早期康复训练与经颅磁刺激联合应用于脑性瘫痪合并语言发育障碍患儿中的效果研究  

The Effect of Combined Application of Early Rehabilitation Training and Transcranial Magnetic Stimulation in Children with Cerebral Palsy Combined with Language Development Disorders

作　　者：王昊 陈金玲 姜丽丽 李思慧[4] 张丽莉 董鑫[6] WANG Hao;CHEN Jinling;JIANG Lili;LI Sihui;ZHANG Lili;DONG Xin(Department of Special Education,Guangdong Second Normal University School of Education,Guangzhou,Guangdong Province,510303 China;Emergency ICU,Tongliao City Hospital West Hospital,Tongliao,Inner Mongolia Autonomous Region,028000 China;Administrative Office,Tongliao City Hospital,Tongliao,Inner Mongolia Autonomous Region,028000 China;Neurophysiology Department,Tongliao City Hospital,Tongliao,Inner Mongolia Autonomous Region,028000 China;Neonatology Department,Affiliated Hospital of Inner Mongolia University for Nationali-ties,Tongliao,Inner Mongolia Autonomous Region,028000 China;Digital Brain Function Department,Tongliao City Hospital,Tongliao,Inner Mongolia Autonomous Region,028000 China)

机构地区：[1]广东第二师范学院教育学院特殊教育系,广东广州510303 [2]通辽市医院西院急诊ICU,内蒙古通辽028000 [3]通辽市医院行政办公室,内蒙古通辽028000 [4]通辽市医院神经电生理科,内蒙古通辽028000 [5]内蒙古民族大学附属医院新生儿科,内蒙古通辽028000 [6]通辽市医院数字脑功能科,内蒙古通辽028000

出　　处：《系统医学》2024年第10期1-4,共4页Systems Medicine

基　　金：教育部人文社会科学研究青年基金项目(22YJC740074);广东省哲学社会科学规划一般项目(GD22CZY01)。

摘　　要：目的分析早期康复训练与经颅磁刺激(Transcranial Magnetic Stimulation,TMS)联合应用于脑性瘫痪(Cerebral Palsy,CP)合并语言发育障碍患儿中的效果。方法选取2021年7月—2023年6月通辽市医院收治的90例CP合并语言发育障碍患儿为研究对象,参照随机数表法分为对照组和研究组,每组45例。对照组采取早期康复训练,研究组在对照组基础上联用TMS治疗。比较两组的临床疗效、Frenchay构音障碍评定法评分、Gesell发育诊断量表(Gesell Developmental Schedule,GDS)评分。结果研究组的总有效率为91.11%,高于对照组的71.11%,差异有统计学意义(χ^(2)=5.874,P<0.05)。研究组的Frenchay构音障碍评定法评分、GDS评分均高于对照组,差异有统计学意义(P均<0.05)。结论早期康复训练与TMS联合治疗CP合并语言发育障碍患儿效果确切,能够有效改善其语言功能与构音能力,促进智力发育。Objective To analyze the effect of early rehabilitation training and transcranial magnetic stimulation(TMS)combined application in children with cerebral palsy(CP)combined with language development disorder.Methods A total of 90 children with CP combined with language development disorder treated in Tongliao City Hospi⁃tal from July 2021 to June 2023 were selected as the study objects,and were divided into control group and study group according to the random number table method,with 45 cases in each group.The control group received early re⁃habilitation training, and the study group received TMS treatment on the basis of the control group. The clinical effi⁃ cacy, Frenchay dysarthria assessment and Gesell Developmental Schedule (GDS) scores were compared between the two groups. Results The total effective rate of the study group was 91.11%, which was higher than that of the control group (71.11%), the difference was statistically significant (χ^(2)=5.874, P<0.05). Frenchay dysarthria assessment score and GDS score in the study group were higher than those in the control group, the differences were statistically significant(both P<0.05). Conclusion The combination of early rehabilitation training and TMS in treating children with CP combined with language developmental disorders is effective in improving their language function and phonological ability, promoting intellectual development.

关 键 词：早期康复训练 经颅磁刺激 脑性瘫痪 语言发育障碍 

分 类 号：R4[医药卫生—临床医学]