针刺联合语言训练对脑性瘫痪患儿语言发育迟缓的影响

目的观察针刺联合语言训练对脑性瘫痪患儿语言发育迟缓的作用。方法132例脑性瘫痪患儿按数字随机表法分为语言训练组（训练组，44例）、小儿常规针刺联合语言训练组（电针组，44例）和行针联合语言训练组（行针组，44例）。训练组采用一对一的语言训练，包括游戏治疗，交流态度训练等；电针组及行针组选取百会、四神聪、语言一区、语言二区、语言三区等进行常规针刺后，电针组进行电针治疗，再进行语言训练；行针组进行语言训练同时行针及留针40min。3组每天治疗1次，每周5次，20次为1个疗程，共6个疗程。采用S．S检查法评定各组疗效，根据Gesell发育量表观察各组治疗前及治疗3、6个疗程后语言发育商（developmentquotient，DQ）。结果电针组（有效率：77．5％，DQ值：60．4±13．5）和行针组（有效率：81．0％，DQ值：64．0±11．6）疗效及治疗后DQ值均优于训练组（有效率：51．3％，DQ值：58．1±13．3，P〈0．05），电针组和行针组疗效及治疗后DQ值比较，差异无统计学意义（P〉0．05）。结论针刺联合语言训练对脑性瘫痪患儿语言发育迟缓疗效明显。

Effect of Acupuncture Combined Language Training on Cerebral Palsy Children with Language Retardation

Objective To observe effects of acupuncture combined speech therapy for cerebral palsy children with linguistic retardation. Methods Totally 132 cerebral palsy children were randomly assigned to the speech training group （Group A, 44 cases） and the routine acupuncture combined speech training group （Group B, 44 cases）, and the acupuncture combined speech training group （Group C, 44 cases）. Patients in Group A received one to one training including game therapy, therapy of communica- tion attitudes, and so on. Those in the other two groups were needled at Baihui （GV20）, Sishencong （EX- HN1 ）, the first language zone, the second language zone, and the third language zone. Those in Group B were treated with electric needling and then speech training. Those in Group C were treated with language training, while needling with needle maintaining for 40 min. All patients were treated once daily, 5 times per week, 20 times as one course of treatment, 6 courses in total. The efficacy was assessed using S-S phonetic speech developmental retardation examination （CRRC version）. The development quotient （DQ） was observed referring to the Gesell intellectual development scale before treatment, after 3 and 6 treatment courses. Results Compared with Group A （the total effective rate： 51.3%, DQ value： 58.1 ± 13.3）, better effects were obtained in Group B （the total effective rate： 77.5%, DQ value： 60.4 ±13.5） and Group C （the total effective rate： 81.0%, DQvalue： 64.0 ±11.6） （alIP 〈0.05）.There was no statistical difference in the total effective rate or post-treatment DQ value between Group B and Group C （P 〉 0.05）. Conclusion Acupuncture combined speech therapy showed obvious effects on cerebral palsy children with linguistic retardation.