经颅直流电刺激联合针灸治疗儿童语言发育迟缓的效果  

Effect of Transcranial Direct Current Stimulation Combined with Acupuncture on Children with Language Development Delay

作　　者：朱景维 刘鹏民 贾倩芳* 周福军[1] 李沙沙 李敏[1] ZHU Jingwei;LIU Pengmin;JIA Qianfang;ZHOU Fujun;LI Shasha;LI Min(Department of Pediatric Rehabilitation,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang Henan 453100,China;Department of Rehabilitation,Second Ward,The First Affiliated Hospital of Xinxiang Medical University,Xinxiang Henan 453100,China)

机构地区：[1]新乡医学院第一附属医院儿童康复科,河南新乡453100 [2]新乡医学院第一附属医院康复科二病区,河南新乡453100

出　　处：《临床研究》2025年第5期111-114,共4页Clinical Research

基　　金：2022年度河南省医学科技攻关计划联合共建项目(LHGJ20220619)。

摘　　要：目的探讨经颅直流电刺激(tDCS)联合针灸治疗儿童语言发育迟缓的效果,为临床诊疗提供参考。方法选取2023年1月至2024年6月新乡医学院第一附属医院收治的90例语言发育迟缓患儿为研究对象,按照随机序列生成法分为tDCS组、针灸组和联合组,各30例。tDCS组接受tDCS治疗,针灸组接受针灸治疗,联合组接受tDCS联合针灸治疗。3组患儿均接受治疗3个月。比较3组患儿儿童语言发育迟缓检查法(S-S法)评分、Gesell婴幼儿发育量表(GDS)评分、婴儿-初中生社会生活能力检查量表(S-M)评分和不良反应发生情况。结果联合组患儿治疗有效率高于tDCS组和针灸组,差异有统计学意义(P<0.05)。疗程结束后,3组患儿GDS评分升高,且联合组高于tDCS组和针灸组,差异有统计学意义(P<0.05);tDCS组与针灸组的GDS评分比较,差异无统计学意义(P>0.05)。疗程结束后,3组患儿S-M评分升高,且联合组高于tDCS组和针灸组,差异有统计学意义(P<0.05);tDCS组与针灸组的S-M评分比较,差异无统计学意义(P>0.05)。3组患儿不良反应总发生率比较,差异无统计学意义(χ^(2)=1.450,P=0.484)。结论tDCS联合针灸治疗对语言发育迟缓患儿的疗效要优于单一tDCS治疗或单一针灸治疗,有利于改善患儿的语言发育情况,提高患儿社会生活能力。Objective To investigate the effect of transcranial direct current stimulation(tDCS)combined with acupuncture on children with language development delay,providing a reference for clinical diagnosis and treatment.Methods Ninety children with language development delay admitted to The First Affiliated Hospital of Xinxiang Medical University from January 2023 to June 2024 were selected for the study.They were randomly assigned to three groups:tDCS group,acupuncture group,and combined group,with 30 cases in each group.The tDCS group received tDCS treatment,the acupuncture group received acupuncture treatment,and the combined group received both tDCS and acupuncture treatments.All three groups underwent treatment for 3 months.The S-S method scores for language development delay,Gesell Developmental Scale(GDS)scores,Social-Emotional Skills for Infants to Junior High School Students Scale(S-M)scores,and the occurrence of adverse reactions were compared among the three groups.Results The effective treatment rate in the combined group was higher than that in the tDCS group and acupuncture group,with a statistically significant difference(P<0.05).After treatment,GDS scores increased in all three groups,with the combined group scores being higher than those of the tDCS and acupuncture groups,showing statistical significance(P<0.05);there was no statistically significant difference between the tDCS group and the acupuncture group(P>0.05).After treatment,S-M scores increased in all three groups,with the combined group scores higher than those of the tDCS and acupuncture groups,showing statistical significance(P<0.05);similarly,there was no statistically significant difference between the tDCS group and the acupuncture group(P>0.05).The total incidence of adverse reactions among the three groups showed no statistically significant difference(χ^(2)=1.450,P=0.484).Conclusion The combination of tDCS and acupuncture is more effective in improving language development in children with language development delay compared to either

关 键 词：经颅直流电刺激 针灸 语言发育迟缓 儿童 疗效 

分 类 号：R339.35[医药卫生—人体生理学]