| 引用本文:余德兵，程惊晶，涂亚兰.通督醒脑针法治疗脑瘫合并智力障碍患儿的临床疗效及对智力发育水平的影响[J].世界中医药,2019,(08):. |
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| 通督醒脑针法治疗脑瘫合并智力障碍患儿的临床疗效及对智力发育水平的影响 |
| Clinical Effect of Tongdu Xingnao Scalp Acupuncture in the Treatment of Children with Cerebral Palsy Complicated with Mental Retardation and Its Influence on Intellectual Development Level |
| 投稿时间：2019-05-22 |
| DOI：10.3969/j.issn.1673-7202.2019.08.049 |
| 中文关键词: 脑瘫 智力障碍 通督醒脑头针 血流动力学 智力发育水平 |
| English Keywords:Cerebral palsy Mental retardation Tongdu xingnao scalp acupuncture Hemodynamics Intellectual development level |
| 基金项目:重庆市卫生科技计划项目(20111642) |
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| 中文摘要: |
| 目的：探究通督醒脑头针治疗脑瘫合并智力障碍患儿的临床疗效及对智力发育水平的影响。方法：选取2013年3月至2018年3月重庆市三峡中心医院收治的脑瘫合并智力障碍患儿200例，按随机数字表法将其分为对照组和观察组，每组100例。对照组采取物理治疗、认知功能训练、作业疗法等，观察组在此基础上给予通督醒脑头针治疗，2组均连续治疗3个月。统计2组治疗后临床疗效；比较2组患儿治疗前后血流动力学指标及智力发育水平。结果：观察组的总有效率（8600%）显著高于对照组（7200%），差异有统计学意义（P<005）。与治疗前比较，治疗后2组Vm、Vs显著升高，且观察组显著高于对照组，差异有统计学意义（P<001），2组RI、PI显著降低，且观察组显著低于对照组，差异有统计学意义（P<001）。与治疗前比较，治疗后2组适应性、个人-社会、精细动作、粗大运动、语言评分显著升高，且观察组显著高于对照组，差异有统计学意义（P<001）。结论：通督醒脑头针可显著改善脑瘫合并智力障碍患儿血流动力学，提高其智力水平，且疗效显著，值得临床推广应用。 |
| English Summary: |
| To explore the clinical effects of Tongdu Xingnao scalp acupuncture in the treatment of children with cerebral palsy complicated with mental retardation and its influence on intellectual development level.Methods:A total of 200 cases of children with cerebral palsy complicated with mental retardation admitted to Chongqing Three Gorges Central Hospital from March 2013 to March 2018 were selected，and they were divided into a control group and an observation group according to random number table method，with 100 cases in each group.The control group was given physical therapy，cognitive function training，occupational therapy and so on，and the observation group was given Tongdu Xingnao scalp acupuncture treatment on this basis.The 2 groups were treated continuously for 3 months.The clinical curative effect in the 2 groups was counted after treatment; the hemodynamic index and intelligence development level in the 2 groups were compared before and after treatment.Results:The total effective rate of the observation group was significantly higher than that of the control group(8600% vs 7200%，P<005).Compared with before treatment，the Vm，Vs in the 2 groups were significantly increased after treatment，and the observation group was significantly higher than the control group(P<001).The RI，PI in the 2 groups were significantly decreased after treatment，and the observation group was significantly lower than the control group(P<001).Compared with before treatment，the adaptability，individual-social，fine motor，gross motor and language scores in the 2 groups were significantly increased after treatment，and the above scores in the observation group was significantly higher than those in the control group(P<001).Conclusion:Tongdu Xingnao scalp acupuncture can significantly improve the hemodynamics of children with cerebral palsy combined with mental retardation，enhance their intellectual level，and the effect is significant，which is worthy of clinical application. |
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