经颅磁刺激联合口肌训练治疗语言发育迟缓患儿的效果

Effects of transcranial magnetic stimulation combined with oral muscle training in the treatment of children with delayed language development

目的:观察经颅磁刺激联合口肌训练治疗语言发育迟缓患儿的效果。方法:选取2021年11月至2022年11月该院收治的120例语言发育迟缓患儿进行前瞻性研究,按照随机数字表法将其分为研究组和对照组各60例。对照组采用口肌训练治疗,研究组在对照组基础上联合经颅磁刺激治疗,两组均治疗8周。比较两组临床疗效,治疗前后语言发育[Gesell发育量表语言行为发育商(DQ)]评分、焦虑情绪[Spence儿童焦虑量表-简版(SCAS-S)]评分和言语功能[中国康复研究中心汉语标准失语症检查表(CRRCAE)]评分。结果:研究组治疗总有效率为90.00%(54/60),高于对照组的68.33%(41/60),差异有统计学意义(P<0.05);治疗后,研究组Gesell发育量表语言行为DQ评分和CRRCAE评分均高于对照组,差异有统计学意义(P<0.05);治疗后,研究组SCAS-S评分低于对照组,差异有统计学意义(P<0.05)。结论:经颅磁刺激联合口肌训练治疗语言发育迟缓患儿可提高治疗总有效率、语言发育评分和言语功能评分,降低焦虑情绪评分,效果优于单纯口肌训练治疗。

Objective:To observe effects of transcranial magnetic stimulation combined with oral muscle training in the treatment of children with delayed language development.Methods:A prospective study was conducted on 120 children with delayed language development admitted to this hospital from November 2021 to November 2022.They were divided into study group and control group according to the random number table method,60 cases in each group.The control group was treated with oral muscle training,while the study group was treated with transcranial magnetic stimulation on the basis of the control group.Both groups were treated for 8 weeks.The clinical efficacy,the language development[Gesell development scale language behavior development quotient(DQ)]score,the anxiety[Spence child anxiety scale-simplified version(SCAS-S)]score,and the speech function[Chinese rehabilitation research center-Chinese standard aphasia examination(CRRCAE)]score were compared between the two groups before and after the treatment.Results:The total effective rate of treatment in the study group was 90.00%(54/60),which was higher than 68.33%(41/60)in the control group,and the difference was statistically significant(P<0.05).After the treatment,the language behavior DQ score of Gesell development scale and the CRRCAE score in the study group were higher than those in the control group,and the differences were statistically significant(P<0.05).Further,after the treatment,the SCAS-S score of the study group was lower than that of the control group,and the difference was statistically significant(P<0.05).Conclusions:Transcranial magnetic stimulation combined with oral muscle training in the treatment of the children with delayed language development can improve the total effective rate of treatment,the language development scores and the speech function scores,and reduce the anxiety scores.Moreover,it is superior to single oral muscle training.