| ObjectivesBased on infrared thermal imaging technology to study the sensitization of back points of children with spastic cerebral palsy,and using massage intervention,observe the changes of back point temperature of children with spastic cerebral palsy before and after massage treatment,analyze the degree of limb spasm and temperature of sensitized points in children The correlation between them provides a new idea for the evaluation of the curative effect of children with spastic cerebral palsy,and provides an objective basis for further standardizing clinical acupoint selection.MethodsFirst of all,literature research,combined with the team 's previous research foundation,selected five acupoints of Feishu,Xinshu,Ganshu,Spleu,and Shenshu as detection points,and selected 60 children with spastic cerebral palsy that met the inclusion criteria as the test group.Sixty healthy children were used as the control group.Infrared thermal imager Fotric226 s was used to collect infrared thermal images of the back of children with spastic cerebral palsy and healthy children in a relatively constant environment room.Analyze the collected infrared thermal image on the software AnalyzIR.lnk,and observe the infrared temperature of infrared points in Feishu,Xinshu,Ganshu,Spleu and Shenshu on the back points of children with spastic cerebral palsy andhealthy children.Analyze its sensitization laws.Then,60 children with spastic cerebral palsy that met the inclusion criteria were divided into a test group and a control group according to the principle of random control.Each group had 30 cases.During the test,1 case in each group fell off,so 58 cases were actually included in the test.29 cases in each group and control group.The experimental group used selective spinal massage combined with conventional rehabilitation therapy,and the control group used conventional rehabilitation therapy only.The rehabilitation treatment method was the same as that of the experimental group.The two groups received treatment once a day,with 5 consecutive treatments followed by 2 days of rest,and a course of treatment of 4 weeks,with a total of 3 courses of treatment.Before the enrollment and after 12 weeks of treatment,the two groups were evaluated by the assessor on the infrared temperature of the acupuncture points on the back of the children's acupuncture points,such as Feishu,Xinshu,Ganshu,Spleu and Shenshu points,the value of TCM syndromes and the degree of limb spasm Evaluate and compare before and after.Use Excel and IBMSPSS23.0 software to analyze the data statistically.Result1.There was no statistically significant difference in gender and age between healthy children participating in the study and children with spastic cerebral palsy(P> 0.05),which was comparable.2.Comparison of infrared temperature in the back acupuncture area between healthy children and children with spastic cerebral palsy.In the healthy children,there was no significant difference between Feishu(36.46 ±0.28)° C on the left and Feishu(36.48 ± 0.28)° C on the right(P> 0.05);Xinshu(36.45 ±0.26)on the left There was no statistically significant difference between and right-side Xinshu(36.50 ± 0.28)?(P > 0.05);left-side Ganshu(36.32 ± 0.34)? and right-side Ganshu(36.36 ± 0.36)?,there was no difference Statistical significance(P> 0.05);the left splenic shu(36.33 ± 0.32)? and the right splenic shu(36.30 ± 0.40)?,the difference was not statistically significant(P> 0.05);the left shenshu(36.22 ± 0.44)? and the right side of Shenshu(36.24 ± 0.43)?,the difference was not statistically significant(P> 0.05),the healthy children 's infrared temperature of bilateral Feishu,Xinshu,Ganshu,Spleu,Shenshu points Symmetrical distribution,no obvious difference.There was no statistically significant difference between Feishu(34.67 ± 0.77)?on the left and Feishu(34.67 ± 0.77)?on the left in the experimental group of children with spastic cerebral palsy(P > 0.05);There was no significant difference between 34.63 ±0.74)? and right-side Xinshu(34.58 ± 0.72)?(P> 0.05);left-side Ganshu(34.51 ±0.84)?and right-side Ganshu(34.44 ± 0.78)?In contrast,the difference was not statistically significant(P> 0.05);the left spleen(34.48 ± 0.85)? and the right spleen(34.42 ± 0.77)?,the difference was not statistically significant(P> 0.05);the left kidney There was no significant difference between Yu(34.51 ± 0.82)? and right kidney(34.42± 0.76)?