揿针联合康复训练治疗运动发育迟缓儿童的疗效观察

Observation on the efficacy of thumbtack needle combined with rehabilitation training in treating children with motor developmental delay

目的观察用揿针联合康复训练治疗运动发育迟缓儿童的临床疗效。方法选取60例运动发育迟缓儿童并按随机数字表法分为对照组和研究组,每组30例。对照组行康复训练,研究组用揿针联合康复训练治疗。比较两组临床疗效,观察两组治疗前后Peabody运动发育量表(Peabody developmental motor scale,PDMS)和Gesell发育诊断量表(Gesell developmental schedule,GDS)评分的变化,观察两组治疗前后10 m步行测试(10 m walking test,10MWT)和阶梯试验(two-step exercise test,TST)结果的变化。结果研究组总有效率为93.3%,高于对照组的70.0%,差异具有统计学意义(P<0.05)。治疗后,研究组PDMS中粗大运动发育商、精细运动发育商及总发育商评分均高于对照组(P<0.05),研究组GDS中大运动、语言、精细运动、适应性及社交评分均高于对照组(P<0.05)。治疗后,研究组10MWT的时间和步数以及上下阶梯时间均短于对照组(P<0.05)。结论揿针联合康复训练治疗运动发育迟缓儿童的临床疗效优于单纯康复训练,可进一步促进患者总体发育,改善运动功能。

Objective To observe the clinical efficacy of children with motor developmental delay treated with thumbtack needle combined with rehabilitation training.Method A total of 60 cases of children with delayed motor development were selected and divided into a control group and a study group according to the random number table method,with 30 cases in each group.The control group was treated with rehabilitation training,while the study group was treated with thumbtack needle and rehabilitation training.The clinical efficacy of the two groups was compared,and the changes of Peabody developmental motor scale(PDMS)and Gesell developmental schedule(GDS)scores were observed before and after treatment in the two groups,and the changes of 10 m walking test(10MWT)and two-step exercise test(TST)before and after treatment were observed before and after treatment in the two groups.Result The total effective rate of the study group was 93.3%,which was higher than 70.0%of the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of gross motor developmental quotient,fine motor developmental quotient and total developmental quotient in PDMS of the study group were higher than those of the control group(P<0.05),and the scores of gross motor,language,fine motor,adaptive and social scores in GDS of the study group were higher than those of the control group(P<0.05).After the treatment,the time and number of steps of 10MWT and the time of going up and down the ladder were shorter in the study group than in the control group(P<0.05).Conclusion The clinical efficacy of thumbtack needle combined with rehabilitation training in treating children with delayed motor development is better than that of rehabilitation training alone,which can further promote the overall development of the patients and improve the motor function.