摘要
目的 观察隔制附子艾灸百会穴中医护理结合综合康复训练及常规康复护理对智力发育迟缓患儿的临床效果。方法 选取2022年2-12月在该科门诊就诊或住院诊断为智力发育迟缓的120例患儿作为研究对象,将其分为观察组和对照组,各60例。对照组给予综合康复训练及常规康复护理,观察组在对照组基础上予隔制附子艾灸百会穴中医护理。观察2组患儿治疗前后Gesell智力发育诊断量表(GDS)各能区发育商(DQ)、儿童综合功能评定表各项目分值变化情况,以及临床疗效。结果 2组患儿治疗后GDS各能区DQ均有提高,观察组适应性行为、大运动、精细动作、语言、个人-社交行为得分分别为(67.92±11.69)、(61.88±13.20)、(63.50±13.20)、(57.35±11.91)、(57.87±11.89)分,均高于对照组的(46.70±18.15)、(49.85±17.78)、(48.25±16.69)、(37.78±13.46)、(42.35±14.20)分,且组内治疗前后比较,差异均有统计学意义(P<0.05)。儿童综合功能评定表各项目分值均有提高,观察组认知功能、言语功能、运动能力、自理动作、社会适应得分分别为(10.98±3.61)、(12.12±4.08)、(18.81±5.42)、(11.83±6.03)、(8.87±3.14)分,均高于对照组的(5.29±1.65)、(6.58±3.20)、(15.30±5.42)、(5.11±4.09)、(6.11±1.79)分,且组内治疗前后比较,差异均有统计学意义(P<0.05)。观察组GDS总有效率[91.7%(55/60)]高于对照组[76.7%(46/60)],儿童综合功能评定总有效率[93.3%(56/60)]也优于对照组[80.0%(48/60)],差异均有统计学意义(P<0.05)。结论 隔制附子艾灸百会穴结合综合康复训练及常规康复护理治疗智力发育迟缓疗效确切。
Objective To observe the clinical effect of traditional Chinese medicine nursing combined with comprehensive rehabilitation training and routine rehabilitation nursing on children with mental retardation by moxibustion with aconite.Methods A total of 120 children with mental retardation diagnosed in the outpatient department or in the hospital from February to December,2022 were selected and divided into the observation group and the control group,with 60 cases in each group.The control group was given comprehensive rehabilitation training and routine rehabilitation nursing,while the observation group was given traditional Chinese medicine nursing on Baihui point with aconite moxibustion on the basis of the control group.To observe the changes of development quotient(DQ) of each energy area of Gesell Intelligence Development Diagnostic Scale(GDS) and the scores of children′s comprehensive function evaluation scale before and after treatment,as well as the clinical efficacy.Results After treatment,the DQ of each energy area of GDS was improved in both groups.The scores of adaptive behavior,large exercise,fine movements,language and personal-social behavior in the observation group were(67.92±11.69),(61.88±13.20),(63.50±13.20),(57.35±11.91),(57.87±11.89)points respectively.All the scores were higher than those of the control group(46.70±18.15),(49.85±17.78),(48.25±16.69),(37.78±13.46),(42.35±14.20)points,and the differences were statistically significant(P<0.05).The scores of all items in the children′s comprehensive function evaluation table had been improved.The scores of cognitive function,speech function,sports ability,self-care action and social adaptation in the observation group were(10.98±3.61),(12.12±4.08),(18.81±5.42),(11.83±6.03),(8.87±3.14) points respectively.All the scores were higher than those of the control group(5.29±1.65),(6.58±3.20),(15.30±5.42),(5.11±4.09),(6.11±1.79)points,and the differences were statistically significant(P<0.05).The total effective rate of GDS in the observation group [91.7%(55/60)] was higher than that in the control group [76.7%(46/60)],and the total effective rate of children′s comprehensive function evaluation [93.3%(56/60)] was also better than that in the control group [80.0%(48/60)],with statistical significance(P<0.05).Conclusion Moxibustion of Baihui point with aconite root combined with comprehensive rehabilitation training and routine rehabilitation nursing is effective in treating mental retardation.
作者
乔秋艳
刘芳坚
莫玲
杨再婷
QIAO Qiuyan;LIU Fangjian;MO Ling;YANG Zaiting(Department of Child Rehabilitation,Liuzhou Maternity and Child Healthcare Hospital,Liuzhou,Guangxi 545001,China)
出处
《现代医药卫生》
2024年第13期2233-2237,共5页
Journal of Modern Medicine & Health
基金
广西壮族自治区中医药管理局自筹经费科研课题(GXZYZ20210081)。
关键词
智力发育迟缓
制附子
艾灸
康复护理
Mental retardation
Aconite root
Moxibustion
Rehabilitation nursing
