重复经颅磁刺激联合言语训练治疗儿童语言发育迟缓临床研究.docVIP

重复经颅磁刺激联合言语训练治疗儿童语言发育迟缓临床研究 　　【摘要】 目的 观察重复经颅磁刺激联合言语训练治疗儿童语言发育迟缓的临床疗效。方法 90例儿童语言发育迟缓患儿随机分为言语训练组（给予常规言语训练）、重复经颅磁刺激组（给予重复经颅磁刺激治疗仪治疗）及联合治疗组（给予言语训练+重复经颅磁刺激）， 各30例。分别于治疗开始前， 治疗1、2、3个月采用汉语儿童语言发育迟缓评定法（S-S）及儿童神经心理发育测试进行疗效评估。结果 治疗3个月后， 言语训练组、重复经颅磁刺激组和联合治疗组的总有效率分别为86.7%、80.0%和96.7%， 联合治疗组优于其他两组， 差异有统计学意义（P0.05）；治疗后三组均能有效提高患儿的社会适应能及语言能， 组间及组内比较差异均有统计学意义（P0.05）；且与治疗时间呈正相关（P0.05）。结论 重复经颅磁刺激联合言语训练可以有效提高患儿语言发育及智能发育水平， 且治疗时间越长， 疗效越好。 　　【关键词】 重复经颅磁刺激；言语训练；语言发育迟缓；儿童 　　DOI：10.14163/j.cnki.11-5547/r.2016.07.004 　　Clinical research of repetitive transcranial magnetic stimulation combined with speech training in the treatment of children language developmental retardation LIN Xiang-fu， TAN Yu-hua， WU Zhong-huan， et al. Guangdong Shaoguan City Maternal and Child Health Care Hospital， Shaoguan 512026， China 　　【Abstract】 Objective To observe clinical effect by repetitive transcranial magnetic stimulation combined with speech training in the treatment of children language developmental retardation. Methods A total of 90 children with language developmental retardation were randomly divided into speech training group （received conventional speech training）， repetitive transcranial magnetic stimulation group （received repetitive transcranial magnetic stimulation for treatment）， and combined treatment group （received speech training + repetitive transcranial magnetic stimulation）， and each group contained 30 cases. Evaluation was made on curative effects by Chinese children language developmental retardation sign-significant relations （S-S） and children neuropsychological development test before treatment and in 1， 2， 3 months of treatment. Results After 3 months of treatment， total effective rates were respectively 86.7%， 80.0% and 96.7% in the speech training group， the repetitive transcranial magnetic stimulation group and the combined treatment group. The combined treatment group was the best among them. Their difference had statistical significance （P0.05）. All the three groups had im