激光针灸治疗精神发育迟缓伴语言障碍研究

Study on laser acupuncture in children with mental retardation and comorbid language disorders

目的观察激光针灸治疗对精神发育迟缓患儿语言障碍的临床疗效。方法选取2013年10月至2014年10月于广州中医药大学附属南海妇产儿童医院康复中心住院的精神发育迟缓伴语言障碍患儿40例,按随机数字表分为治疗组和对照组各20例,治疗组在基本康复结合语言训练治疗的基础上加用激光针灸,对照组用基本康复结合语言训练治疗,隔日1次,20 d为1个疗程,每个疗程之间休息15 d,连续观察3个疗程,治疗前后均进行北京Gesell语言发育商评分(Gesell语言DQ)。数据的统计分析采用SPSS19.0统计学软件。总有效率比较采用x2检验;治疗前后Gesell语言DQ为计量资料,以±s表示。组内治疗前后比较采用配对样本t检验,组间比较采用两独立样本t检验,以P<0.05为差异有统计学意义。结果治疗组显效5例,有效12例,有效率为85%(17/20),对照组显效4例,有效7例,有效率为55%(11/20),两组治疗前后有效率比较,差异有统计学意义(x2=4.28,P=0.04);治疗后治疗组Gesell语言DQ优于对照组,差异有统计学意义(t=2.51,P=0.02)。结论激光针灸治疗精神发育迟缓患儿语言障碍疗效较好,值得临床推广。

Objective The objective of this study was to observe the clinical curative effect of laser acupuncture treatment for mental retardation in children with language barrier. Methods Forty children with mental retardation and comorbid language barrier hospitalized in rehabilitation department of Guangzhou University of Traditional Chinese Medicine Affiliated Nanhai Women and Children＇s Hospital from October 2013 to October 2014 were selected, and then divided into treatment group（n=20） and control group（n=20） according to random number table. The treatment group received laser acupuncture treatment on the basis of the basic rehabilitation combined with language training, while the control group was treated with basic rehabilitation combined with language training, once every other day. Twenty days made up one course, and three consecutive courses were observed in two groups. Beijing Gesell language development quotient（Gesell language DQ） was used for data analyze before and after treatment in two groups. The chi-square test was used for efficient comparison. Data of Gesell language DQ before and after treatment were measurement data, and expressed with x^-±s. Data of Gesell language DQ within groups before and after treatment were compared with paired samples t-test, while two independent sample t-test was used between two groups. P〈0.05 denotes the difference possessing statistical significance. Results The total effective rate was 85%（17/20） in treatment group. The total effective rate was 55%（11/20） in control group. There was a significant difference in the total effective rate between two groups（χ^2=4.28, P=0.04）. The Gesell language DQ was significantly higher in treatment group than that of the control group after treatment（ t=2.507, P=0.02）. Conclusion laser acupuncture treatment shows better curative effects on mental retardation children with language disorder, which is worth the clinical promotion.