摘要
目的观察低频重复经颅磁刺激结合头针治疗小儿脑性瘫痪(脑瘫)语言障碍的临床疗效。方法选取2015年10月至2017年10月在台州市第一人民医院康复医学科就诊的伴有语言障碍的脑瘫患儿60例,随机分为对照组、头针组和经颅磁结合头针组,各20例。对照组采用语言训练治疗,头针组在对照组治疗方法的基础上结合头针治疗,经颅磁结合头针组在头针组治疗方法的基础上结合低频重复经颅磁刺激治疗。治疗3月后评价3组患儿语言的恢复情况。结果经颅磁结合头针组、头针组、对照组的总有效率分别为75%,50%和35%,头针组和对照组比较,差异无统计学意义(P>0.05);经颅磁结合头针组与对照组比较,差异有统计学意义(P<0.05);经颅磁结合头针组与头针组比较,差异无统计学意义(P>0.05)。结论低频重复经颅磁刺激结合头针治疗小儿脑瘫语言障碍,可有效改善患儿的语言功能。
Objective To observe the effect of speech disorder in children with cerebral palsy treated with the combination of low frequency repetitive transcranial magnetic stimulation and scalp acupuncture.Methods 60 cases of speech disorder in children with cerebral palsy from October 2015 to October 2017 in our hospital were randomly divided into control group,scalp acupuncture group and transcranial magnetic combined with scalp acupuncture group,20 cases in each group.The control group was treated with speech training,while the scalp acupuncture group was treated with scalp acupuncture on the basis of the control group’s treatment,transcranial magnetic combined with scalp acupuncture group was treated with low frequency repetitive transcranial magnetic stimulation on the basis of scalp acupuncture treatment.After 3 months of treatment,the effective rate of speech recovery in the 3 groups was evaluated.Results The total effective rates of transcranial magnetic combined with scalp acupuncture group,scalp acupuncture group and control group were 75%,50%,and 35%respectively,there was no significant difference between the scalp acupuncture group and the control group(P>0.05);compared with the control group,there was a statistically significant difference in the transcranial magnetic combined with scalp acupuncture group(P<0.05);there was no significant difference in transcranial magnetic combined with scalp acupuncture group and scalp acupuncture group(P>0.05).Conclusion Transcranial magnetic stimulation combined with scalp acupunctur can effectively improve the speech function of children with cerebral palsy.
作者
柳明明
许如虎
陈健花
LIU Mingming;XU Ruhu;CHEN Jianhua(Department of Rehabilitation Medicine,Taizhou First People’s Hospital,Taizhou,Zhejiang,318020,China)
出处
《中医儿科杂志》
2018年第5期69-71,共3页
Journal of Pediatrics of Traditional Chinese Medicine
关键词
脑性瘫痪
小儿
低频
重复经颅磁刺激
头针
语言障碍
临床观察
cerebral palsy
children
low-frequency
repetitive transcranial magnetic stimulation
scalp acupuncture
speech disorder
clinical observation
