推拿治疗儿童注意力缺陷多动症的效果观察

背景 儿童注意力缺陷多动综合征临床治疗方法主要有药物、心理以及针灸治疗,单纯按摩治疗较少.作者在瑞士工作期间,部分患儿因药物治疗效果不明显而又惧怕针灸,所以单纯接受按摩治疗. 目的 探讨儿童注意力缺陷多动症的按摩手法治疗方法及机制. 设计病例分析. 单位 中日友好医院. 对象 全部病例均为 2000- 04/2002- 04作者在瑞士工作期间治疗,诊断标准符合美国 DSM IV症状诊断标准的 33例儿童注意力缺陷多动症患儿,未选择对照组. 方法 单纯采用按摩手法治疗儿童注意力缺陷多动症患儿 33例.常规手法包括头部手法、胸腹部手法及背部手法.根据患儿临床特征的不同,进行手法的辩证加减. 主要观察指标 按摩手法对患儿的治疗效果. 结果 推拿治疗注意力缺陷多动症患儿 33例中,痊愈 10例,显效 9例,好转 9例,无效 5例. 结论 按摩治疗儿童注意力缺陷多动症,效果满意,且安全、无副作用.

Observation on the effects of massage on treatment of attention deficit hyperactivity disorder in children

BACKGROUND:Attention deficit hyperactivity disorder(ADHD) is treated clinically mainly with medication,psychotherapy and acupuncture,which is seldom treated with simple massage.During working in Swaziland, the writer found a part of children only accept massage for they did not receive remarkable results by medication and also were scared of acupuncture. OBJECTIVE:To probe manipulation and mechanism of massage on ADHD in children. DESIGN:Cases analysis. SETTING:Sino Japan Friendship Hospital. PARTICIPANTS:All the cases were collected from April 2000 to April 2002 while the writer was working in Swaziland. Thirty three children with ADHD were in accordance with the symptomatic diagnostic standards of American DSM IV.No control was selected. INTERVENTIONS:Simple massage manipulation was adopted in treatment of the 33 ADHD children.The common manipulations included head manipulation,chest abdominal manipulation and back manipulation.According to various clinical manifestations,the manipulations were modified based on differentiation of syndromes. MAIN OUTCOME MEASURES:Therapeutic results on patients with massage manipulations. RESULTS:Of the 33 cases of ADHD children treated with massage, 10 were cured,9 were remarkably effective,9 were improved and 5 had no effect. CONCLUSION:The therapeutic results of massage on ADHD in children are satisfactory and safe without side effects.