针刺治疗脑性瘫痪儿童语言障碍临床观察

目的:观察针刺方法对脑性瘫痪儿童语言障碍的疗效,改善患儿预后.方法:将98例脑性瘫痪儿童语言障碍患儿随机分为针刺组(76例)和对照组(22例)进行临床观察,针刺组取四神针、颞三针、脑三针、智三针、舌三针、风池、哑门为主;对照组口服脑复新0.1～0.2 g,γ-氨酪酸0.25～0.5 g,每日3次;肌肉注射神经生长因子2 mL,每日1次.两组均治疗4个月.结果:针刺组总有效率86.8%,对照组总有效率59.1%,差异有极显著性意义(P<0.001);同时治疗组结果显示早期治疗效果较好.结论:针刺对脑性瘫痪儿童语言障碍有明显的改善作用.

Clinical observation on children with language disorder of cerebral palsy treated by acupuncture

OBJECTIVE: To observe therapeutic effect of acupuncture on language disorder of cerebral palsy. METHODS: Ninety-eight cases of language disorder of cerebral palsy were randomly divided into an acupuncture group (n = 76) and a control group (n = 22). The acupuncture group were treated by needling main acupoints Sishenzhen, Niesanzhen, Naosanzhen, Zhisanzhen, Shesanzhen, Fengchi (GB 20) and Yamen (GV 15), and the control group by oral administration of pyrithioxine 0.1-0.2 g and gamma-aminobutyric acid, thrice each day, and intramuscular injection of 2 mL nerve growth factor, once daily. They all were treated for 4 months. RESULTS: The total effective rate was 86.8% in the acupuncture group and 59.1% in the control group with very significant difference between the two groups (P < 0.001), and early treatment in the acupuncture group had a better therapeutic effect. CONCLUSION: Acupuncture has obvious improvement action on language disorder in the children of cerebral palsy.