重复经颅磁刺激联合视听觉统合康复干预治疗小儿癫痫伴精神发育迟缓的效果观察

Repetitive Transcranial Magnetic Stimulation Combined with Visual-auditory Integration Rehabilitation Intervention for the Treatment of Pediatric Epilepsy with Mental Retardation

目的:分析重复经颅磁刺激(rTMS)联合视听觉统合康复干预在癫痫伴精神发育迟缓患儿中的应用价值。方法:选取2023年1—12月榆阳区人民医院榆林市儿童医院收治的癫痫伴精神发育迟缓患儿120例作为研究对象,随机分为对照组与观察组,各60例。对照组采用rTMS干预,观察组在对照组基础上联合视听觉统合康复干预。比较两组康复情况、智力能力、运动能力及家属满意度。结果:干预后,两组癫样放电水平降低,癫痫发作次数均减少,观察组优于对照组,差异有统计学意义(P<0.05);干预后,两组操作及言语测验评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);干预后,两组Peabody精细运动发育量表、粗大运动功能评估量表评分均升高,观察组高于对照组,差异有统计学意义(P<0.05);观察组家属满意度高于对照组,差异有统计学意义(P=0.008)。结论:rTMS联合视听觉统合康复干预可有效减少癫痫伴精神发育迟缓患儿癫痫发作次数,降低癫样放电水平,提高智力及运动能力,患儿家属满意度较高。

Objective:To analyze the application value of repetitive transcranial magnetic stimulation(rTMS)combined with visual-auditory integration rehabilitation intervention in children with epilepsy accompanied by mental retardation.Methods:One hundred and twenty cases of children with epilepsy accompanied by mental retardation admitted to Yuyang District People's Hospital Yulin Children's Hospital from January to December 2023 were selected as the study subjects,and randomly divided into the control group and the observation group,each with sixty cases.In the control group,rTMS intervention was used,and in the observation group,visual-auditory integration rehabilitation intervention was combined on the basis of the control group.The two groups were compared in terms of rehabilitation,intellectual ability,motor ability and family satisfaction.Results:After the intervention,the level of epileptiform discharges decreased and the number of seizures decreased in both groups,and the observation group was better than the control group,the difference was statistically significant(P<0.05);after the intervention,the scores of operation and speech test increased in both groups,and the observation group was higher than the control group,the difference was statistically significant(P<0.05);after the intervention,the scores of Peabody Fine Motor Development Scale and Gross Motor Function Assessment Scale were elevated in both groups,and the observation group was higher than the control group,and the difference was statistically significant(P<0.05);the satisfaction of family members in the observation group was higher than that of the control group,and the difference was statistically significant(P=0.008).Conclusion:rTMS combined with visual-auditory integration rehabilitation intervention can effectively reduce the number of epileptic seizures,reduce the level of epileptiform discharges,and improve intellectual and motor abilities in children with epilepsy with mental retardation,and the families of children with epilepsy have a higher degree of satisfaction.