头皮针治疗小儿脑性瘫痪合并智力低下临床疗效观察

目的观察头皮针治疗脑性瘫痪(简称脑瘫)合并智力低下患儿的疗效。方法将72例脑瘫合并智力低下的住院患儿,按简单随机法分为观察组和对照组各36例,两组在常规治疗脑瘫的基础上,观察组采用头皮针治疗,对照组对症治疗,3个月为1个疗程,疗程结束后观察智力提高效果。结果观察组显效8例,有效22例,无效6例;对照组显效4例,有效20例,无效12例,两组比较差异有统计学意义(P0.05)。结论头皮针治疗对提高脑瘫患儿智力水平有明显效果。     

头针结合语言训练治疗脑性瘫痪语言障碍临床疗效及相关因素分析

目的观察头针结合语言训练对脑性瘫痪（脑瘫）语言障碍的治疗作用,分析疗效与语言障碍分型、病情程度、智力水平之间的关系。方法 155例脑瘫患儿按随机数字表法分为常规治疗组30例,常规治疗＋语言训练组76例,常规治疗＋语言训练＋头针组49例,常规治疗主要进行以物理疗法、作业疗法、按摩、理疗为主的综合康复治疗,不包含语言治疗。治疗3个月为1个疗程。治疗前后应用语言发育迟缓检查法和构音障碍检查法进行语言功能评定,2~7岁采用＂中国比内测验指导书＂第3次修订本进行智力水平测定,2岁以下采用Gesell量表测定。结果 （1）治疗效果：常规治疗＋语言训练组的治疗效果优于常规治疗组,差异有统计学意义（P〈0.01）,常规治疗＋语言训练＋头针组的治疗效果优于常规治疗＋语言训练组,差异有统计学意义（P〈0.01）。（2）相关因素分析：语言障碍分型中语言发育迟缓患儿疗效最显著（P〈0.01）,而语言前阶段与语言发育迟缓合并构音障碍的治疗效果比较差异无统计学意义（P〉0.05）;病情程度轻、中、重度的治疗效果差异有统计学意义（P〈0.01）;智力水平正常与落后之间的治疗效果差异有统计学意义（P〈0.01）。结论 （1）头针结合语言训练和单纯语言训练对脑瘫伴语言障碍者都有治疗效果,但头针结合语言训练的疗效优于后者;（2）语言障碍分型中语言发育迟缓患儿头针结合语言训练疗效显著;（3）病情程度越轻,智力水平越高,治疗效果越好。     

中西医结合治疗围产期脑损伤致智力低下患儿120例疗效观察

目的：观察中西医结合治疗围产期脑损伤智力低下患儿的临床疗效。方法120例智力低下幼儿分为对照组、穴位注射组、针刺组、联合治疗组4组各30例,每组均有轻、中、重度智力低下患儿各10例。其中对照组给予常规智力功能训练;穴位注射组在对照组基础上给予穴位注射疗法;针刺组在对照组基础上给予醒脑开窍针刺疗法;联合治疗组在对照组基础上给予穴位注射疗法及醒脑开窍针刺疗法。按照 Gesell发育量表于治疗前后测定各组的发育商（DQ）。并分别于治疗前后行组间有效率及 DQ比较。结果治疗后各组轻、中、重度智力低下患儿的DQ均有不同程度的提高,其中各组均以轻度和中度智力低下的患儿DQ值提高得较为显著,重度智力低下患儿的 DQ值提高不明显,各组的轻度和中度患者 DQ值改变经比较,差异均无统计学意义（P＞0．05）,但轻、中度患儿DQ值均显著高于重度患儿DQ组,差异有统计学意义（P＜0．05）。结论对围产期脑损伤所致的智力低下患儿采用中西医结合治疗,可明显提高轻、中度智力低下患儿智力疗效水平,值得推广。     

