针刺治疗儿童精神发育迟滞临床研究  

Clinical research on children mental retardation treated with acupuncture

作　　者：黄劲柏[1] 曹慧芳[1] 胡姣[1] 刘龙浩[1] 王志[1] 林海[1] 

机构地区：[1]广东省公安边防总队医院理疗科,深圳518029

出　　处：《中国针灸》2013年第8期682-685,共4页Chinese Acupuncture & Moxibustion

基　　金：广东省建设中医药强省科研课题:20112018;深圳市罗湖区科技计划课题:2010-064

摘　　要：目的:观察针刺治疗对精神发育迟滞(MR)儿童智力结构、社会适应能力及fMRI脑功能成像的影响。方法:将符合诊断标准的60例MR患儿,随机分为针刺组和药物组各30例,针刺组以四神针(百会前、后、左、右各旁开1.5寸,共4针)、智三针(神庭穴及双侧本神穴)、颞三针(耳尖直上2寸为第1针,左右各开1寸为第2、3针)、脑三针(脑户穴及双侧脑空穴)为治疗主穴;药物组口服西药吡拉西坦片,两组均治疗4个月为1个疗程,疗程结束后比较其综合疗效。采用《中国韦氏儿童智力量表》评定智力的改善程度,《婴儿-初中学生社会生活能力量表》评定社会适应能力的改善程度,针刺组选取5例病例运用功能性磁共振成像技术对比针刺治疗前后脑功能成像的变化。结果:针刺组治疗后总智商(FIQ)、社会适应能力评分均高于治疗前(P<0.05),其中操作智商(PIQ)提高显著,差异具有统计学意义(P<0.05),但言语智商(VIQ)变化不明显(P>0.05);而药物组治疗前后各指标变化不明显(均P>0.05)。两组治疗后比较,针刺组总智商和操作智商以及社会适应能力评分与药物组相比提高显著(均P<0.05);针刺组5例病例治疗前后fMRI脑功能成像没有明显变化。结论:针刺可以促进MR患儿的智力恢复,提高患儿的社会适应能力,具有较好的临床疗效。但对比治疗前后fMRI脑功能成像并没有明显变化。Objective To observe the impacts of acupuncture on intelligent structure, social adaptability and fMRI brain function in children mental retardation （MR）. Methods Sixty cases of MR in compliance with the diagnostic standard were randomized into an acupuncture group and a medication group, 30 cases in each one. In the acupuncture group, Sishenzhen [four points, 1.5 cun anterior, posterior and bilateral to Baihui （GV 20）], Zhisanzhen [Shenting （GV 24）, bilateral Benshen （GB 13）], Niesanzhen （the point 2 cun directly above the ear a- pex, the two points 1 cun bilateral the first point） and Naosanzhan [Naohu （GV 17） and bilateral Naohu （GB 19）] were selected as the main points. In the medication group, piraeetam tablets were prescribed for oral administra- tion. One course of treatment was 4 months in the two groups. The comprehensive efficacy was compared between the two groups at the end of treatment course. China-Weehsler Intelligence Scale for Children （C-WISC） was used to assess the intelligent improvements. Infant-Junior School Student Social Life Ability Scale was adopted to assess the improvements of social adaptability. Five cases were selected from the acupuncture group and fMRI was adop- ted to compare the brain function imaging changes before and after acupuncture treatment. Methods In the acu- puncture group, the final intelligence quotient （FIQ） and social adaptability score after treatment were higher than those before treatment （P〈0.05）, of which, the performance intelligence quotient （PIQ） was improved signifi- cantly, indicating the statistically significant difference （P〈0.05）. But the verbal intelligence quotient （VIQ） did not change apparently （P〈0.05）. In the medication group, the changes in all the indices were not apparent before and after treatment （P〈0.05）. In comparison of the changes after treatment between the two groups, FIQ, PIQ and social adaptability score in the acupuncture group were improved more significantly as c

关 键 词：针刺 精神发育迟滞 智力结构 社会适应能力 fMRI脑功能成像 

分 类 号：R246.4[医药卫生—针灸推拿学]