艾灸百会联合认知功能训练治疗智力发育迟缓疗效观察

Efficacy Observation of Moxibustion at Baihui(GV20)Combined with Cognitive Function Training for Mental Retardation

目的观察在认知功能训练的基础上加用艾灸百会治疗智力发育迟缓的临床疗效。方法将60例智力发育迟缓患者按照随机数字表法分为治疗组(30例)和对照组(30例)。对照组仅接受认知功能训练,治疗组在对照组认知功能训练的基础上加用艾灸百会穴进行治疗。治疗前后分别采用Gesell智力发育诊断量表(GDS)中的语言和适应性行为发展商(DQ)、Peabody运动发育量表(PDMS)-2中的精细运动发育商(FMQ)对两组患者进行评估,同时比较两组临床疗效。结果治疗前,两组语言和适应性行为DQ和FMQ评分比较,差异无统计学意义(P>0.05)。治疗后,两组患者语言和适应性行为DQ和FMQ评分与治疗前比较,差异均有统计学意义(P<0.05);治疗组语言和适应性行为DQ和FMQ评分均明显优于对照组,差异均有统计学意义(P<0.05)。治疗组总有效率明显优于对照组,差异有统计学意义(P<0.05)。结论在认知功能训练的基础上加用艾灸百会穴进行康复干预,能够更好地提高智力发育迟缓患者的临床疗效。

Objective To observe the clinical efficacy of moxibustion at Baihui(GV20)based on cognitive function training in treating mental retardation.Method Sixty patients with mental retardation were allocated to a treatment group(30 cases)and a control group(30 cases)using the random number table method.The control group only received cognitive function training,while the treatment group was intervened by moxibustion at Baihui based on the cognitive function training given to the control group.The two groups of patients were evaluated before and after treatment using the development quotients(DQs)of language and adaptive behavior of Gesell Developmental Schedule(GDS)and the fine motor quotient(FMQ)of Peabody Developmental Motor Scale(PDMS)-2.The clinical efficacy was also observed in the two groups.Result Before treatment,there were no significant differences in the DQs of language and adaptive behavior and FMQ between the two groups(P>0.05).After treatment,the language and adaptive behavior DQs and FMQ changed significantly in both groups(P<0.05),and were better in the treatment group than in the control group,all with statistical significance(P<0.05).The total effective rate in the treatment group was remarkably superior to that in the control group(P<0.05).Conclusion Rehabilitation with moxibustion at Baihui based on cognitive function training can produce more significant clinical efficacy in treating mental retardation patients.