目的 分析健脑益智针法联合感觉统合训练在脑性瘫痪并精神发育迟滞患儿中的作用,为临床治疗提供科学依据。方法 将湖南省儿童医院2015年11月-2018年3月收治的184例脑性瘫痪并精神发育迟滞患儿随机分为甲、乙、丙、丁组,各46例。甲组常规康复训练,乙组常规康复加感觉统合训练,丙组常规康复加健脑益智针法,丁组常规康复、健脑益智针法加感觉统合训练。对比发育商(DQ)、智商(IQ)、儿童感觉统合评定量表(CSIRS)、婴儿-初中生社会生活能力量表评分,另观察不良事件发生情况。结果 4组治疗后的DQ、IQ、CSIRS及婴儿-初中生社会生活能力量表评分均高于治疗前,差异均有统计学意义(t=2.234、4.157、4.019、7.281、3.782、5.499、5.263、8.002、5.519、7.988、8.121、11.756、11.591、23.327、24.886、39.339、5.305、8.013、8.113、11.490,P＜0.05或<0.01),治疗后丁组＞丙组及乙组＞甲组,差异均有统计学意义(t=2.579、2.821、4.439、2.108、2.282、3.849、3.176、3.352、5.758、19.829、17.666、33.204、2.863、3.053、5.305,P＜0.05或0.01);4组不良事件总发生率无显著差异(χ²=0.748,P=0.852)。结论 健脑益智针法联合感觉统合训练可明显促进脑瘫并精神发育迟滞患儿发育商及智商改善,提高其感觉统合能力及社会生活能力,且安全性好。

Objective To analyze the role of brain-strengthening and intelligence-benefiting acupuncture combined with sensory integration training in children of cerebral palsy with mental retardation,So as to provide scientific evidence for clinical treatment. Methods A total of 184 children with cerebral palsy and mental retardation admitted to Hunan Children′s Hospital from November 2015 to March 2018 were randomly divided into A,B,C and D group,with 46 cases in each group.Group A received routine rehabilitation training,and group B and C were given sensory integration training,and brain-strengthening and intelligence-benefiting acupuncture additionally.While the group D was given routine rehabilitation,brain-strengthening and intelligence-benefiting acupuncture treatment combined with sensory integration training. The scores of developmental quotient (DQ),intelligence quotient (IQ),Children Sensory Integration Rating Scale (CSIRS) and Infants-junior and Middle School Students Social-life Ability Scale were compared,and the occurrence of adverse events was observed. Results The scores of DQ,IQ,CSIRS and Infants-Junior and Middle School Students Social-Life Ability Scale of the 4 groups after treatment were higher than those before treatment,with significant differences (t=2.234,4.157,4.019,7.281,3.782,5.499,5.263,8.002,5.519,7.988,8.121,11.756,11.591,23.327,24.886,39.339,5.305,8.013,8.113,11.490,P＜0.05 or <0.01),and the scores of DQ,IQ,CSIRS and Infants-Junior and Middle School Students Social-Life ability Scale of the group D after treatment were higher than group B,C and A,with significant differences (t=2.579,2.821,4.439,2.108,2.282,3.849,3.176,3.352,5.758,19.829,17.666,33.204,2.863,3.053,5.305,P＜0.05 or 0.01). There was no significant difference on the incidence rates of total adverse events among the 4 groups (χ²=0.748,P=0.852). Conclusion Brain-strengthening and intelligence-benefiting acupuncture combined with sensory integration training can significantly improve the DQ and IQ of children of cerebral palsy with mental retardation,as well as their sensory integration ability and social life ability with good safety.