摘要
目的探讨经颅直流电刺激(tDCS)对儿童语言发育迟缓的应用价值,为临床康复方法的选择提供依据。方法选取儿童语言发育迟缓患儿120例,随机分为对照组和观察组,每组60例。对照组行常规手法按摩、言语训练治疗,观察组在对照组基础上加用tDCS进行治疗。每周进行5次治疗,3个月为1个疗程。2组患儿于治疗前后采用Gesell发育量表及S-S语言发育迟缓评价法(S-S法,CRRC版)进行疗效评定,比较2组患儿治疗后语言康复效果、整体发育情况以及口部运动功能改善情况。结果观察组患儿语言评定优于对照组(Z=2.07,P<0.05),总有效率显著高于对照组(91.7%与78.3%,χ2=4.18,P<0.05)。2组患儿语言DQ评分均随治疗时间显著升高(F时间=67.52,P<0.05)。观察组患儿语言DQ评分升高幅度显著高于对照组(F时间×组间=9.27,P<0.05)。观察组语言DQ评分整体水平显著高于对照组(F组间=7.49,P<0.05)。治疗后,2组患儿适应性行为、大运动行为、精细动作、个人社交能力均显著升高,组间比较,观察组适应性行为、大运动行为、精细动作、个人社交能力均显著高于对照组(t值分别为7.66、5.86、5.09、6.24,P<0.05)。2组患儿口部运动功能评分均随治疗时间显著升高(F时间=46.87,P<0.05),观察组患儿口部运动功能评分升高幅度显著高于对照组(F时间×组间=7.36,P<0.05),观察组口部运动功能评分整体水平显著高于对照组(F组间=5.82,P<0.05)。结论常规手法按摩、言语训练联合tDCS治疗儿童语言发育迟缓具有较好的临床疗效,显著改善患儿的语言能力及口部运动功能,改善患儿的发育状况,值得推广。
Objective To investigate the application value of transcranial direct current stimulation(tDCS)in treatment of language retardation in children,and to provide basis for the selection of clinical rehabilitation approaches.Methods A total of 120 children with language retardation were randomly divided into control group and observation group,with 60 cases in each group.The patients in control group received routine massage combined with speech training,however,the patients in observation group,on the basis of control group,were treated by tDCS,5 times a week,three months as a treatment course.Gesell Development Scale and S-S language development retardation assessment(S-S Method,CRRC edition)were used to evaluate the therapeutic effects.Moreover the language rehabilitation effects,overall development status and improvement status of oral motor function were observed and compared between the two groups.Results The language assessment in observation group was superior to that in control group(P<0.05).The total effective rate in observation group was significantly higher than that in control group(91.7%vs 78.3%,P<0.05).The language DQ scores were increased significantly with the treatment time in both groups(P<0.05).The increase degree of language DQ score in observation group was significantly higher than that in control group(P<0.05)After treatment the adaptive behavior,large-scale exercise behavior,fine movements and personal social ability were significantly increased in both groups,moreover,which in observation group were superior to those in control group(P<0.05).Moreover the mouth motor function scores in both groups were increased significantly with the treatment time(P<0.05),and increase degree in observation group was more significant than that in control group(P<0.05).The overall levels of mouth motor function scores in observation group were significantly higher than those in control group(P<0.05).Conclusion The routine massage,speech training combined with tDCS has good clinical efficacy in treatment of l
作者
张茜
代欣
贺媛
魏冰
董晓莹
贾海艳
ZHANG Qian;DAI Xin;HE Yuan(Department of Speech Rehabilitation,Beijing Rehabilitation Hospital Affiliated to Capital Medical University, Beijing 100144,China)
出处
《河北医药》
CAS
2020年第3期437-440,共4页
Hebei Medical Journal
基金
首都医科大学附属北京康复医院院内课题(编号:2017-053)
