常规康复治疗联合穴位按摩对发育迟滞患儿语言功能及智力的影响

背景　由于环境因素的影响，目前诊断为语言发育迟滞的患儿明显增多，逐渐引起家长及医务人员的重视。但是语言发育迟滞的患儿进行康复治疗的项目较为单一且治疗效果缓慢，很多文献报道了传统康复治疗方法中的针灸疗法能有效改善患儿语言功能及智力。但是针灸是有创治疗，家长与患儿不易接受。穴位按摩有效地规避了针灸的缺点，因此探讨穴位按摩对语言及智力的影响具有重要意义。目的　探讨常规康复治疗联合穴位按摩对发育迟滞患儿语言功能及智力的影响。方法　选取2018年1月—2019年1月在滨州医学院附属医院儿童康复门诊就诊并诊断为发育迟滞患儿155例，根据随机数字表法将其分为常规组80例和干预组75例。常规组进行常规康复治疗（语言训练、脑循环治疗仪治疗），干预组进行常规康复治疗联合穴位按摩治疗。采用Gesell发育量表对两组患儿疗效进行测评。治疗3个疗程后进行第1次Gesell发育量表评估为中期评估，于6个疗程后进行第2次评估为末期评估。结果　6个疗程后，干预组患儿语言功能、智力优于常规组（P<0.05）。治疗方法、时间在语言功能、适应性行为的发育商（DQ）上主效应显著（P<0.05），治疗方法和时间在语言功能、适应性行为的DQ上存在交互作用（P<0.05）。3个疗程、6个疗程后，干预组患儿语言功能、适应性行为的DQ高于常规组（P<0.05）。结论　常规康复治疗联合穴位按摩可以明显改善发育迟滞患儿的语言功能及智力。

Effect of Routine Language Therapy Combined with Acupoint Massage on Language Function and Intelligence inYoung Children with Developmental Retardation

Background Due to the influence of environmental factors,the number of children diagnosed with language delay has increased significantly,which has gradually attracted the attention of parents and medical workers.However,available rehabilitation programs for such patients are homogeneous with slow responses.Although acupuncture and moxibustion therapy,a traditional rehabilitation therapy,has been reported in many articles to be effective in improving language function and intelligence,it is difficult to be accepted by the children and their parents due to its invasion.In contrast,acupoint massage is an effective method without the shortcomings of acupuncture and moxibustion therapy.So we further studied its effect on language function and intelligence in such children.Objective To explore the effects of routine rehabilitation therapy combined with acupoint massage on language function and intelligence of young children with developmental retardation.Methods A total of 155 young children diagnosed with developmental retardation in Children's Rehabilitation Clinic,Binzhou Medical University Hospital between January 2018 and January 2019 were included in this study.Using generated random numbers,they weredivided into the routine group(n=80) and the intervention group(n=75).Both groups received routine rehabilitation therapy(consisting of language training and brain circulation therapy with cerebral circulation function therapeutic apparatus),theintervention group additionally received acupoint massage.The Gesell Developmental Schedules were used to assess the midtermand long-term therapeutic effects in both groups at the end of 3,and 6 courses of treatment,respectively.Results After 6courses of treatment,the intervention group showed better language function and intelligence(P<0.05).Both treatment methodand time produced significant main effects on the development quotient of language function and adaptive behavior(P<0.05).And there was an interaction between treatment method and time on the development quotient of language function and adaptivebehavior(P<0.05).The general mid-term and long-term improvements in the development quotient of language and adaptivebehavior in the intervention group were higher than those of the routine group(P<0.05).Conclusion For young children withdevelopmental retardation,routine rehabilitation therapy combined with acupoint massage is effective in improving their languagefunction and intelligence.