补肾健脑针法结合语言训练对脑瘫患儿语言障碍的影响研究

发布时间：2018-06-27 14:38

本文选题：脑性瘫痪 + 补肾健脑针法　；参考：《南京中医药大学》2016年硕士论文

【摘要】：目的：本研究采用中国康复研究中心修订的中国版语言发育迟缓检查法(sign-significance, S-S法)和构音障碍评定法,盖泽尔发育量表(Gesell Developmental Scale),对所有入组的脑瘫患儿进行治疗前后的评分,以此来评估补肾健脑针法联合语言训练对脑性瘫痪语言障碍儿童所产生的影响,并探讨其治疗机理,为临床治疗脑性瘫痪合并语言障碍患儿提供一个有效的治疗方法和新的研究思路。方法：本研究所有入组患儿为2014年4月至2015年11月期间在江苏省中医院针灸康复科门诊进行治疗的病人,采用随机数字表法进行收集,方案预计从中选取符合诊断标准的脑瘫语言障碍患儿60例分为两组,治疗组30例,对照组30例,两组患儿均给予脑瘫患儿的基础康复治疗如对运动障碍的肢体康复训练和认知功能的康复训练等,并且康复训练的操作均由本研究组的专业康复技师进行。而不同的是,治疗组在以上基础治疗方案上给予补肾健脑针刺疗法联合语言训练；对照组在基础治疗方案上予语言训练治疗,观察疗程为3个月,在治疗前、治疗1个月后、治疗3个月后分别对患儿进行阶段性的评估检测,采用量表为中国康复研究中心修订的中国版(S-S检查法)和构音障碍评定法,盖泽尔发育量表进行评定,以观察所有患者治疗前后的语言功能的变化和Gesell语言发育商及其整体发育的评分变化情况。结果：治疗期间脱落病例9例,剔除病例5例,最终纳入统计病例的结果是治疗组24例,对照组22例；根据北京Gesell婴幼儿发育量表和语言评估量表对患儿治疗前后的评估记录,经统计结果显示：①两组患儿语言疗效对比分析,两组患儿语言功能均有不同程度的改善,但治疗组较对照组提高更显著。中期评估两组患儿的语言治疗疗效对比,差异无统计学意义(P0.05),治疗组组内中期语言疗效评估比较无统计差异(P0.05),3个月后差异具有统计意义(P0.05)。②两组患儿治疗前后Gesell整体发育评估显示,差异有统计学意义(P0.05)。所有入组患儿的整体发育治疗后较治疗前均有改善,但两组患儿1个月的整体发育效果较治疗前未显示有统计学意义(P0.05)；治疗3个月的结果较治疗前统计差异明显；两组组内间治疗前后Gesell整体发育评估显示,1个月的治疗效果无统计学差异(P0.05),3个月后两组的治疗效果开始较治疗前差异有统计学意义(P0.05)。③治疗组语言疗效与年龄以及整体发育水平的比较,年龄组小于3岁的患儿语言疗效较3-7岁的患儿好,差异有统计学意义(P0.05),轻中度发育迟缓的患儿较重度发育障碍的患儿针刺疗效好,差异有统计学意义(P0.05)。结论：补肾健脑针法结合语言训练可以改善脑性瘫痪患儿语言障碍状况,同时发现越早,坚持时间越长、不间断地治疗,效果就会越显著。此外,对于患儿运动功能、认知功能等康复治疗与患儿语言功能、智力发育、生活能力的提高,整体疗效相互影响,再一次证明了综合疗法对于脑瘫患儿的治疗意义,本研究所采用的治疗方法对临床治疗本病可作以参考。
[Abstract]:Objective : To evaluate the effect of combined language training on children with cerebral palsy by using the method of sign - significance , S - S and Gesell Developmental Scale , which were revised by the Center for Rehabilitation Research in China .
The control group was treated with language training on the basic treatment regimen , and the treatment course was 3 months . After 1 month of treatment , the patients were evaluated for phase assessment respectively . The scale was used to assess the changes of language function before and after treatment and the change of Gesell ' s language development quotient and its overall development . Results : 9 cases were shed during the treatment , 5 cases were excluded , and the result of the final inclusion in the statistical cases was 24 cases in the treatment group and 22 cases in the control group .
There was no statistical difference between the two groups ( P0.05 ) . There was no statistical difference between the two groups ( P0.05 ) .
The results of treatment for 3 months were significantly different from those before treatment .
There was no significant difference in treatment effect between two groups ( P0.05 ) . The results showed that the effect of acupuncture combined with language training was better than that in children with severe developmental disorders ( P0.05 ) .
【学位授予单位】：南京中医药大学
【学位级别】：硕士
【学位授予年份】：2016
【分类号】：R246.6

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