摘要
目的:探讨痉挛型脑瘫患儿经脑电生物反馈(EEGBF)治疗后脑功能的改善情况。方法:选取符合诊断分型标准的痉挛型脑瘫患儿60例,平均年龄7.32岁;按照性别、年龄、病情严重程度及入院顺序,采用随机方法分成观察组与对照组各30例。对照组采用综合康复治疗方法,观察组除采用与对照组相同方法外,加用脑电生物反馈治疗,每周训练5次,疗程为3个月。采集观察组和对照组患儿脑电波,包括θ波、β波、α波、SMR波、θ/β比值、α/SMR比值,经仪器自身分析处理测评干预前后患儿脑电波的变化。同时对两组干预前、后进行中国比内智力测试和注意力变量检测。结果:治疗后,观察组患儿θ波均值明显下降(P<0.05),β波均值明显升高(P<0.05),θ/β功率比值明显下降(P<0.05);α波均值明显下降(P<0.05),SMR波均值明显升高(P<0.05),α/SMR功率比值明显下降(P<0.05)。对照组θ波均值治疗后与治疗前比较明显降低(P<0.05),β波均值、θ/β功率比值、α波均值、SMR波均值及α/SMR功率比值与治疗前比较差异不显著(P均>0.05)。治疗后,观察组智力水平较治疗前显著提高(P<0.001);注意力变量各观察指标分值与治疗前比较差异显著,观察组的疗效优于对照组。结论:脑功能生物反馈治疗可有效改善痉挛型脑瘫患儿的脑功能。
Objective： To explore the effect of electroencephalographic biofeedback（EEGBF） technique on brain function of children with spastic cerebral palsy. Method：Sixty children with spastic cerebral palsy were enrolled. According to their gender, age, degree of illness and order of admission, the children were randomly divided into 2 groups. Everyday, 30 children in observation group received routine rehabilitation, and EEGBF therapy; 30 children in control group only received routine reha- bilitation without EEGBF. The course of treatment lasted for 3 months. Electroencephalogram was used to deteet the changes of 0 waves, [3 waves, c~ waves,SMR waves, c~/SMR power ratio, 0/13 power ratio. Before and after in- tervention, Chinese-Binet intelligence scale（CBIS） and the test of variables of attention（TOVA） were tested. Result： Observation group： After 3 month-EEGBF treatment, the children＇s 0 waves reduced markedly （P〈0.05）, 13 waves increased significantly（P〈0.05）, 0/13 power ratio decreased obviously（P〈0.05）; ct waves decreased obvi- ously（P〈0.05）, SMR wave increased significantly（P〈0.05）, c~/SMR power ratio decreased obviously（P〈0.05）. Controlgroup： comparing with those waves before treatment, 0 waves decreased obviously （P〈O.05）, [3 waves, 0/13 pow- er ratio, oL waves, SMR waves and ot/SMR power ratio showed no significant difference （P〉0.05）. After treat- ment, in observation group the intelligential elevated significantly（P〈0.O01）, and scores of all i^dexes of TOVA showed significant differences than those before treatment, Namely the curative effect of observation group after treatment was better than control group. Conclusion： EEGBF technique can effectively improve the brain function of children with cerebral palsy.Author＇s address The Third Affiliated Hospital of Jiamusi University, 154003
出处
《中国康复医学杂志》
CAS
CSCD
北大核心
2012年第2期138-141,146,共5页
Chinese Journal of Rehabilitation Medicine
关键词
脑电生物反馈
脑性瘫痪
儿童
脑功能
electroencephalographic biofeedback
cerebral palsy
children
brain function 1
