针灸辅助治疗小儿脑性瘫痪合并构音障碍的临床研究  

Clinical study on acupuncture and moxibustion in adjuvant treatment of children with cerebral palsy complicated with dysarthria

作　　者：颜廷岐 王爽[1] 关丽君[1] YAN Tingqi;WANG Shuang;GUAN Lijun(Department of Rehabilitation Medicine,Shenyang Children's Hospital, Shenyang 110032,China)

机构地区：[1]沈阳市儿童医院康复医学科,沈阳110032

出　　处：《中国中西医结合儿科学》2021年第3期225-227,共3页Chinese Pediatrics of Integrated Traditional and Western Medicine

摘　　要：目的探究针灸治疗小儿脑性瘫痪(简称脑瘫)合并构音障碍的临床疗效。方法选取2018年1月至2019年4月于我院康复医学科接受康复治疗的脑瘫合并构音障碍患儿60例,随机分为观察组和对照组各30例。对照组给予常规语言训练,观察组在对照组的基础上给予针灸治疗,疗程结束后分析构音评分的差异及流涎的改善程度。结果治疗前两组患儿构音评价各项目比较差异均无统计学意义(P>0.05),治疗后观察组除颌位置、软腭运动外,各评分均较治疗前提高,差异有统计学意义(P<0.05),反射、唇运动、言语理解评分均高于对照组,差异有统计学意义(P<0.05);治疗结束后,观察组患儿流涎治疗总有效率为76.7%(23/30),高于对照组50.0%(15/30),差异有统计学意义(P<0.05)。结论针灸治疗能够提高脑瘫合并构音障碍患儿的构音功能,改善流涎,值得临床推广。Objective To explore the clinical effect of acupuncture and moxibustion on children with cerebral palsy complicated with dysarthria.Methods Totally 60 cases of cerebral palsy complicated with dysarthria were selected,who were treated in our hospital from Jan.2018 to Apr.2019,and they were randomly divided into two groups:the observation group(30 cases)and control group(30 cases).The control group was given conventional language training,and the observation group received acupuncture and moxibustion in addition to the conventional language training.After the course of treatment,the differences in articulation scores and the improvement in salivation were analyzed.Results There was no statistical difference in all the items evaluated in articulation between the two groups before treatment.After treatment,the scores of all items increased,except jaw position and soft palate movement,compared with those before treatment(P<0.05).The scores in reflex,lip movement and speech comprehension were higher in the observation group were higher than those in control group,and there was statistical difference(P<0.05).After treatment,the total effective rate concerning the treatment for salivation in observation group was 76.7%(23/30),higher than that in control group(50.0%,15/30)(P<0.05).Conclusion Acupuncture and moxibustion can improve the articulation function of children with cerebral palsy and dysarthria and improve salivation,which is worth clinical promoting.

关 键 词：脑性瘫痪 构音障碍 针灸 儿童 

分 类 号：R742.3[医药卫生—神经病学与精神病学]