目的

探讨舌针对脑性瘫痪儿童流涎的临床疗效。

方法

按照教师流涎分级法(TDS)将分级大于Ⅱ级的116例脑性瘫痪患儿随机分成治疗组56例和对照组60例。两组在共同采用吞咽协调训练、口周穴位按摩、中医辨证食疗等康复方法的治疗基础上，治疗组加用舌针治疗。在治疗前及治疗3个疗程后，采用TDS 分级评价方法进行评价。治疗前后有效率的比较采用Pearson χ² 检验，治疗前后的TDS 分级比较采用Fisher确切率检验。以P＜0.05为差异有统计学意义。

结果

治疗组的总有效率达78.57%(44/56)，对照组为60.00%(36/60)，两组有效率比较差异具有统计学意义(χ² =4.668，P＜0.05)。两组治疗前后的TDS 分级比较均有统计学意义(χ² 分别为27.762和17.372，均P＜0.05)。

结论

流涎传统治疗方法加上舌针可以大大增加流涎的治疗有效率，是一种简便且值得推广的临床治疗方法。

Objective

To investigate the effectiveness of tongue acupuncture treatment for dribbling in children with cerebral palsy.

Methods

A total of 116 children with cerebral palsy were randomly divided into treatment group (56 cases) and control group (60 cases) according to teacher-dribbling-scale(TDS).The two groups were operated the same methods of rehabilitation， at the same time， treatment group was added the tongue acupuncture.Before and after three courses of treatment， TDS was used to evaluate the dribbling grade.The efficiency was compared before and after the treatment by Pearson χ² test.TDS grade was compared before and after treatment using Fisher’s exact test.P＜0.05 wes considered statistically significant.

Results

The total effective rate was 78.57%(44/56) in treatment group， and which was 60.00%(36/60) in control group.There was significant difference in effective rate between two groups(χ² =4.668，P＜0.05).TDS grade was statistically significant before and after treatment between two groups(χ² =27.762 and 17.372， all P＜0.05).

Conclusion

Tongue acupuncture can greatly increase treatment efficiency of dribbling， which is a effective clinical method and is worth popularizing.