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| 认知功能障碍训练联合通督醒脑头针治疗小儿脑性瘫痪合并智力障碍的临床研究 |
| Clinical Study on Cognitive Dysfunction Training Combine With Tongdu Xingnao Scalp Acupuncture in the Treatment of Children With Cerebral Palsy and Mental Disorders |
| 投稿时间：2024-07-17 修订日期：2024-07-17 |
| DOI： |
| 中文关键词: 认知功能障碍训练 通督醒脑头针 小儿脑性瘫痪 智力障碍 |
| 英文关键词: Cognitive dysfunction training Tongdu xingnao scalp acupuncture Children with cerebral palsy Mental disorders |
| 基金项目:辽宁省科学技术计划项目（20180540945） |
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| 摘要点击次数: 131 |
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| 中文摘要: |
| 目的：探讨认知功能障碍训练联合通督醒脑头针治疗小儿脑性瘫痪（CP）合并智力障碍的临床效果。方法：采用随机数字表法将中国人民解放军北部战区总医院2020年9月~2022年2月期间收治的130例小儿CP合并智力障碍分为治疗组和对照组，各为65例。对照组接受认知功能障碍训练，治疗组接受认知功能障碍训练联合通督醒脑头针治疗。对比两组疗效、症状评分、血流动力学指标。结果：与对照组对比，治疗组的临床总有效率更高（P<0.05）。治疗后，治疗组格塞尔发展诊断量表（GDDS）、语言发育迟缓检查法（S-S）、粗大运动评分量表88项（GMFM-88）评分高于对照组（P<0.05）。治疗后，治疗组大脑前动脉血流速度、大脑中动脉血流速度、大脑后动脉血流速度高于对照组，血管搏动指数低于对照组（P<0.05）。结论：认知功能障碍训练联合通督醒脑头针治疗小儿CP合并智力障碍，可有效促进患儿智力发育，改善语言能力及运动症状，考虑与调节患儿的脑部血流动力学有关。 |
| 英文摘要: |
| Objective: To explore the clinical effect of cognitive dysfunction training combine with tongdu xingnao scalp acupuncture in the treatment of children with cerebral palsy (CP) and mental retardation. Methods: 130 children with CP and mental retardation admitted to the General Hospital of Northern Theater Command of Chinese People''s Liberation Army from September 2020 to February 2022 were divided into treatment group and control group by random number table method, with 65 cases in each group. Control group received cognitive dysfunction training, and treatment group received cognitive dysfunction training combine with tongdu xingnao scalp acupuncture.The efficacy, symptom score and hemodynamic indexes in two groups were compared.Results: Compared with control group, the total clinical effective rate in treatment group was higher. (P<0.05). After treatment, the scores of Gesell Developmental Diagnostic Scale (GDDS), language retardation test (S-S) and gross motor function measure scale-88 (GMFM-88) in treatment group were higher than those in control group (P<0.05). After treatment, the blood flow velocity of anterior cerebral artery, the blood flow velocity of middle cerebral artery and the blood flow velocity of posterior cerebral artery in treatment group were higher than those in control group, and the vascular pulsation index was lower than that in control group (P<0.05). Conclusion: Cognitive dysfunction training combine with tongdu xingnao scalp acupuncture in the treatment of children with CP and mental retardation, which can effectively promote the mental development of children, improve language ability and motor symptoms, and is considered to be related to the regulation the cerebral hemodynamics of the children. |
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