益康法对痉挛型脑瘫患儿临床疗效的影响

Effect of Yikang Therapy on Children with Spastic Cerebral Palsy

目的:研究"益康法"对痉挛型脑瘫患儿智力及言语康复临床疗效的影响。方法:将60例痉挛型脑瘫患儿随机分为益康组30例和对照组30例,益康组采用头针、头部重点穴区推拿、口服益智中药、智训、言语训练;对照组采用头部重点穴区推拿、智训、言语训练。4周1个疗程,共治疗6个疗程,观察疗效。结果:益康组30例患儿中,言语改善显效8例,有效21例,无效1例,总有效率96.7%;对照组30例患儿中,显效5例,有效21例,无效4例,总有效率86.7%;2组智商治疗前相比无明显差异,治疗后各自与治疗前相比均明显升高,差异有显著性(P<0.05);益康组治疗后总有效率90.0%,与对照组治疗后有效率73.3%相比明显升高,差异有显著性(P<0.05)。结论:"益康法"能明显改善痉挛型脑瘫患儿智力及言语表达水平,综合疗法具有一定优势。

Objective： to study the effect of Yikang Therapy on the intelligence and speech rehabilitation of children with spastic cerebral palsy. Methods ： 60 children with spastic cerebral palsy were randomly divided into Yikang group and control group. The for-mer were treated with scalp acupuncture, focal cephalic region tuina, orally taking intelligent Chinese medicine, brain training, and speech training, while the latter with only focal cephalic region tuina, brain training, and speech training. Four weeks constitutes one course of treatment and the experiment lasted for 6 courses. Results： among the Yikang groupf there were 8 cases of excellence, 21 ef-fectiveness ,1 ineffectiveness, and the total effective rate was 96.1% ; among the control group, 5 excellence, 21 effectiveness, 4 inef-fectiveness ,and the total effective rate 86. 7% ; IQ of both groups had no significant difference before treatment, but increased after treatment, with significant difference （ P 〈0. 05） ; the total effective rate of Yikang group after treatment was 90. 0% , superior to that of control group which was 73. 3%. The difference was significant （ P 〈 0. 05） . Conclusion ： Yikang Therapy can obviously improve the intelligence and the speech rehabilitation of children with spastic cerebral palsy, and the combined therapy has certain advantages.