头针带针语言训练治疗小儿脑性瘫痪语言功能障碍的疗效观察

目的观察头针带针语言训练治疗脑性瘫痪(简称脑瘫)患儿语言障碍的疗效。方法将61例脑瘫患儿随机分为观察组和对照组,两组在同样环境中进行总体功能康复和语言治疗,观察组进行头针治疗,之后带针训练,而对照组不进行头针治疗。3个疗程结束后观察两组患儿接受语言能力、表达语言能力、智商测定、构音障碍等语言功能的康复情况及语言总体康复的临床疗效。结果观察组在语言的接受、表达、理解能力、构音障碍的评估及语言康复的总体临床疗效上,均优于对照组,其差异均有统计学意义(P0.05);但在智力的改善上两组之间差异无统计学意义(P0.05)。结论头针结合语言治疗等综合治疗技术对脑瘫患儿语言功能的康复作用优于单纯康复治疗。     

中西医结合疗法治疗智力低下幼儿30例疗效观察

目的观察穴位注射疗法结合智能训练治疗智力低下幼儿的疗效。方法 90例智力低下幼儿中轻、中、重度智力低下各30例。按不同病情程度分为对照组、肌肉注射组、穴位注射组3组各30例,每组均有轻、中、重度智力低下患儿各10例。对照组给予家庭智能训练;肌肉注射组给予智能训练及单唾液酸四己糖神经节苷酯2mL肌肉注射治疗;穴位注射组给予智能训练及单唾液酸四己糖神经节苷酯2mL穴位注射治疗。疗程为3个月。按照Gesell发育量表于治疗前后分别测定各组的发育商(DQ)。治疗后进行各组有效率比较及各组组间、组内DQ值比较。结果治疗后穴位注射组疗效好于肌肉注射组与对照组,差异有统计学意义(P0.0167),对照组与肌肉注射组疗效相当,差异无统计学意义(P0.0167)。肌肉注射组和穴位注射组轻、中、重度DQ差值均高于对照组,差异有统计学意义(P0.01);穴位注射组轻、中、重度DQ差值均高于肌肉注射组,差异有统计学意义(P0.05)。各组轻、中、重度间DQ差值比较差异有统计学意义(P0.05,0.01)。经两两比较后,除对照组中-重度和肌肉注射组轻-中度间DQ差值比较差异无统计学意义(P0.05)外,其余比较差异均有统计学意义(P0.05,0.01)。结论在治疗智力低下幼儿时,尤其轻中度智力低下的幼儿应早期采用中西医结合的治疗方法。     

穴位注射结合头针治疗儿童孤独症疗效观察

目的观察穴位注射鼠神经生长因子(mNGF)结合头针治疗儿童孤独症的临床疗效。方法59例24~60个月孤独症患儿按就医时间并在家长知情同意的前提下分为3组。常规康复训练组15例,常规康复训练+头针治疗组22例,常规康复训练+头针+穴位注射治疗组22例。通过治疗前后孤独症行为量表(ABC)、儿童期孤独症评定量表(CARS)、图片词汇量表(PPVT)对患者进行评定。结果常规康复训练+头针治疗组和常规康复训练+头针+穴位注射治疗组均能显著降低ABC总分、CARS得分,提高PPVT评分,差异有统计学意义(P0.05)。常规康复训练+头针+穴位注射治疗组的治疗效果优于常规康复训练+头针治疗组,差异有统计学意义(P0.05)。结论穴位注射mNGF结合头针治疗2~5岁孤独症患儿疗效显著。     

中西医结合治疗小儿脑性瘫痪伴智力低下20例疗效观察

目的观察应用中西医结合方法治疗小儿脑性瘫痪（简称脑瘫）伴智力低下的治疗效果。方法 43例脑瘫患儿按住院号奇偶分为观察组和对照组,观察组20例在基础康复训练基础上静脉滴注东莨菪碱＋山莨菪碱,根据患儿耐受力逐渐调节药量,配合头针、穴位注射,对有痉挛的肢体进行按摩,同时口服脑复康及多种维生素、微量元素。对照组23例基础康复训练,单纯口服脑复康。治疗1个疗程（3个月）后比较两组治疗效果。结果观察组治疗总有效率75%（15/20）,高于对照组13%（3/23）,差异有统计学意义（P〈0.005）。结论应用中西医结合的方法及早合理的治疗,能使大多数脑瘫患儿得以康复。     

