ISSN 1674-3865  CN 21-1569/R
主管:国家卫生健康委员会
主办:中国医师协会
   辽宁省基础医学研究所
   辽宁中医药大学附属医院

中国中西医结合儿科学 ›› 2019, Vol. 11 ›› Issue (6): 502-505.

• 临床研究 • 上一篇    下一篇

口部肌肉训练联合头皮针治疗痉挛型脑性瘫痪儿童构音障碍的疗效分析

  

  • 出版日期:2019-12-25 上线日期:2023-12-06

Therapeutic effect of oral muscle training combined with scalp acupuncture on dysarthria in children with spastic cerebral palsy

  • Published:2019-12-25 Online:2023-12-06

摘要: 目的探究口部肌肉训练联合头皮针治疗痉挛型脑性瘫痪(简称脑瘫)儿童构音障碍的临床疗效。方法选择2018年6月至2019年6月佳木斯大学附属第三医院收治的痉挛型脑瘫儿童66例作为研究对象,随机分为观察组和对照组各33例。两组均治疗6个月。对照组采取口部肌肉训练,观察组在此基础上联合头皮针治疗,采用S-S语言发育迟缓检查量表、简易口部运动功能量表进行评价,比较治疗前后两组患儿语言功能及口部运动功能。结果治疗6个月后,两组患儿语言表达发育商、理解发育商水平均显著高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组患儿下颌口部、唇口部、舌口部及整体运动功能水平均显著高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。结论针对痉挛型脑瘫儿童构音障碍采取口部肌肉训练和头皮针治疗,能够有效提高儿童语言功能,改善口部运动功能,具有显著的临床疗效。

关键词:

痉挛型脑性瘫痪, 构音障碍, 口部肌肉训练, 头皮针, 儿童

Abstract:

ObjectiveTo explore the clinical efficacy of oral muscle training combined with scalp acupuncture in the treatment of dysarthria in children with spastic cerebral palsy.MethodsSixty-six children with spastic cerebral palsy admitted to the Third Affiliated Hospital of Jiamusi University from June 2018 to June 2019 were randomly divided into experimental group and control group, 33 cases in each group. Both groups were treated for 6 months. The control group was trained in oral muscles. The experimental group received oral muscle training combined with scalp acupuncture treatment. The S-S language development retardation scale and the simple oral motor function scale were used to evaluate the language function and mouth movement of the two groups before and after treatment.ResultsAfter 6 months of treatment, the speech developmental quotient and understanding development quotient of the two groups were significantly higher than those before treatment, and the improvement level of the experimental group was significantly higher than that of the control group (P<0.05). The level of function of the mandible, lip, tongue and the whole mouth was significantly higher than that before treatment, and the improvement level of the experimental group was significantly higher than that of the control group (P<0.05).ConclusionOral muscle training and scalp acupuncture treatment for dysarthria in children with spastic cerebral palsy can effectively improve children's language function and improve oral motor function, and has significant clinical efficacy.

Key words:

Spastic cerebral palsy, Dysarthria, Oral muscle training, Scalp acupunctureChild