重复经颅磁刺激对孤独症谱系障碍儿童心理行为及情绪的影响  

Effects of repetitive transcranial magnetic stimulation on the psychological behavior and emotions of children with autism spectrum disorders

作　　者：詹英杰 文宇 黄伟庆 陶容妹 ZHAN Yingjie;WEN Yu;HUANG Weiqing;TAO Rongmei(Department of Child Rehabilitation,Zhanjiang Maternal and Child Health and Family Planning Service Center,Zhanjiang,Guangdong,524038,China)

机构地区：[1]湛江市妇幼保健计划生育服务中心儿童康复科,广东湛江524038

出　　处：《当代医学》2024年第16期18-21,共4页Contemporary Medicine

基　　金：湛江市科技计划项目(2022B01030)。

摘　　要：目的探讨重复经颅磁刺激对孤独症谱系障碍儿童心理行为及情绪的影响。方法选取2021年6月至2023年2月湛江市妇幼保健计划生育服务中心治疗的120例孤独症谱系障碍患儿作为研究对象,按照治疗时间段分为对照组(2021年6月至2022年5月,n=60)与观察组(2022年6月至2023年2月,n=60)。对照组进行常规康复治疗,观察组在联合常规治疗的基础上进行重复经颅磁刺激治疗。比较两组临床疗效、治疗前后孤独症行为量表(autism behavior scale,ABC)评分、0~6岁小儿发育商(developmental quotient,DQ)评分、Conners儿童行为问卷(父母问卷)评分。结果观察组治疗总有效率为93.33%,高于对照组的80.00%,差异有统计学意义(P<0.05)。治疗后,两组ABC量表语言功能、社会交往、躯体运动、感觉、自理等维度评分和量表总分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。治疗后,两组DQ量表适应、精细动作、社交、语言、大运动评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05)。治疗后,两组品行问题、多动指数评分和总分均低于治疗前,且观察组低于对照组,差异有统计学意义(P<0.05)。结论孤独症谱系障碍儿童采用重复经颅磁刺激治疗,能有效改善其心理情绪,纠正其孤独症行为,疗效确切。Objective To investigate the effects of repetitive transcranial magnetic stimulation on the psychological behavior and emotions of children with autism spectrum disorders.Methods 120 children with autism spectrum disorders who were treated in Zhanjiang Maternal and Child Health and Family Planning Service Center from June 2021 to February 2023 were selected as the study subjects,and they were divided into the con-trol group(children treated from June 2021 to May 2022)and the observation group(children treated from June 2022 to February 2023)according to the treatment period,with 60 cases in each group.The control group received routine rehabilitation treatment,while the observation group received repeated transcranial magnetic stimulation therapy on the basis of the control group.The clinical efficacy,the scores of the autism behavior scale(ABC),the development quotient(DQ)for children aged 0-6 and the Conners children's behavior questionnaire(parent questionnaire)before and af-ter treatment were compared between the two groups.Results The total clinical effective rate in the observation group was 93.33%,which was higher than 80.00%in the control group,and the difference was statistically significant(P<0.05).After treatment,the scores of language function,social interaction,physical movement,sensation,self-care and the total score of the two groups were lower than before treatment,and the observa-tion group was lower than the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of adaptation,fine motor,social,language and gross motor of the two groups were higher than before treatment,and the observation group was higher than the control group,and the differences were statistically significant(P<0.05).After treatment,the scores of conduct problems,hyperactivity index and total scores of the two groups were lower than before treatment,and the observation group was lower than the control group,and the differences were statistically significant(P<0.05).Conclusion Repeat

关 键 词：重复经颅磁刺激 孤独症谱系障碍 心理行为 心理情绪 

分 类 号：R749.94[医药卫生—神经病学与精神病学]