针刺联合言语训练治疗脑性瘫痪语言障碍临床观察

Clinical Observation of Acupuncture plus Speech Training for Speech Disorders in Cerebral Palsy

目的通过治疗前后S-S法语言发育迟缓检查及构音障碍评分,来观察针刺联合言语训练对脑性瘫痪语言障碍患儿的治疗效果。方法将90例痉挛型脑瘫伴语言障碍患者按随机数字表法随机分为治疗组和对照组,每组45例,治疗组采用针刺联合言语训练,对照组采用单纯言语训练,观察3个疗程后患者语言功能改善情况及治疗组患者年龄与疗效的关系。结果治疗组总有效率为82.2%,对照组为60.0%,两组疗效比较差异具有统计学意义(P<0.05);治疗组不同年龄阶段疗效比较差异具有统计学意义(P<0.05)。结论针刺联合言语训练治疗脑瘫伴语言障碍优于单纯言语训练;而且年龄越小,预后越好。

Objective To observe the therapeutic efficacy of acupuncture plus speech training for speech disorders in children with cerebral palsy based on the sign-significant relations（S-S）method for checking language development delay and dysarthria score.Method Ninety patients with spastic cerebral palsy presenting with speech disorders were randomized into a treatment group and a control group by random number table,45 cases in each group.The treatment group was intervened by acupuncture plus speech training,while the control group was by speech training alone.The improvement of speech function and the relationship between age and therapeutic efficacy were evaluated after 3 treatment courses.Result The total effective rate was 82.2% in the treatment group versus 60.0% in the control group,and the difference was statistically significant（P〈0.05）;in the treatment group,there were significant differences in comparing the therapeutic efficacy between different age groups（P〈0.05）.Conclusion Compared to speech training alone,acupuncture plus speech training can produce a better efficacy in treating speech disorders in cerebral palsy;the younger the patient,the better the prognosis.