低频重复经颅磁刺激结合言语训练对小儿脑瘫言语障碍的影响
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摘要
目的研究低频重复经颅磁刺激联合言语训练治疗小儿脑瘫言语障碍的效果。方法随机选择脑瘫言语障碍患儿200例,对照组患儿给予常规药物治疗和言语训练,观察组患儿在对照组的基础上加用低频重复经颅磁刺激治疗,对比两组患儿的发育商、口部运动功能评分等。结果治疗3个月后,口部运动功能评分、大运动、精细动作、适应力、语言行为、社交行为的发育商,观察组患儿均高于对照组患儿,P <0. 05。结论低频重复经颅磁刺激疗法的应用能够促进脑瘫言语障碍的智力发育,改善口部运动功能,值得推广。
Objective To study the effect of low frequency repetitive transcranial magnetic stimulation combining with speech training in the treatment of speech disorders in children with cerebral palsy. Methods200 children with cerebral palsy speech disorders were selected as objective and randomly divided into two groups:100 children as the control group receiving the conventional drug therapy and speech training and 100 children as the observation group receiving the conventional drug therapy and speech training simultaneous low frequency repetitive transcranial magnetic stimulation. Then,the developmental quotient and oral motor function score of the two groups were compared. Results Three months after treatment,the developmental quotients of oral motor function score,major movement,fine movement,adaptability,language behavior and social behavior in the observation were significantly higher than those in the control group( P < 0. 05). Conclusion The low frequency repetitive transcranial magnetic stimulation therapy can promote the intelligence development of children with cerebral palsy speech disorders and improve their mouth movement function,which is worthy of being popularized.
Objective To study the effect of low frequency repetitive transcranial magnetic stimulation combining with speech training in the treatment of speech disorders in children with cerebral palsy. Methods200 children with cerebral palsy speech disorders were selected as objective and randomly divided into two groups:100 children as the control group receiving the conventional drug therapy and speech training and 100 children as the observation group receiving the conventional drug therapy and speech training simultaneous low frequency repetitive transcranial magnetic stimulation. Then,the developmental quotient and oral motor function score of the two groups were compared. Results Three months after treatment,the developmental quotients of oral motor function score,major movement,fine movement,adaptability,language behavior and social behavior in the observation were significantly higher than those in the control group( P < 0. 05). Conclusion The low frequency repetitive transcranial magnetic stimulation therapy can promote the intelligence development of children with cerebral palsy speech disorders and improve their mouth movement function,which is worthy of being popularized.
引文
[1]唐久来,秦炯,邹丽萍,等.中国脑性瘫痪康复指南(2015):第一部分[J].中国康复医学杂志,2015,30(7):747-754.
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[5]李杰.低频重复经颅磁刺激联合构音训练对脑瘫患儿言语障碍的影响[J].中国处方药,2016,14(7):142-142,143.
[6]陈栋,鲍超,陆斌,等.“补肾健脑针法”结合言语训练对脑瘫患儿言语障碍临床观察[J].浙江中医药大学学报,2016,40(6):491-493.
[7]辛晶,叶燕霞,谢巧玲,等.重复经颅磁刺激治疗精神发育迟滞伴语言障碍的研究[J].临床医学工程,2017,24(11):1489-1490.
[8]乐趣,屈云,朱守娟,等.低频重复经颅磁刺激对脑卒中后手部运动功能康复疗效的荟萃分析[J].生物医学工程学杂志,2013,30(06):1229-1234.
[2]王艳丽,高超,宋立新,等.益智开窍针刺法治疗小儿脑瘫言语障碍临床观察[J].中国实用医药,2015,10(12):278-280.
[3]解清云,侯梅,李君,等.脑瘫患儿言语障碍及其与颅脑磁共振异常间的关联性分析[J].中华物理医学与康复杂志,2014,36(10):756-760.
[4]许晶莉,范艳萍,高晶,等.重复经颅磁刺激对脑性瘫痪儿童语言发育影响的疗效观察[J].中国中西医结合儿科学,2015,7(4):367-369.
[5]李杰.低频重复经颅磁刺激联合构音训练对脑瘫患儿言语障碍的影响[J].中国处方药,2016,14(7):142-142,143.
[6]陈栋,鲍超,陆斌,等.“补肾健脑针法”结合言语训练对脑瘫患儿言语障碍临床观察[J].浙江中医药大学学报,2016,40(6):491-493.
[7]辛晶,叶燕霞,谢巧玲,等.重复经颅磁刺激治疗精神发育迟滞伴语言障碍的研究[J].临床医学工程,2017,24(11):1489-1490.
[8]乐趣,屈云,朱守娟,等.低频重复经颅磁刺激对脑卒中后手部运动功能康复疗效的荟萃分析[J].生物医学工程学杂志,2013,30(06):1229-1234.