【目的】 通过观察引导式教育结合针刺治疗对学龄前儿童智能发育的影响,探讨对学龄前智力低下儿童行之有效的临床治疗方法。 【方法】 将60例学龄前智力低下儿童随机分成两组,每组30例。治疗组在知情同意的情况下,指导家庭训练的同时进行引导式教育结合针刺的综合康复治疗。对照组指导家长在家中进行感觉统合、生活自理能力和社会适应能力训练等家庭训练。家庭指导参照《感觉统合训练实用手册》及《特殊儿童的家庭教育》给予指导方案,尽可能保持两组家庭训练的一致性。所有患儿干预前与干预3个月后均进行智能测定。 【结果】 治疗组总有效率96.66%,对照组总有效率73.33%,干预后治疗组IQ值显著高于对照组(P＜0.05);治疗组干预前后IQ差值显著大于对照组(P＜0.01)。 【结论】 引导式教育结合针刺治疗对学龄前智力低下儿童的智能发育以及智力水平的提高行之有效,值得临床推广应用。

【Objective】 To explore the effective clinical treatment of preschool children with mental retardation,and to observe the effect of the treatment combined of conductive education and acupuncture on intellectual development in preschool children with mental retardation. 【Methods】 Sixty preschool children with mental retardation were randomly divided into two groups (n=30 cases in every group).The cases with chromosomal and genetic metabolic diseases and serious complications had been excluded.In control group,the children were assigned to receive family training at home,such as sensory integration,living skills and social adaptation ability training.In treatment group,the children were received family training and a comprehensive rehabilitation treatment of conductive education combined with acupuncture.And the intelligence of all children were determined both at before and three months after intervention. 【Results】 The total efficiency was 96.66% in treatment group and 73.33% in control group.After the intervention,the IQ in treatment group was significantly higher than that in control group(P<0.05).And the IQ difference between before and after intervention was significantly higher than that in control group(P<0.01). 【Conclusion】 Conductive education combined with acupuncture is an effective treatment at intellectual development and elevation in preschool children with mental retardation,which worthy of clinical application.