口肌训练联合重复经颅磁刺激对智力低下儿童语言康复及智力改善的影响

Effects of oral muscle training combined with repetitive transcranial magnetic stimulation on language rehabilitation and intelligence improvement in children with mental retardation

目的探讨口肌训练联合重复经颅磁刺激(rTMS)在智力低下(MR)患儿中的应用效果。方法根据乱数表法将2021年1月至12月收治的70例MR患儿分为参考组和联合组,各35例。参考组在常规康复治疗的基础上采用rTMS干预,联合组在参考组基础上实施口肌训练。比较两组的干预效果。结果干预前,两组的语言智商(VIQ)、操作智商(PIQ)及总智商(FIQ)评分比较,差异无统计学意义(P>0.05);干预后,两组的VIQ、PIQ及FIQ评分均升高,且联合组高于参考组(P<0.05)。干预前,两组的发育商(DQ)、蒙特利尔认知评估量表(MoCA)评分比较,差异无统计学意义(P>0.05);干预后,两组的DQ、MoCA评分均升高,且联合组高于参考组(P<0.05)。干预前,两组的语言理解、语言表达、操作能力评分比较,差异无统计学意义(P>0.05);干预后,两组的语言理解、语言表达、操作能力评分均升高,且联合组高于参考组(P<0.05)。结论口肌训练联合rTMS能够促进MR患儿智力水平及语言功能的改善,并可提高认知功能。

Objective To explore the application effect of oral muscle training combined with repetitive transcranial magnetic stimulation(rTMS)in children with mental retardation(MR).Methods According to the random number table method,70 children with MR admitted from January to December 2021 were divided into reference group and combined group,with 35 cases in each group.The reference group was given rTMS on the basis of routine rehabilitation treatment,and the combined group was given oral muscle training on the basis of the reference group.The intervention effects of the two groups were compared.Results Before intervention,there were no significant differences in Verbal Intelligence Quotient(VIQ),Performance Intelligence Quotient(PIQ)and Full Intelligence Quotient(FIQ)scores between the two groups(P>0.05);after intervention,the scores of VIQ,PIQ and FIQ in the two groups increased,and those in the combined group were higher than the reference group(P<0.05).Before intervention,there were no significant differences in the scores of Developmental Quotient(DQ)and Montreal Cognitive Assessment(MoCA)between the two groups(P>0.05);after intervention,the scores of DQ and MoCA in the two groups increased,and those in the combined group were higher than the reference group(P<0.05).Before intervention,there were no significant difference in the scores of language comprehension,language expression and operation ability between the two groups(P>0.05);after intervention,the scores of language comprehension,language expression and operation ability of the two groups increased,and those of the combined group were higher than the reference group(P<0.05).Conclusion Oral muscle training combined with rTMS can promote the improvement of intelligence level and language function in children with MR,and can improve cognitive function.