头皮针刺治疗脑性瘫痪患儿语言功能落后临床观察

目的在常规推拿按摩、功能训练治疗脑性瘫痪(简称脑瘫)患儿的基础上,观察加用头皮针刺对患儿语言功能的影响。方法将60例脑瘫患儿分为观察组和对照组,观察组在常规推拿按摩、功能训练的基础上加用头皮针刺治疗,对照组在常规推拿按摩、功能训练的基础上加用语言训练治疗,观察1个疗程后患儿语言功能改善情况。结果观察组患儿显效率70.0%(21/30),对照组显效率33.3%(10/30),观察组患儿语言功能改善较明显(P0.05)。结论传统中医头皮针刺治疗可以提高脑瘫患儿语言功能。     

核心肌群稳定性训练结合爬行训练对痉挛型脑性瘫痪患儿运动及智力发育的影响

目的 观察核心肌群稳定性训练结合爬行训练对痉挛型脑性瘫痪(简称脑瘫)患儿运动及智力发育的影响.方法 选取2018年2月至2019年10月于我院就诊的痉挛型脑瘫患儿95例,随机分为对照组47例和观察组48例.对照组给予常规爬行训练,观察组在对照组的基础上增加核心肌群稳定性训练.观察3个月后两组患儿爬行能力、智力发育.结果...     

经阴道彩色多普勒超声联合诊断性刮宫对早期子宫内膜癌分期的临床研究

目的:探讨经阴道行彩色多普勒超声(TVCDS)联合诊断性刮宫对早期子宫内膜癌分期的诊断价值.方法:回顾性分析106例行诊断性刮宫和TVCD5检查确诊并经手术病理证实的临床Ⅰ期子宫内膜癌患者的临床资料,根据诊断性刮宫的病理结果,分析声像图特征、彩色多普勒血流图(CDFI)特点及血流阻力指数(RI),判断肿瘤浸润子宫肌层的深度,进行临床分期.结果:诊断性刮宫准确率达98.15%.TYCDS分期与病理总符合率为74.07%;TVCDS测得子宫内膜厚度为5.0～43.0 mm,平均17.0±2.8mm,ⅠA、ⅠB、Ⅰ C各期之间比较,差异有高度统计学意义(P<0.01);CDFI均为低阻力型血流,RI为0～0.65,平均0.45±0.15,ⅠA、ⅠB、ⅠC各期之间比较,差异有高度统计学意义(P<0.01).结论:TVCDS联合诊断性刮宫是目前诊断早期子宫内膜癌并进行临床分期的最简便有效的方法之一,为临床选择手术方法和判断预后提供重要依据.     

可视音乐治疗对精神发育迟滞患儿语言康复的作用

目的观察可视音乐治疗对精神发育迟滞患儿语言康复的疗效。方法 2013年3月至2015年3月潍坊市妇幼保健院儿童康复科收治的精神发育迟滞患儿80例,随机分为观察组和对照组各40例。对照组予语言认知综合训练,观察组予可视音乐治疗结合语言认知综合训练。两组均为3个月1个疗程,连续治疗2个疗程。两组在治疗前及治疗2个疗程后均采用北京0~6岁Gesell量表测试,评估语言发育商(DQ)、发育月龄,观察患儿语言功能改善情况。结果治疗后两组大多数语言DQ值提高,部分较治疗前有不同程度降低,其中观察组4例,对照组14例。治疗后观察组DQ值优于治疗前,差异有统计学意义(P0.05);治疗后两组发育月龄均优于治疗前,差异有统计学意义(P0.05);两组治疗后观察组DQ值和语言发育月龄值均高于对照组,差异有统计学意义(P0.05)。结论可视音乐干预结合语言训练能更好地改善精神发育迟滞患儿的语言功能。     

