《中国康复理论与实践》

《中国康复理论与实践》 ›› 2014, Vol. 20 ›› Issue (12): 1153-1155.

• 临床研究 • 上一篇    下一篇

重复经颅磁刺激对脑性瘫痪并发癫痫患儿智力发育的影响

王迎红，马丙祥
   

  1. 河南中医学院第一附属医院儿科，河南郑州市450000。
  • 收稿日期:1900-01-01 修回日期:1900-01-01 出版日期:2014-12-25 发布日期:2014-12-25

Effect of Repetitive Transcranial Magnetic Stimulation on Intelligent Development in Children with Cerebral Palsy with Epilepsy

WANG Ying-hong, MA Bing-xiang.
  

  1. Department of Pediatrics, The First Affiliated Hospital of Henan College of Traditional Chinese Medicine,Zhengzhou, Henan 450000, China
  • Received:1900-01-01 Revised:1900-01-01 Published:2014-12-25 Online:2014-12-25

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摘要： 目的探讨重复经颅磁刺激(rTMS)对脑瘫并发癫痫患儿智力的影响。方法脑瘫并发癫痫患儿156 例，采用随机数字表法分为对照组(n=70)和治疗组(n=86)。对照组采用中西医结合综合康复，治疗组在对照组基础上加用rTMS。2 个月和4 个月后，分别用Gesell 发育量表适应性发育商(DQ)及婴幼儿智能发育检查量表智力发育指数(MDI)进行评估。结果两组患儿DQ和MDI两次评分治疗组均显著高于对照组(P<0.001)。结论rTMS能促进脑瘫并发癫痫患儿的智力发育。

关键词: 脑性瘫痪, 癫痫, 重复经颅磁刺激, 智力, 发育

Abstract: Objective To explore the effect of repetitive transcranial magnetic stimulation (rTMS) on intelligence development in children with cerebral palsy with epilepsy. Methods 156 children with cerebral palsy with epilepsy were randomly divided into control group (n=70) and treatment group (n=86). The control group received comprehensive rehabilitation combined with traditional Chinese and western medicine. The treatment group received rTMS in addition. Both groups were evaluated with the development quotient (DQ) of Gesell Development Schedules and Mental Developmental Index (MDI) of Children's Development Center of China (CDCC) intelligence test before, and 2 and 4 months after treatment. Results The DQ and MDI improved more in the treatment group than in the control group (P<0.001). Conclusion rTMS can improve the intelligent development in children with cerebral palsy with epilepsy.

Key words: cerebral palsy, epilepsy, repetitive transcranial magnetic stimulation, intelligence, development