针刺治疗小儿脑性瘫痪认知功能障碍的临床效果研究

Clinical Effect of Acupuncture on Cognitive Dysfunction in Children with Cerebral Palsy

目的探究脑性瘫痪患儿接受针刺治疗认知功能障碍的临床效果。方法选取2019年6月—2020年8月该科室收治的脑性瘫痪患儿60例为研究对象,并随机分为对照组(30例)与观察组(30例),前者接受康复治疗,后者基于康复治疗采取针刺治疗,比较两组患儿的症状体征评分、治疗总有效率及蒙特利尔认知评估量表(MoCA)评分。结果观察组经针刺康复治疗,患儿咀嚼无力、言语迟缓、头项软弱、立行迟缓体征评分分别为(0.83±0.15)分、(0.88±0.17)分、(0.72±0.13)分及(0.95±0.17)分,明显低于对照组,组间差异有统计学意义(P<0.05)。观察组治疗后总有效率为93.33%,高于对照组的80.00%,差异有统计学意义(P<0.05)。观察组MoCA评分高于对照组,差异有统计学意义(P<0.05)。结论将针刺康复治疗应用于脑性瘫痪患儿的临床治疗中,患儿认知功能与恢复效果好。

Objective To explore the clinical effects of acupuncture rehabilitation in children with cerebral palsy on cognitive dysfunction.Methods 60 children with cerebral palsy admitted to the department from June 2019 to August 2020 were selected as observation objects and were randomly divided into a control group(30 cases)and an observation group(30 cases).The former received rehabilitation treatment,and the latter took acupuncture treatment based on rehabilitation treatment.The symptoms and signs scores,total effective rate of treatment and Montreal cognitive assessment(MoCA)scores of the two groups of children were compared.Results In the observation group after acupuncture rehabilitation,the children’s chewing weakness,speech delay,head weakness,and standing delay were(0.83±0.15)points,(0.88±0.17)points,(0.72±0.13)points and(0.95±0.17)points,respectively,significantly lower than those of the control group,the differences between the groups were statistically significant(P<0.05).The total effective rate in the observation group after treatment was 93.33%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).Conclusion Applying acupuncture rehabilitation therapy to the clinical treatment of children with cerebral palsy,the childrenis cognitive function and recovery effect are better.