经颅磁刺激在脑性瘫痪儿童康复中应用研究

Research on the Application of Transcranial Magnetic Stimulation in the Rehabilitation of Children with Cerebral Palsy

目的研究分析经颅磁刺激在脑性瘫痪儿童康复中的应用效果。方法选取2019年6月—2020年6月该院收治的脑瘫患儿80例为研究对象,按照入院治疗的先后顺序分组。40例作为对照组接受常规治疗,40作为观察组在常规治疗基础上实施经颅磁刺激治疗,对比两组的治疗效果。结果治疗前,两组患儿的各项语言发育能力评分及粗大运动量表评分比较,组间差异无统计学意义(P>0.05);治疗后,观察组患儿的上述各项评分均高于对照组,组间差异有统计学意义(P<0.05)。治疗后,观察组患儿的神经功能缺损评分为(7.1±1.2)分,低于对照组的(10.7±2.5)分,差异有统计学意义(P<0.05)。两组患儿的不良反应发生率比较,差异无统计学意义(P>0.05)。结论脑瘫患儿在常规治疗基础上实施经颅磁刺激的临床效果肯定,有推广使用的价值。

Objective To study and analyze the effect of transcranial magnetic stimulation in the rehabilitation of children with cerebral palsy.Methods From June 2019 to June 2020,80 children with cerebral palsy admitted to the hospital were selected as the research objects,and they were grouped according to the order of admission and treatment.40 patients as the control group received conventional treatment,and 40 patients as the observation group were treated with transcranial magnetic stimulation on the basis of conventional treatment.The treatment effects of the two groups were compared.Results Before treatment,there were no significant differences in the language development ability scores and gross motor scale scores of the two groups of children(P>0.05);after treatment,the above-mentioned scores of children in the observation group were higher than those of the control group,and the differences between the groups were statistically significant(P<0.05).After treatment,the neurological fanction deficit score of the children in the observation group was(7.1±1.2)points,which was lower than(10.7±2.5)points of the control group,and the difference was statistically significant(P<0.05).There was no significant difference in the incidence of adverse reactions between the two groups of children(P>0.05).Conclusion The clinical effect of transcranial magnetic stimulation on the basis of conventional treatment in children with cerebral palsy is positive,and it has the value of promotion and use.