摘要
目的探讨重复经颅磁刺激（rTMS）对脑瘫并发癫痫患儿运动功能的影响。方法 2011年2月~2014年9月本院就诊的脑瘫并发癫痫患儿270例,随机数字表法分为对照组（n=130）和治疗组（n=140）。对照组采用综合康复治疗,包括推拿按摩、运动疗法、作业疗法、物理因子疗法、言语疗法、认知知觉功能训练及药物治疗;治疗组在对照组基础上加用rTMS。治疗前,治疗1个月、2个月,采用88项粗大运动功能测量量表（GMFM-88）和Peabody发育量表粗大运动部分（PDMS-GM）进行评定。结果治疗后,治疗组GMFM-88和PDMS-GM总标准分均较对照组显著提高（F〉93.9,P〈0.001）。结论 rTMS能进一步提高脑瘫并发癫痫患儿的运动功能。
Objective To explore the effect of repetitive transcranial magnetic stimulation （rTMS） on motor function in cerebral palsy children with epilepsy. Methods 270 cerebral palsy children with epilepsy hospitalized from February, 2011 to September, 2014 were ran- domized to control group （n=130） and treatment group （n=140）. The control group received comprehensive rehabilitation, including mas- sage, exercise, occupational therapy, physiotherapy, speech training, cognitive function training and medication, and the treatment group re- ceived rTMS in addition. They were assessed with Gross Motor Function Measure-88 （GMFM-88） and Peabody Developmental Measure Scale-Gross Motor （PDMS-GM） before, and 1 and 2 months after treatment. Results The total scores of GMFM-88 and PDMS-GM in- creased more in the treatment group than in the control group （F〉93.9, P〈0.001）. Conclusion rTMS can further improve the motor function in cerebral palsy children with epilepsy.
出处
《中国康复理论与实践》
CSCD
北大核心
2016年第1期98-102,共5页
Chinese Journal of Rehabilitation Theory and Practice
关键词
脑性瘫痪
癫痫
重复经颅磁刺激
粗大运动功能
发育
cerebral palsy
epilepsy
repetitive transcranial magnetic stimulation
gross motor function
development