(P > 0.05).Bilateral Feishu,Xinshu,Ganshu,Spleen,The infrared temperature of Shenshu acupoint area is symmetrically distributed with no obvious difference.Feishu(34.67 ± 0.77)? on the left side of children with spastic cerebral palsy compared with Feishu(36.46 ± 0.28)? on the left side of the healthy children group,the difference was statistically significant(P <0.05);children with spastic cerebral palsy Compared with Xinshu(34.63 ± 0.74)? on the left side and Xinshu(36.45 ± 0.26)? on the left side between healthy children,the difference was statistically significant(P <0.05);Ganshu on the left side of children with spastic cerebral palsy(34.51 ± 0.84)? compared with Ganshu(36.32 ± 0.34)on the left side of healthy children,the difference was statistically significant(P <0.05);Spleen Shu on the left side of children with spastic cerebral palsy(34.48 ± 0.85)Compared with spleen(36.33 ± 0.32)? on the left side between healthy children and healthy children,the difference was statistically significant(P <0.05);Shenshu(34.51 ± 0.82)on the left side of children with spastic cerebral palsy was compared with healthy children Shenshu(36.22 ± 0.44)between the left and the right,the difference was statistically significant(P <0.05);Feishu on the right side of children with spastic cerebral palsy(34.67 ± 0.71)? and the right lung between the healthy children group Compared with Yu(36.48 ± 0.28)?,the difference was statistically significant(P < 0.05);spastic type Xinshu(34.58 ± 0.72)? on the right side of children with paralysis was compared with Xinshu(36.50 ± 0.28)? on the right side of healthychildren group,the difference was statistically significant(P <0.05);right side of children with spastic cerebral palsy Ganshu(34.44 ± 0.78)?and Ganshu(36.36 ± 0.36)? on the right side of the healthy children group,the difference was statistically significant(P<0.05);Spleen Shu(34.42)on the right side of children with spastic cerebral palsy ±0.77)? compared with spleen(36.30 ± 0.40)? on the right side of healthy children,the difference was statistically significant(P <0.05);Shenshu(34.42 ± 0.76)? on the right side of children with spastic cerebral palsy Shenshu(36.24 ± 0.43)on the right side was compared between healthy children and the difference was statistically significant(P<0.05).Compared with the control group of healthy children and the experimental group of children with spastic cerebral palsy,Infrared temperature of Xinshu,Ganshu,Spleushu and Shenshu all showed significant difference,and the difference was statistically significant(P <0.05),and the infrared temperature of five acupoints showed that the control group of healthy children was higher than that of spastic type The rule of the experimental group of children with cerebral palsy.3.The effect of massage intervention on children with spastic cerebral palsy3.1 Comparison of infrared temperature between two groupsBefore entering the group,the infrared temperature of the acupuncture points of Feishu,Xinshu,Spleus,Feishu and Shenshu in the test group and the control group were compared,and the differences were not statistically significant(P> 0.05)and were comparable.In the experimental group,the temperature of Feiyu acupoint area before treatment(34.55 ± 0.85)? was compared with that after 12 weeks of treatment(36.26 ± 0.46)?,the difference was statistically significant(P <0.05);before Xinshu treatment(34.50 ±0.85)? and After 12 weeks of treatment(36.18 ± 0.55)?,the difference was statistically significant(P <0.05).Ganshu before treatment(34.46 ± 0.91)?and 12 weeks after treatment(36.09 ± 0.52)?,the difference was statistically significant Significance(P<0.05);Spleen Shu(34.39 ± 0.92)? before treatment was compared with Spleen Shu(36.12 ± 0.46)? after 12 weeks of treatment,the difference was statistically significant(P<0.05);Shenshu(34.41)before treatment ± 0.92)? compared with Shenshu(36.07 ±0.56)? after 12 weeks of treatment,the difference was statistically significant(P <0.05),after 12 weeks of treatment Feishu,Xinshu,Ganshu,spleen,Shenshu points The infrared temperature in the area was significantly higher than before treatment,and the difference was statistically significant(P <0.05).Before the treatment of Feishu in the control group,(34.79 ± 0.55)? was compared with Feishu(35.34 ± 0.59)?after 12 weeks of treatment,the difference was statistically significant(P < 0.05);before(34.66 ± 0.59)? of Xinshu treatment Compared with(35.25 ± 0.55)? after 12 weeks of treatment,the difference was statistically significant(P<0.05).Compared with(34.42 ± 0.64)? before and after treatment of Ganshu(34.97 ±0.63)?,the difference was statistically significant Significance of study(P <0.05);before and after