk of adverse outcomes.
Results
2
With the extension of treatment duration
the body length
body weight
head circumference
the scores of gross motor skills
fine motor skills
adaptive ability
language
social behavior
and the DQ values showed an upward trend in both groups (
P
<
0.001). Moreover
the above mentioned indexes in the observation group were higher than those in the control group after 1
2 months of treatment
and after 4 months of treatment completion (
P
<
0.001
P
<
0.01
P
<
0.05). Correlation analysis revealed that body length was positively correlated with adaptive ability scores
social behavior scores and DQ values at the corresponding time points of after 1
2 months of treatment
and after 4 months of treatment completion (
P
<
0.01
P
<
0.001
P
<
0.05). Log-binomial regression model analysis showed that the risk of adverse outcomes in high-risk infants in the observa
tion group was lower than that in the control group (
RR
<
1
P
<
0.01).
Conclusion
2
Thumbtack needle combined with western medicine rehabilitation training can improve the physical growth and neuropsychological development of high-risk infants
and reduce the risk of adverse outcomes.
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