Rehabilitation with a combination of scalp acupuncture and exercise therapy in spastic cerebral palsy

PurposeTo use Traditional Chinese Medicine (TCM) and Western approaches to improve gross motor function and activities of daily living (ADL) in children with spastic cerebral palsy.MethodsChildren were randomly divided into a treatment group, which received scalp acupuncture combined with exercise therapy and conventional rehabilitation training, and a control group, which received conventional rehabilitation training alone. Study subjects’ gross motor function (gross motor function measure-88 [GMFM-88]) and ADL were evaluated before and after therapy.ResultsGMFM-88 and ADL scores were significantly improved in both groups after therapy, but the within group differences in post- and pre-therapy GMFM-88 and ADL scores were significantly higher in the treatment group compared to the control group.ConclusionScalp acupuncture combined with exercise therapy and conventional rehabilitation training can significantly improve gross motor function and the ability to perform ADLs in children with spastic cerebral palsy compared to conventional rehabilitation training alone.     

补肾健脑针刺疗法辅助治疗脑性瘫痪患儿的效果及其对语言发育商、综合功能的影响

目的 探究补肾健脑针刺疗法结合语言小组训练治疗脑性瘫痪(简称脑瘫)患儿的效果及其对语言发育商、综合功能的影响.方法 选取2016年6月至2019年6月于我院就诊的脑瘫患儿84例,随机分为对照组和观察组各42例.对照组予以语言小组训练,观察组在对照组的基础上联合补肾健脑针刺疗法治疗,观察两组脑瘫患儿临床效果 、语言发育商...     

脑性瘫痪儿童下颌运动障碍的临床研究

目的了解不同类型脑性瘫痪(简称脑瘫)儿童下颌运动障碍情况。方法 2014年6月至2015年6月在黑龙江省小儿脑性瘫痪防治疗育中心收治的不同类型脑瘫患儿43例为观察组,其中混合型及不随意运动型18例,痉挛型25例。同期选择佳木斯市某幼儿园就读正常儿童40例为对照组。采用《下颌运动功能测评调查表》观察、测评和记录儿童的下颌运动能力。结果观察组测评得分与对照组相比差异均有统计学意义(P0.05,0.01)。混合型及不随意型组与对照组比较,各项下颌运动测评分数差异均有统计学意义(P0.05,0.01)。痉挛型组与对照组比较,除下颌前伸运动、下颌左右连续运动测评分数差异无统计学意义(P0.05)外,其他各项下颌运动测评分数差异均有统计学意义(P0.01)。混合型及不随意型组与痉挛型组相比,除下颌前伸运动测评分数差异无统计学意义(P0.05)外,其他各项下颌运动测评分数差异均有统计学意义(P0.01),且痉挛型组得分均高于混合型及不随意型组。结论下颌运动障碍是脑瘫儿童普遍存在的一种构音器官运动障碍,不同类型的患儿其下颌运动障碍的形式及严重程度也有明显差异。     

Sleep patterns in a randomized controlled trial of auricular acupuncture and cognitive behavioral therapy for insomnia

The aim of the study was to objectively examine how sleep patterns were affected in a short- and long-term perspective after auricular acupuncture (AA) and cognitive behavioral therapy for insomnia (CBT-i). Sixty participants with insomnia disorders (men/women 9/51; mean age of 60.5 years, (SD 9.4)), were randomized to group treatment with AA or CBT-i. Actigraphy recordings were made at baseline, post-treatment and 6-month follow-up. The CBT-i group reduced their time in bed, their actual sleeping time, their sleep latency and their actual time awake. The AA group slept longer, increased their time in bed and decreased their sleep latency post-treatment. The between-groups results differed in wake-up time, rising, time in bed, actual sleep time and actual wake time. The differences were not maintained six months later. In accordance with previous findings the results support the notion that the objective sleep time does not necessarily affect the subjective perception of insomnia.     