treatment of spleen(34.46 ± 0.61)? and 12 weeks after treatment(35.02 ±0.55)?,the difference was statistically significant(P <0.05);before treatment of Shenshu(34.44 ± 0.58)? and 12 weeks after treatment(34.95 ± 0.66)?,the difference was statistically significant(P <0.05).After 12 weeks of treatment,the infrared temperature of Feishu,Xinshu,Ganshu,Spleu and Shenshu points were significantly higher than before treatment,the difference was statistically significant(P <0.05).After 12 weeks of treatment,there was a statistically significant difference in temperature between the test group and the control group(P <0.05).3.2 Comparison of TCM syndrome scores of two groups of childrenBefore joining the group,there was no statistically significant difference in the scores of TCM syndromes between the two groups(P> 0.05),which was comparable.The score of TCM syndromes in the experimental group was(22.30 ± 4.34)points,and the score of TCM syndromes was significantly higher than before treatment(32.50 ± 5.64)before treatment,and the difference was statistically significant(P < 0.05).The score of TCM syndrome before treatment in the control group was(22.10 ± 3.54)points.Compared with the score after 26 weeks of treatment(26.10 ± 3.60)before treatment,the score of TCM syndrome was significantly higher than before treatment,and the difference was statistically significant(P <0.05).After 12 weeks of treatment,the TCM syndrome score of the experimental group washigher than that of the control group,and the difference between the two groups was statistically significant(P <0.05).3.3 Comparison of modified Ashworth scale(MAS)scores Before treatment,the MAS score of the test group(3.30 ± 0.67),compared with the MAS score of the control group(3.20 ± 0.78),the difference was not statistically significant(P>0.05),the degree of limb spasm at the same level in the two groups was comparable.The MAS score of the experimental group(3.30 ± 0.67)before treatment was significantly different from that after 12 weeks of treatment(1.8 ± 0.78)(P <0.05).The MAS score of the control group(3.20 ± 0.78)was statistically significant before treatment and after 12 weeks of treatment(2.6 ± 0.69)(P <0.05).After 12 weeks of treatment,the MAS scores of the test group and the control group were lower than before treatment,and the degree of spasm was improved in both groups;there was a statistically significant difference between the test group and the control group(P <0.05),and the degree of spasm was more The control group improved significantly.3.4 Correlation analysis of infrared temperature and MAS score in the cave area After 12 weeks of treatment in the experimental group,the infrared temperature of Feishu,Xinshu,Ganshu,Spleu and Shenshu points was negatively correlated with the MAS score,and the correlation coefficient r was significant> 0.05,which was not statistically significant.After 12 weeks of treatment in the control group,the infrared temperature of Feishu,Xinshu,Ganshu,Spleu and Shenshu points was negatively correlated with the MAS score,and the correlation coefficient r was significant> 0.05,which was not statistically significant.4.No adverse reactions occurred during treatment.Conclusion1.The results of infrared thermal imaging showed that the temperature of the back acupuncture points of children with spastic cerebral palsy and healthy children showed a symmetrical distribution.The points of the back points of children with spastic cerebral palsy Feishu,Xinshu,Ganshu,Spleu and Shenshu showed The abnormal skin temperature,the temperature of the acupoint area are lower than that of healthy children,which is consistent with the previous literature research results.2.Selective spinal massage can significantly increase the temperature of Feishu,Xinshu,Ganshu,Spleu and Shenshu points in children with spastic cerebral palsy,improve the degree of muscle spasm in children,and improve the degree and temperature of muscle spasm in children There is a certain relationship between them,but no obvious correlation has been found.3.From the point of view of the fourth diagnosis of traditional Chinese medicine,the addition of selective spinal massage on the basis of routine rehabilitation can significantly improve the physical fitness of children with spastic cerebral palsy.4.Infrared thermal imaging technology can provide a certain scientific basis for the clinical diagnosis and treatment of children with spastic cerebral palsy,which is worthy of further clinical application. |
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