中华针灸电子杂志
中華針灸電子雜誌
중화침구전자잡지
CHINESE JOURNAL OF ACUPUNCTURE AND MOXIBUSTION
2015年
3期
105-108
,共4页
脑性瘫痪%康复, 言语和语言障碍%激光针灸
腦性癱瘓%康複, 言語和語言障礙%激光針灸
뇌성탄탄%강복, 언어화어언장애%격광침구
Cerebral palsy%Rehabilitation of speech and language disorders%Laser acupuncture
目的：观察激光针灸治疗对精神发育迟缓患儿语言障碍的临床疗效。方法选取2013年10月至2014年10月于广州中医药大学附属南海妇产儿童医院康复中心住院的精神发育迟缓伴语言障碍患儿40例，按随机数字表分为治疗组和对照组各20例，治疗组在基本康复结合语言训练治疗的基础上加用激光针灸，对照组用基本康复结合语言训练治疗,隔日1次，20 d为1个疗程，每个疗程之间休息15 d，连续观察3个疗程，治疗前后均进行北京Gesell语言发育商评分（Gesell语言DQ）。数据的统计分析采用SPSS19.0统计学软件。总有效率比较采用χ2检验；治疗前后Gesell语言DQ为计量资料，以χ±s表示。组内治疗前后比较采用配对样本t检验，组间比较采用两独立样本t检验，以P<0.05为差异有统计学意义。结果治疗组显效5例，有效12例，有效率为85%（17/20），对照组显效4例，有效7例，有效率为55%（11/20），两组治疗前后有效率比较，差异有统计学意义（χ2=4.28，P=0.04）；治疗后治疗组Gesell语言DQ优于对照组，差异有统计学意义（t=2.51， P=0.02）。结论激光针灸治疗精神发育迟缓患儿语言障碍疗效较好，值得临床推广。
目的：觀察激光針灸治療對精神髮育遲緩患兒語言障礙的臨床療效。方法選取2013年10月至2014年10月于廣州中醫藥大學附屬南海婦產兒童醫院康複中心住院的精神髮育遲緩伴語言障礙患兒40例，按隨機數字錶分為治療組和對照組各20例，治療組在基本康複結閤語言訓練治療的基礎上加用激光針灸，對照組用基本康複結閤語言訓練治療,隔日1次，20 d為1箇療程，每箇療程之間休息15 d，連續觀察3箇療程，治療前後均進行北京Gesell語言髮育商評分（Gesell語言DQ）。數據的統計分析採用SPSS19.0統計學軟件。總有效率比較採用χ2檢驗；治療前後Gesell語言DQ為計量資料，以χ±s錶示。組內治療前後比較採用配對樣本t檢驗，組間比較採用兩獨立樣本t檢驗，以P<0.05為差異有統計學意義。結果治療組顯效5例，有效12例，有效率為85%（17/20），對照組顯效4例，有效7例，有效率為55%（11/20），兩組治療前後有效率比較，差異有統計學意義（χ2=4.28，P=0.04）；治療後治療組Gesell語言DQ優于對照組，差異有統計學意義（t=2.51， P=0.02）。結論激光針灸治療精神髮育遲緩患兒語言障礙療效較好，值得臨床推廣。
목적：관찰격광침구치료대정신발육지완환인어언장애적림상료효。방법선취2013년10월지2014년10월우엄주중의약대학부속남해부산인동의원강복중심주원적정신발육지완반어언장애환인40례，안수궤수자표분위치료조화대조조각20례，치료조재기본강복결합어언훈련치료적기출상가용격광침구，대조조용기본강복결합어언훈련치료,격일1차，20 d위1개료정，매개료정지간휴식15 d，련속관찰3개료정，치료전후균진행북경Gesell어언발육상평분（Gesell어언DQ）。수거적통계분석채용SPSS19.0통계학연건。총유효솔비교채용χ2검험；치료전후Gesell어언DQ위계량자료，이χ±s표시。조내치료전후비교채용배대양본t검험，조간비교채용량독립양본t검험，이P<0.05위차이유통계학의의。결과치료조현효5례，유효12례，유효솔위85%（17/20），대조조현효4례，유효7례，유효솔위55%（11/20），량조치료전후유효솔비교，차이유통계학의의（χ2=4.28，P=0.04）；치료후치료조Gesell어언DQ우우대조조，차이유통계학의의（t=2.51， P=0.02）。결론격광침구치료정신발육지완환인어언장애료효교호，치득림상추엄。
Objective The objective of this study was to observe the clinical curative effect of laser acupuncture treatment for mental retardation in children with language barrier.Methods Forty children with mental retardation and comorbid language barrier hospitalized in rehabilitation department of Guangzhou University of Traditional Chinese Medicine Affiliated Nanhai Women and Children's Hospital from October 2013 to October 2014 were selected, and then divided into treatment group (n=20) and control group (n=20) according to random number table. The treatment group received laser acupuncture treatment on the basis of the basic rehabilitation combined with language training, while the control group was treated with basic rehabilitation combined with language training, once every other day. Twenty days made up one course, and three consecutive courses were observed in two groups. Beijing Gesell language development quotient (Gesell language DQ) was used for data analyze before and after treatment in two groups. The chi-square test was used for efficient comparison. Data of Gesell language DQ before and after treatment were measurement data, and expressed withχ±s. Data of Gesell language DQ within groups before and after treatment were compared with paired samplest-test, while two independent samplet-test was used between two groups.P<0.05 denotes the difference possessing statistical significance.Results The total effective rate was 85% (17/20)in treatment group. The total effective rate was 55% (11/20) in control group. There was a significant difference in the total effective rate between two groups (χ2=4.28,P=0.04 ). The Gesell language DQ was significantly higher in treatment group than that of the control group after treatment (t=2.507, P=0.02 ).Conclusion laser acupuncture treatment shows better curative effects on mental retardation children with language disorder, which is worth the clinical promotion.
