《中国康复理论与实践》 ›› 2011, Vol. 17 ›› Issue (12): 1167-1169.

• 论文 • 上一篇    下一篇

经颅磁刺激结合穴位注射早期治疗智力低下幼儿疗效观察

金妍,冉平,陈树立   

  1. 沈阳市儿童医院神经康复科,辽宁沈阳市 110032。
  • 收稿日期:2011-04-28 修回日期:2011-06-08 出版日期:2011-12-25 发布日期:2011-12-25

Effect of Transcranial Magnetic Stimulation Combined with Acupuncture Point Injection on Mental Retardation at Early Stage

JIN Yan, RAN Ping, CHEN Shu-li.   

  1. Department of Rehabilitation, Shenyang Children Hospital, Shenyang 110032, Liaoning, China
  • Received:2011-04-28 Revised:2011-06-08 Published:2011-12-25 Online:2011-12-25

摘要: 目的观察经颅磁刺激结合穴位注射早期治疗智力低下幼儿的疗效。方法120例智力低下幼儿按轻、中、重度分成4组。Ⅰ组(n=30)给予家庭智力训练;Ⅱ组(n=30)给予智力训练及经颅磁刺激治疗;Ⅲ组(n=30)给予智力训练及单唾液酸四己糖神经节苷酯2ml穴位注射治疗;Ⅳ组(n=30)给予智力训练、经颅磁刺激治疗、单唾液酸四己糖神经节苷酯2ml穴位注射治疗。疗程为3个月。按照盖塞尔发育量表于治疗前后分别测定各组的发育商(DQ)。分别进行治疗前后组间有效率的比较及各组间轻、中、重度DQ比较。结果Ⅱ组、Ⅲ组、Ⅳ组间轻-重度智力低下比较均具有非常显著性差异(P<0.01);Ⅳ组中-重度智力低下比较具有非常显著性差异(P<0.01)。结论经颅磁刺激结合穴位注射早期治疗可以改善轻中度智力低下的幼儿的智力水平。

关键词: 智力低下, 智力训练, 经颅磁刺激, 穴位注射, 单唾液酸四己糖神经节苷酯

Abstract: Objective To explore the effect of transcranial magnetic stimulation combined with acupuncture point injection on children with mental retardation at early stage. Methods 120 children with mental retardation were divided four groups: groups Ⅰ, Ⅱ, Ⅲ, and Ⅳ, 30 cases in each group including 10 mild, 10 moderate and 10 severe, respectively. Group Ⅰ received intelligence training by their parents. Group Ⅱ was treated by transcranial magnetic stimulation and intelligence training. Group Ⅲ was treated by acupuncture point injection of monosialotetrahexosylganglioside and intelligence training. Group Ⅳ was treated by transcranial magnetic stimulation, acupuncture point injection of monosialotetrahexosylganglioside and intelligence training. 3 months was a course. DQ of 4 groups was tested by Gesell Development Scale before and after the treatment. The effective rate and different intelligence levels of 4 groups were compared. Results DQ of mild vs. severe and moderate vs. severe improved significantly in group Ⅱ, Ⅲ and Ⅳ (P<0.01). The DQ of moderate vs. severe improved very significantly in group Ⅳ (P<0.01). Conclusion Transcranial magnetic stimulation combined with acupuncture point injection may facilitate to improve the intelligence level of children with mild and moderate mental retardation.

Key words: mental retardation, intelligence train, transcranial magnetic stimulation, acupuncture point injection, Monosialotetrahexosylganglioside