经颅直流电刺激联合家庭康复指导在发育迟滞患儿中的应用  

Application of transcranial direct current stimulation combined with family rehabilitation guidance in children with retardation

作　　者：黄琴[1] 苏珍辉[1] 肖冬梅[2] HUANG Qin;SU Zhenhui;XIAO Dongmei(Rehabilitation Center,Hu’nan Children’s Hospital,Hu’nan Province,Changsha410007,China;Disinfection Supply Center,Hu’nan Children’s Hospital,Hu’nan Province,Changsha410007,China)

机构地区：[1]湖南省儿童医院康复中心,湖南长沙410007 [2]湖南省儿童医院消毒供应中心,湖南长沙410007

出　　处：《中国医药导报》2021年第11期185-188,共4页China Medical Herald

摘　　要：目的探讨经颅直流电刺激联合家庭康复指导在发育迟滞患儿中的应用,并对其效果进行分析。方法选取2019年3月—2020年3月湖南省儿童医院收治200例发育迟滞患儿,均接受经颅直流电刺激治疗,采用随机数字表法分为对照组和观察组,每组各100例。对照组联合常规康复指导,观察组联合家庭康复指导,均于护理3个月时评估效果。护理前、护理3个月时,采用中国韦氏儿童智力量表、Gesell发育诊断量表、Peabody精细运动发育评估量表分别评估两组言语智商(VIQ)、操作智商(PIQ)和总智商(FIQ)、语言和适应性发育商和精细运动功能。结果护理3个月时,两组VIQ、PIQ、FIQ高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组语言发育商、适应性发育商高于护理前,且观察组高于对照组,差异有统计学意义(P<0.05)。两组捉握能力、视觉-运动综合能力均较护理前提高,且观察组高于对照组(P<0.05)。结论经颅直流电刺激联合家庭康复指导发育迟滞患儿的干预,更利于促进发育迟滞患儿的多功能发育,智商发育更好,效果显著。Objective To explore the application of transcranial direct current stimulation combined with family rehabilitation guidance in children with retardation,and to analyze its effect.Methods From March 2019 to March 2020,a total of 200 children with retardation were admitted to Hu’nan Children’s Hospital.They all received transcranial direct current stimulation and were divided into control group and observation group by random number table method,with 100 cases in each group.The control group was combined with routine rehabilitation guidance,and the observation group was combined with family rehabilitation guidance,and the results were evaluated at three months of nursing.Before nursing and at three months of nursing,the Chinese Webster’s children’s intelligence scale,Gesell developmental diagnostic scale,and Peabody fine motor developmental assessment scale were used to evaluate the two groups of verbal intelligence quotient(VIQ),performance intelligence quotient(PIQ)and full intelligence quotient(FIQ),language and adaptive development quotient,and fine motor function.Results At three months of nursing,the VIQ,PIQ and FIQ of the two groups were higher than before nursing,and those of the observation group were higher than those of the control group,and the differences were statistically significant(P<0.05).The language development quotient and adaptive development quotient of the two groups were higher than those before nursing,and those of the observation group were higher than the control group,and the differences were statistically significant(P<0.05).The grasping ability and visual-motor comprehensive ability of the two groups were improved compared with that before nursing,and those of the observation group were higher than the control group(P<0.05).Conclusion The intervention of transcranial direct current stimulation combined with family rehabilitation guidance to guide children with retardation is more conducive to promoting the multifunctional development of children with retardation,and is more b

关 键 词：发育迟滞 经颅直流电刺激 家庭康复指导 智力 运动功能 

分 类 号：R749.93[医药卫生—神经病学与精神病学]