The Clinical Study To Quantify The Acupuncture Time Of Jin Three Needle About Treatment For The Children With Cerebral Palsy Combined With Mental Retardation

ObjectiveTo explore the optimum Scalp needle-retaining time through observing the effects of different Scalp needle-retaining time on the children with Cerebral Palsy combined with Mental retardation,so as to provide clinical proof for standardization of the Scalp needle-retaining time of Jin three needle for the CP children concomitant with MR.MethodsProspective,Randomized,Controlled and Blind evaluators methods were used.60 patients with Cp and MR who met the inclusion criteria were divied into 2 groups randomly using random digits fifty-fifty(A.Jin three needle with Scalp needle-retaining for 1 hour plus Rehabilitation Training;B.Jin three needle with Scalp needle-retaining for 1.5 hour plus Rehabilitation Training).We chose Sishenzhen,Niesanzhen,Naosanzhen and Shouzhizhen alternatively Zuzhizhen plus Rehabilitation Training.The patients were treated one time a day except on Sunday.needle-retaining time on limbs was 30 minutes.120 times was one course of treatment.Before the treatment and after one course,patients were assesssed by Integrated function of Children with disabilities Assessment Schedule,0-6 years old Neuro-psychological development checklist,Wechsler Intelligence Scale for Children of China Version from two aspects of comprehensive ruction and intelligent. Statistical data with spss13.0,Measurement data Using Mean±Standard deviation to denote,t test to deal with.Count data using chi-square test. Level information using Ridit analysis,Group base line using Homogeneity of variance analysis. Results1.The comprison of pre-treatment and after a course on assessment of comprehensive fuction,IQ or DQ of Scalp needle-retaining for 1 hour group, P < 0.05,the outcome was statistically meaningful.The comprison of pre-treatment and after a course on assessment of comprehensive fuction IQ or DQ of Scalp needle-retaining for 1.5 hour,P<0.001,the outcome was significant statistically meaningful.The comprison between the two groups on comprehensive ruction,IQ or DQ,P<0.05,the outcome was statistically meaningful.2.Comprehensive functional improvement:The comprison between the two groups on the total effective rate,P>0.05,the outcome was statistically meaningless.On the effect level,P<0.01,the outcome was statistically meaningful.The comprison of group and inter-group of pre-treatment and after a course on assessment of comprehensive fuction 5 ratings:The comprison on assessment of cognition,speech and motor ability of Scalp needle-retaining for 1 hour,P<0.05,the outcome was statistically meaningful.On assessment of self-care and social actions,P>0.05,the outcome was statistically meaningless;The comprison on assessment of cognition,speech,motor ability and social actions of scalp needle-retaining for 1.5 hour,P<0.05,the outcome was stastically meaningful.On assessment of Self-care,P>0.05,the outcome was statistically meaningless;The comprison between the two groups on assessment of cognition,speech,motor ability and social actions,P<0.05,the outcome was statistically meaningful.On assessment of self-care,P>0.05,the outcome was statistically meaningless.The comprison of two groups of three age groups on the total effective rate,P>0.05,the outcome was statistically meaningless.3.IQ or DQ improvement:The comprison between the two groups on the total effect(the total effective and rate the effect level),P<0.05,the outcome was statistically meaningful.The comprison of group and inter-group of pre-treatment and after a course on assessment of DQ 5 ratings of 0-6 years old children:The comprison on assessment of Great movement,fine motor, adaptive capacity,language and social behavior both of two groups,P< 0.05,the outcome was statistically meaningful.The comprison between the two groups on assessment of great movement,adaptive capacity,language and social behavior,P<0.05,the outcome was statistically meaningful,On assessment of fine motor,P>0.05,the outcome was statistically meaningless;The comprison of group and inter-group of pre-treatment and after a course on assessment of FIQ,VIQ and PIQ of 6-16 years old children:The comprison on assessment of these three aspects both of two groups,P<0.05,the outcome was statistically meaningful.The comprison between the two groups on assessment of these three aspects,P<0.05,the outcome was statistically meaningful.The comprison of two groups of three age groups on the total effective rate,P >0.05,the outcome was statistically meaningless.Conclusion1.Jin three needle threapy is effective for CP,and moderately prolonged needle retaining time can enhance the efficacy.2.Comprehensive fuction improvement:Cognitive function,language function,motor function and social adaptation are improved significantly but self-care is not fully up to expectations.3.DQ improvement of patients aging 0-6 group:on great movement,fine motor,adaptive capacity,language and social behavior,the two groups improved significantly;Scalp needle-retaining 1.5 hour is better than 1 hour group when it comes to the four aspects except fine motor.Besides,the scores of all the aspects of DQ of patients aging 0-6 are not so average,great movement got the highest scores,adaptive capacity got the lowest.Other aspects got almost the same.IQ improvement of patients aging 6-16 group:on FIQ,VIQ and PIQ,the two groups improved significantly,and 1.5 hour group improved more.Besides,on intellectual constitution,VIQ is much better than PIQ.4.Jin three needle threapy is safe and effective for CP.For the children with CP concomitant with MR,systemic,appropriate exercise therapy and intellectual training should be used at the same time of acupuncture.And the important role of correct family education for the children with CP combined with MR should not be ignored.