头针治疗精神发育迟滞儿童的留针方案探讨  

Discussion on needle retention scheme of scalp acupuncture in the treatment of children with intellectual developmental disorder

作　　者：黄嘉静 李裕玲 刘婵娇 黄秀娟 朱锦渊 HUANG Jiajing

机构地区：[1]广东医科大学顺德妇女儿童医院/佛山市顺德区妇幼保健院,广东佛山528300

出　　处：《中医临床研究》2024年第14期52-55,共4页Clinical Journal Of Chinese Medicine

基　　金：佛山市卫生健康局医学科研立项项目资助课题(20220445)。

摘　　要：目的:探讨头针治疗精神发育迟滞儿童的留针方案。方法:以精神发育迟滞为主要症状的患儿进行头针治疗干预,以留针时间的长短(1 h、2 h、4 h)和捻针频率(10 min/次、20 min/次、30 min/次)两种参数组成的9种方案对患儿进行分组。治疗前后用格塞尔和日常生活能力评定量表进行评定对比,观察不同留针方案对精神发育迟滞患儿的干预效果。结果:头针治疗效果受留针时间,捻针频率的影响,对不同的效应指标,留针时间,捻针频率的影响大小不同。留针时间对于改善患儿的发育商具有重要影响,而捻针频率则对日常生活能力评定产生较大影响。结论:头针治疗精神发育迟滞儿童配合留针4 h,并且捻针频率为10 min/次的留针方案可取得最佳效应。Objective:To explore retention needle schemes for acupuncture treatment in children with intellectual developmental disorder(IDD).Methods:Children presenting with intellectual developmental disorder as the primary symptom received acupuncture treatment interventions.Nine different schemes,composed of two parameters-retention needle duration(1 hour,2 hours,4 hours)and needle-twisting frequency(every 10 minutes,every 20 minutes,every 30 minutes),were used to group the children.Gesell assessments and daily life ability assessments were rigorously conducted before and after treatment to compare the intervention effects of different retention needle schemes on children with IDD.Results:The effectiveness of acupuncture treatment was influenced by retention needle duration and needle-twisting frequency,with varying degrees of impact on different outcome measures.Retention needle duration significantly influenced the improvement of children’s developmental quotient,while needle-twisting frequency had a greater impact on daily life ability assessments.Conclusion:For acupuncture treatment in children with IDD,the most effective retention needle scheme is to retain the needles for 4 hours with a needle-twisting frequency of every 10 minutes.

关 键 词：留针方案 精神发育迟滞 头针 正交设计法 儿童 

分 类 号：R246.6[医药卫生—针灸推拿学]