摘要
目的 观察通督醒脑针刺疗法联合推拿对语言发育迟缓肝肾亏虚证儿童语言表达能力及口腔运动功能的影响。方法 选取2021年3月至2022年3月湖南省儿童医院康复中心收治的100例语言发育迟缓儿童,采用随机数字表法分为对照组和治疗组,各50例。2组均接受言语认知康复训练,对照组在此基础上给予推拿治疗,治疗组在对照组治疗方法的基础上给予通督醒脑针刺疗法治疗,2组均治疗3个月后统计临床疗效,并比较治疗前后语言表达能力、口腔运动功能和神经营养因子水平。结果 治疗组总有效率为94.00%(47/50),显著高于对照组的76.00%(38/50),2组比较,差异有统计学意义(P<0.05)。治疗前,2组患儿听、复述、出声读、抄写、听写、口头表达、计算评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述评分均显著升高,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。治疗前,2组患儿唇部运动、脸颊运动、舌部运动评分比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述评分均显著升高,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。治疗前,2组神经营养因子脑源性神经营养因子(BDNF)、神经生长因子(NGF)、胶质细胞源性神经营养因子(GDNF)水平比较,差异无统计学意义(P>0.05),具有可比性;治疗后,2组上述指标水平均显著升高,与同组治疗前比较,差异有统计学意义(P<0.05),且治疗组升高更显著(P<0.05)。结论 通督醒脑针刺疗法联合推拿可有效提高语言发育迟缓儿童语言表达能力、口腔运动功能,改善神经营养因子水平,值得临床推广应用。
Objective To observe the effect of Tongdu Xingnao(通督醒脑)acupuncture therapy combined with tuina on language expression ability and oral motor function in children with delayed language development and liver kidney deficiency syndrome.Methods 100 children with language developmental delay admitted to the Reha⁃bilitation Center of Hunan Children’s Hospital from March 2021 to March 2022 were selected and randomly divided into a control group and a treatment group,with 50 cases in each group.Both groups received speech cognitive reha⁃bilitation training,while the control group received tuina therapy on the basis of this.The treatment group received acupuncture therapy combined with tuina therapy on the basis of Tongdu Xingnao acupuncture therapy.After 3 months of treatment,clinical efficacy was analyzed and language expression ability,oral motor function,and levels of neurotrophic factors were compared before and after treatment.Results The total effective rate of the treatment group was 94.00%(47/50),significantly higher than 76.00%(38/50)of the control group.The difference between the two groups was statistically significant(P<0.05).Before treatment,there was no statistically significant differ⁃ence(P>0.05)in the scores of listening,retelling,aloud reading,copying,dictation,oral expression,and calculation between the two groups of children,indicating comparability.After treatment,the above scores in both groups showed a significant increase compared to the same group before treatment(P<0.05),and the treatment group showed a more significant increase(P<0.05).Before treatment,there was no statistically significant difference in the scores of lip movement,cheek movement,and tongue movement between the two groups of children(P>0.05),indicating comparability.After treatment,the above scores in both groups showed a significant increase compared to the same group before treatment(P<0.05),and the treatment group showed a more significant increase(P<0.05).Before treatment,there was no statistically significant difference in the levels of neurotrophic factors BDNF,NGF,and GDNF between the two groups(P>0.05),indicating comparability.After treatment,the levels of the above in⁃dicators in both groups significantly increased compared to the same group before treatment(P<0.05),and the treatment group showed a more significant increase(P<0.05).Conclusion The combination of Tongdu Xingnao acupuncture therapy and tuina can effectively improve language expression ability,oral motor function,and levels of neurotrophic factors in children with delayed language development,which is applicable for clinical popularization.
作者
李融洲
夏琼
谭碧霞
LI Rongzhou;XIA Qiong;TAN Bixia(Rehabilitation Center,Hunan Children’s Hospital,Changsha,Hunan,410007,China)
出处
《中医儿科杂志》
2023年第5期83-87,共5页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
语言发育迟缓
小儿
肝肾亏虚证
通督醒脑针刺疗法
推拿
口腔运动功能
临床观察
delayed language development
children
liver kidney deficiency syndrome
Tongdu Xingnao(通督醒脑)acupuncture therapy
tuina
oral motor function
clinical observation