西替利嗪联合用药治疗小儿咳嗽变异性哮喘疗效观察

目的观察西替利嗪联合用药治疗小儿咳嗽变异性哮喘的疗效。方法 2014年8月至2016年3月沈阳市二四五医院儿科收治住院的小儿咳嗽变异性哮喘患儿120例,随机分为观察组和对照组各60例。对照组给予西替利嗪滴剂,观察组在对照组治疗基础上,每日服用射干麻黄汤加减治疗,均连续治疗2周。比较两组疗效及症状体征消失时间、不良反应、随访6个月后复发情况。结果观察组治疗总有效率为91.7%(55/60),高于对照组71.7%(43/60),差异有统计学意义(P0.05)。观察组患儿哮喘消失时间、哮喘持续时间、肺哮鸣音消失时间均明显少于对照组,差异有统计学意义(P0.05)。观察组复发2例(3.33%),低于对照组8例(13.33%),差异有统计学意义(P0.05)。观察组不良反应发生率为3.33%(2/60),明显低于对照组13.33%(8/60),差异有统计学意义(P0.05)。结论西替利嗪联合射干麻黄汤加减治疗小儿咳嗽变异性哮喘的临床效果显著,不良反应少,总有效率高,复发率低,值得临床推广。     

Outcome for children infected with congenital toxoplasmosis in the first trimester and with normal ultrasound findings: a study of 36 cases

OBJECTIVE: We wished to investigate the prognosis of children infected with Toxoplasma gondii during the first trimester of pregnancy and whose ultrasound findings were entirely normal, in order to find out whether congenital toxoplasmosis did or did not justify termination of pregnancy if there was no fetal abnormality on ultrasound. STUDY DESIGN: A prospective and retrospective study was carried out by 12 French centers who enrolled 36 children infected with T. gondii during the first trimester of pregnancy and whose ultrasound examinations showed no anomaly. The outcome of these children after the age of 12 months (mean 50 months, range 12-144 months) was analyzed. RESULTS: Of the 36 infected children, 28 (78%) presented subclinical toxoplasmosis. Only specific IgG antibodies persisted after 1 year. The principal manifestation in 7 children (19%) was chorioretinitis without major vision loss. Their intellectual development was entirely normal. One child (3%) developed severe congenital toxoplasmosis. CONCLUSION: Since 97% of children infected with toxoplasmosis during the first trimester of pregnancy are asymptomatic or only slightly affected, we believe that in such circumstances termination of pregnancy is not indicated. However, appropriate treatment is essential and prenatal ultrasound examinations should be free of any anomaly.     

Effect of treatment adherence training given to patients with bipolar disorder on treatment adherence,social functioning and quality of life: A pilot study

Backgroundand purpose: Treatment non-adherence is quite common among patients with bipolar disorder, negatively affects the social functioning of patients and reduces the quality of life. This pilot study aims to measure the effect of treatment adherence training given to patients with bipolar disorder on treatment adherence, social functioning and quality of life.Materials and methodsThe pilot study was conducted with 40 bipolar disorder patients, 19 in the intervention group and 21 in the control group, using a quasi-experimental research design. The data were collected using the Participant Information Form, Medication Adherence Rating Scale, Social Functioning Scale and Short Form of the World Health Organization Quality of Life Questionnaire. Treatment adherence training was given once a week individually for a total of five sessions.ResultsThere was no significant difference between the demographic characteristics and pre-test scale scores of the patients in the intervention and control groups before the treatment adherence training (p > 0.05). The mean treatment adherence, social functioning and quality of life scores of the patients in the intervention group were higher in the post-test and follow-up test compared to the patients in the control group (p < 0.001).ConclusionThe intervention had a positive effect on treatment adherence, social functioning and quality of life of patients. Considering the promising results of this pilot study, treatment adherence training should be studied further in the patients with biplor disorder.