CAJ | 학술논문

目的观察脑性瘫痪(脑瘫)儿童言语障碍疗效与治疗年龄的相关性,探讨脑瘫儿童言语障碍的最佳治疗时期.方法选择2010年12月至2012年12月在河北省妇幼保健中心和河北省儿童医院治疗的121例1～6岁脑瘫伴言语障碍患儿为研究对象,将121例患儿随机分为头针结合言语训练组(64例)和言语训练组(57例).治疗6个疗程后,比较2组中1～3岁和＞3 ～6岁患儿言语障碍的疗效,探讨患儿年龄与疗效之间的关系.结果头针结合言语训练组1～3岁和＞3～6岁患儿有效率分别为95.45％和83.33％,组间比较差异具有统计学意义(x2=6.859 8,P＜0.05);言语训练组1～3岁和＞3 ～6岁患儿言语障碍有效率分别为84.62％和77.42％,2组比较差异有统计学意义(x2 =6.625 7,P＜0.05).头针结合言语训练组与言语训练组患儿中,1～3岁和＞3 ～6岁患儿总有效率分别为89.58％和80.82％,组间比较差异具有统计学意义(x2=9.617 5,P＜0.01).结论 3岁前是脑瘫儿童言语障碍的最佳治疗时期,患儿的年龄越小,疗效越好,随着其年龄的增长,疗效逐渐降低.
목적 관찰뇌성탄탄(뇌탄)인동언어장애료효여치료년령적상관성,탐토뇌탄인동언어장애적최가치료시기.방법 선택2010년12월지2012년12월재하북성부유보건중심화하북성인동의원치료적121례1～6세뇌탄반언어장애환인위연구대상,장121례환인수궤분위두침결합언어훈련조(64례)화언어훈련조(57례).치료6개료정후,비교2조중1～3세화＞3 ～6세환인언어장애적료효,탐토환인년령여료효지간적관계.결과 두침결합언어훈련조1～3세화＞3～6세환인유효솔분별위95.45％화83.33％,조간비교차이구유통계학의의(x2=6.859 8,P＜0.05);언어훈련조1～3세화＞3 ～6세환인언어장애유효솔분별위84.62％화77.42％,2조비교차이유통계학의의(x2 =6.625 7,P＜0.05).두침결합언어훈련조여언어훈련조환인중,1～3세화＞3 ～6세환인총유효솔분별위89.58％화80.82％,조간비교차이구유통계학의의(x2=9.617 5,P＜0.01).결론 3세전시뇌탄인동언어장애적최가치료시기,환인적년령월소,료효월호,수착기년령적증장,료효축점강저.
Objective To observe the association between therapeutic effect of speech disorder and the age on treatment of children with cerebral palsy,and to explore the best treatment period of speech disorder children with cerebral palsy.Methods One hundred and twenty-one cases of speech disorder children with cerebral palsy aged 1 to 6 years in Maternal and Child Health Center of Hebei Province,Hebei Children's Hospital,were selected as subjects,and the patients were randomly divided into training group,which included 64 cases who received scalp acupuncture combined with language and 57 cases treated with speech training group.After 6 courses of treatment,the therapeutic effect for speech disorder of children between 1 to 3 years old and ＞ 3 to 6 years old were compared,the association between children's age for treatment and treatment effects was explored.Results The total treatment efficiency of 1 to 3 years and ＞ 3 to 6 years old children in scalp acupuncture group combined with language training group were 95.45％ and 83.33％ respectively,the difference was significant (x2 =6.859 8,P ＜ 0.05) ; while in 1 to 3 years and ＞ 3 to 6 year-old children in speech training group the total treatment efficiency were 84.62％ and 77.42％,and the difference was significant(x2 =6.625 7,P ＜ 0.05).In both groups,total efficiency of 1 to 3 years and ＞ 3 to 6 years old children were 89.58％ and 80.82％,respectively,and the difference was statistically significant (x2 =9.617 5,P ＜ 0.01).Conclusions The best treatment period of speech disorder children with cerebral palsy is less than 3 years old,as age grows,the effect is gradually decreasing.