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靳三针疗法结合认知与感知障碍训练治疗儿童智力低下的临床疗效

[Clinical efficacy on mental retardation in the children treated with JIN's three scalp needling therapy and the training for cognitive and perceptual disturbance].

作者信息

Huang Xiurong, Yuan Qing, Luo Qiuyan, Zeng Haihui, Zheng Xuanxian, Huang Xiaona, Yu Yutian, Wu Yuncai

出版信息

Zhongguo Zhen Jiu. 2015 Jul;35(7):651-6.

Abstract

OBJECTIVE

To explore the impacts on the cognitive level of the children with mental retardation (MR) treated with JIN's three scalp needling therapy and the training for cognitive and perceptual disturbance so as to seek the more effective therapeutic method for the treatment of MR in children. Methods Sixty-six MR children were randomized into a head-point needle-retaining therapy + training group (group A) and a training after acupuncture group (group B). Seven cases and 12 cases were dropped in the two groups respectively. Twenty-six cases accomplished the treatment in the group A and 21 cases in the group B. In the group A, the points on the head were stimulated and the needles were retained (30 min after the general acupuncture, the needles on the body points were removed; and those on the head points were retained for 1 h, including Sishenzhen, Naosanzhen, Zhisanzhen and Niesanzhen). Simultaneously, the training for the cognitive perceptual disturbance was combined. In the group B, 1 h after needle retaining at the body points and head points, all the needles were removed; the training for the cognitive perceptual disturbance was followed. The treatment was given once a day, and the treatment for 3 months was required. Before and after treatment, the Wechsler intelligence scale for children (WISC) was used for evaluation and observation of verbal intelligence quotient (VIQ) , performance intelligence quotient (PIQ) and full-scale intelligence quotient (TFIQ) and score changes of 11 items such as information, picture vocabu; lary, arithmetic, picture generalization, comprehension, etc.

RESULTS

After treatment, FIQ, VIQ and PIQ scores were different significantly as compared with those before treatment (all P<0. 01). In the group A, the results of picture vocabulary, animal egg laying, maze, block design and geometric figure were all improved significantly (all P<0. 05). In the group B, the results of information, comprehension, block design and geometric figure were all improved significantly (all P<0. 05). After treatment, concerning the value difference in FIQ and PIQ of the two groups; the changes in the group A were more significant (both P<0. 01). After treatment, the results of picture vocabulary and maze were improved significantly in the group A as compared with the group B (both P<. 01). The IQ categories changed apparently after treatment in the two groups, toward the higher level in tendency generally, but without significant difference (both P>0. 05).

CONCLUSION

The simultaneous treatment with head point retaining of JIN's three needling therapy and the training for cognitive and perceptual disturbance obviously improves children patients' verbal comprehension, expression ability, hand-eye coordination ability, attention, logical reasoning ability and visual perception. The efficacy is better than that in the treatment of the training after acupuncture.

摘要

目的

探讨靳三针疗法头部穴位留针配合认知知觉障碍训练对弱智儿童认知水平的影响,寻求更有效的治疗小儿弱智的方法。方法:将66例弱智儿童随机分为头穴留针疗法+训练组(A组)和针刺后训练组(B组),两组分别脱落7例和12例,A组完成治疗26例,B组完成治疗21例。A组针刺头部穴位并留针(普通针刺30分钟后,肢体穴位起针,头部穴位留针1小时,包括四神针、脑三针、智三针、颞三针),同时配合认知知觉障碍训练;B组肢体穴位和头部穴位留针1小时后全部起针,然后进行认知知觉障碍训练。每日治疗1次,共治疗3个月。治疗前后采用儿童韦氏智力量表(WISC)评估观察言语智商(VIQ)、操作智商(PIQ)、总智商(TFIQ)及信息、图片词汇、算术、图片概括、领悟等11项分测验成绩变化。

结果

治疗后FIQ、VIQ、PIQ分值与治疗前比较差异有显著性意义(P均<0.01)。A组图片词汇、动物下蛋、迷宫、积木、图形分测验成绩均有显著提高(P均<0.05);B组信息、领悟、积木、图形分测验成绩均有显著提高(P均<0.05)。治疗后两组FIQ、PIQ分值差值比较,A组变化更显著(P均<0.01)。治疗后A组图片词汇、迷宫分测验成绩与B组比较差异有显著性意义(P均<0.01)。两组治疗后智商分级均有明显变化,总体呈向高水平趋势,但差异无显著性意义(P均>0.05)。

结论

靳三针疗法头部穴位留针配合认知知觉障碍训练能明显提高弱智儿童的言语理解、表达能力、手眼协调能力、注意力、逻辑推理能力及视知觉能力,疗效优于针刺后训练。

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