经颅磁刺激治疗对孤独症伴精神发育迟滞患儿的效果  

The effect of transcranial magnetic stimulation on children with autism and mental retardation

作　　者：尹玉佳 李卓聪 廖立夏 赵庆 王贝贝[1] 张彦芳 张少华[1] YIN Yujia;LI Zhuocong;LIAO Lixia(Nanyang First People's Hospital,paediatrics,Nanyang 473000,China)

机构地区：[1]南阳市第一人民医院儿科,南阳473000

出　　处：《国际精神病学杂志》2024年第5期1474-1476,1503,共4页Journal Of International Psychiatry

摘　　要：目的 探讨对儿童孤独症伴精神发育迟滞患儿实施经颅磁刺激治疗的效果。方法 于2020年10月~2022年10月采集病例资料入档,对象为医院收治的儿童孤独症伴精神发育迟滞患儿共计纳入60例,纳入对象基于“简单随机化方法”划分为对照组(予以综合康复训练)与观察组(康复训练+经颅磁刺激治疗),各纳入30例;观察对比孤独症行为量表(ABC)、儿童期孤独症评定量表(CARS)、儿童睡眠习惯问卷(CSHQ)、孤独症治疗评估量表(ATEC)评分。结果 治疗后,两组ABC、CARS评分均下降,其中观察组较对照组更低(P<0.05);治疗后,两组ATEC评分均呈不同程度的降幅,且观察组降幅较对照组更大(P<0.05);治疗后,两组CSHQ评分均有不同程度降幅,且观察组降幅较对照组更大(P<0.05)。结论 儿童孤独症伴精神发育迟滞患儿治疗中实施经颅磁刺激治疗,可使患儿症状及病情得到显著改善,提高睡眠质量。Objective To explore the clinical effect of transcranial magnetic stimulation therapy on children with autism and mental retardation.Methods Case data were collected from October 2020 to October 2022 and included in the file.A total of 60 children with autism and mental retardation admitted to the hospital were included.The included subjects were divided into a control group(receiving comprehensive rehabilitation training)and an observation group(receiving rehabilitation training+transcranial magnetic stimulation treatment)based on standardized grouping using a "simple randomization method",with 30 cases included in each group;Observe and compare the scores of the Autism Behavior Scale(ABC),Childhood Autism Rating Scale(CARS),Child Sleep Habits Questionnaire(CSHQ),and Autism Treatment Evaluation Scale(ATEC).Results After treatment,the ABC and CARS scores of both groups decreased,with the observation group being lower than the control group(P<0.05).After treatment,both groups showed varying degrees of decrease in ATEC scores,and the observed group had a greater decrease than the control group(P<0.05).After treatment,the CSHQ scores of both groups decreased to varying degrees,and the observed group showed a greater decrease than the control group(P<0.05).Conclusion The implementation of transcranial magnetic stimulation therapy in the treatment of children with autism and mental retardation can significantly improve their symptoms and condition,and improve sleep quality.

关 键 词：经颅磁刺激 孤独症 精神发育迟滞 临床疗效 

分 类 号：R749.93[医药卫生—神经病学与精神病学]