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目的:分析重复经颅磁刺激(rTMS)对痉挛型脑瘫患儿语言发育能力及运动功能的影响。方法:采用随机数字表法将54例我院于2015年8月至2016年8月收治的痉挛型脑瘫患儿分为观察组与对照组,每组27例,观察组患儿给予rTMS治疗,对照组给予常规的康复治疗。采用儿童语言发育迟缓检查法(S-S法)评价治疗前后患儿的语言发育能力,采用踝关节活动度及GMFM-88粗大运动功能测试表评估治疗前后患儿的运动功能。结果:治疗后两组患儿语言理解商与表达商较治疗前均增加,且观察组高于对照组,差异有统计学意义(P<0.05);观察组患儿总有效率为77.8%,高于对照组的51.9%,差异有统计学意义(P<0.05);治疗后两组患儿踝关节活动度均增加,且治疗后观察组患儿踝关节活动度高于对照组(P<0.05);治疗后两组患儿GMFM-88评分均增加,且治疗后观察组患儿GMFM-88评分高于对照组(P<0.05)。结论:rTMS康复方法可以促进痉挛型脑瘫患儿的语言发育能力及运动功能,值得临床推广。
Objective: To analyze the effect of repetitive transcranial magnetic stimulation (rTMS) on speech development and motor function in children with spastic cerebral palsy. Methods: 54 cases of spastic cerebral palsy treated in our hospital from August 2015 to August 2016 were randomly divided into observation group and control group, with 27 cases in each group. The observation group received rTMS treatment, The control group was given routine rehabilitation. Children’s language development retardation test (S-S method) was used to evaluate the children’s speech development ability before and after treatment. The ankle mobility and GMFM-88 gross motor function test table were used to evaluate the motor function of children before and after treatment. Results: After treatment, the language comprehension quotient and expression quotient in both groups were increased compared with that before treatment, and the observation group was higher than the control group, the difference was statistically significant (P <0.05); The total effective rate in the observation group was 77.8% (P <0.05). After the treatment, the ankle joint mobility increased in both groups, and the ankle joint mobility in the observation group was higher than that in the control group after treatment (P < 0.05). After treatment, the GMFM-88 score of both groups increased, and the GMFM-88 score of the observation group was higher than that of the control group after treatment (P <0.05). Conclusion: The rTMS rehabilitation method can promote the language development and motor function of children with spastic cerebral palsy and is worthy of clinical promotion.