重复经颅磁刺激对痉挛型脑瘫患儿语言发育能力及运动功能的影响

Effects of Repetitive Transcranial Magnetic Stimulation on Language Development and Motor Function in Children with Spastic Cerebral Palsy

目的:分析重复经颅磁刺激(rTMS)对痉挛型脑瘫患儿语言发育能力及运动功能的影响。方法:采用随机数字表法将54例我院于2015年8月至2016年8月收治的痉挛型脑瘫患儿分为观察组与对照组,每组27例,观察组患儿给予rTMS治疗,对照组给予常规的康复治疗。采用儿童语言发育迟缓检查法(S-S法)评价治疗前后患儿的语言发育能力,采用踝关节活动度及GMFM-88粗大运动功能测试表评估治疗前后患儿的运动功能。结果:治疗后两组患儿语言理解商与表达商较治疗前均增加,且观察组高于对照组,差异有统计学意义(P<0.05);观察组患儿总有效率为77.8%,高于对照组的51.9%,差异有统计学意义(P<0.05);治疗后两组患儿踝关节活动度均增加,且治疗后观察组患儿踝关节活动度高于对照组(P<0.05);治疗后两组患儿GMFM-88评分均增加,且治疗后观察组患儿GMFM-88评分高于对照组(P<0.05)。结论:rTMS康复方法可以促进痉挛型脑瘫患儿的语言发育能力及运动功能,值得临床推广。

Objective： To analyze the effects of repetitive transcranial magnetic stimulation （rTMS） on language development and motor function in children with spastic cerebral palsy. Methods： A total of 54 children with spastic cerebral palsy, who were admitted to Xuzhou Children＇s Hospital Affiliated to Xuzhou Medical University from August 2015 to August 2016, were randomly divided into ob- servation group （n=27） and control group （n=27）. The observation group was treated with rTMS, while the control group was given con- ventional rehabilitation therapy. The language skills of children before and after treatment were evaluated by the Sign-Significate Lan- guage Development Test （S-S）. The motor function of children before and after treatment were evaluated by ankle joint activity and GMFM-88 gross motor function test. Results： Compared with before treatment, the language ability and motor function of the two groups after treatment were increased; the language ability and motor function in the observation group were higher than those in the control group, the difference was statistically significant （P〈0.05）. The effective rate （77.8%） in the observation group was higher than that （51.9%） in the control group, the difference was statistically significant （P〈0.05）. The ranges of ankle motion were increased in the two groups after treatment, and The ranges of ankle motion in the observation group were higher than those in the control group （P〈0.05）. The GMFM-88 scores of the two groups were increased after treatment, and the GMFM-88 scores in the observation group were higher than those in the control group （P〈0.05）. Conclusion： rTMS can promote the language development and motor function of children with spastic cerebral palsy, which is worthy of clinical promotion.