靳三针配合康复训练治疗精神发育迟缓疗效观察

摘要

Objective To observe the clinical efficacy of JIN’s three needle therapy plus rehabilitation in treating mental retardation (MR).Method Seventy-two MR patients were randomized into a treatment group of 37 cases and a control group of 35 cases. The control group was intervened by conventional rehabilitation training, while the treatment group was treated with JIN’s three needle therapy in addition to the rehabilitation training. The modified Chinese version of Gesell Developmental Schedules (GDS) was adopted to observe the improvements in gross and fine motor skills, language, social function and adaptability, and the clinical efficacies were compared between the two groups. Result In the treatment group, the adaptability, gross motor skills and fine motor skills scores were significantly changed after the intervention (P<0.05). In the control group, the gross and fine motor skills scores were significantly changed after the intervention (P<0.05). After the treatment, there were significant differences in comparing the gross and fine motor skills scores between the two groups (P<0.05). In the treatment group, the total effective rates were respectively 93.1% and 62.5% in the mild-moderate and severe-extremely severe patients, versus 76.9% and 44.4% in the control group. There was a significant difference in comparing the total effective rate in the mild-moderate patients between the two groups (P<0.05).Conclusion JIN’s three needle therapy plus rehabilitation is an effective approach, and it can significantly improve the gross and fine motor skills and adaptability in mild-moderate MR patients.%目的：观察靳三针配合康复训练治疗精神发育迟缓的临床疗效。方法将72例精神发育迟缓患者随机分为治疗组37例和对照组35例。对照组采用常规康复训练治疗，治疗组在对照组基础上采用靳三针针刺治疗。采用盖塞尔(Gesell)发育商量表中文修订版观察两组治疗前后大运动、精细运动、语言、个人社交及适应性5个方面的改善情况，并比较两组临床疗效。结果治疗组治疗后适应性、大运动、精细运动评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。对照组治疗后大运动、精细运动评分与同组治疗前比较，差异均具有统计学意义(P＜0.05)。治疗组治疗后大运动、精细运动评分与对照组比较，差异均具有统计学意义(P＜0.05)。治疗组轻度、中度患者和重度、极重度患者总有效率分别为93.1%和62.5%，对照组分别为76.9%和44.4%。两组轻度、中度患者总有效率比较，差异具有统计学意义(P＜0.05)。结论靳三针配合康复训练是一种治疗精神发育迟缓的有效方法，对轻度、中度精神发育迟缓患者大运动、精细运动及适应性改善明显。