摘要
目的 探究音乐韵律感知疗法联合重复经颅磁刺激(rTMS)对言语障碍伴智力低下的交流能力及智力发育的影响。方法 选取温州医科大学附属第二医院2020年6月至2021年11月接诊的106例语言障碍伴智力低下患儿进行前瞻性研究。根据随机数字表法将其分为对照组(53例,rTMS治疗)和观察组(53例,音乐韵律感知+rTMS治疗)。比较两组日常生活交流能力检查量表(CADL)、智能发育情况、言语改善情况和智力改善情况。结果 治疗后,两组患儿CADL评分均高于治疗前,且观察组高于对照组,差异有统计学意义(P<0.05);两组患儿语言能力、适应性、大运动、个人社交、精细运动评分均升高,且观察组各项评分均高于对照组,差异有统计学意义(P<0.05);观察组患儿言语改善效果优于对照组,差异有统计学意义(P<0.05);观察组患儿智力改善效果优于对照组,差异有统计学意义(P<0.05)。结论 音乐韵律感知疗法联合rTMS治疗言语障碍伴智力低下患儿的效果显著,可以较好地改善患儿交流能力与智力发育情况,值得临床推广。
Objective To explore the effects of music prosodic perception therapy combined with repetitive transcranial magnetic stimulation(r TMS) on communication ability and intellectual development of speech disorders combined with mental retardation. Methods A total of 106 children with language disorder combined with mental retardation admitted to the Second Affiliated Hospital of Wenzhou Medical University from June 2020 to November 2021 were selected for a prospective study. They were divided into control group(53 cases, r TMS treatment) and observation group(53 cases, musical prosodic perception +rTMS treatment) according to random number table method. Communication abilities in daily living(CADL), intelligence development, speech improvement, and intelligence improvement were compared between the two groups. Results After treatment, CADL score in two groups was higher than that before treatment, and the observation group was higher than control group, and the difference was statistically significant(P<0.05). The scores of language ability,adaptability, gross motor, personal social interaction, and fine motor were all increased in the two groups, and the scores in the observation group were higher than those in the control group, and the difference were statistically significant(P<0.05).The speech improvement effect of the observation group was better than that of the control group, and the difference was statistically significant(P<0.05). The improvement effect of intelligence in observation group was better than that in control group, and the difference was statistically significant(P<0.05). Conclusion Music prosodic perception therapy combined with r TMS has a significant effect in the treatment of children with speech disorders combined with mental retardation, which can better improve the communication ability and intellectual development of children, and is worthy of clinical promotion.
作者
潘娟娟
谢庆凤
郭发艳
陈雪尔
PAN Juanjuan;XIE Qingfeng;GUO Fayan;CHEN Xueer(Department of Child Rehabilitation,Yuying Children’s Hospitalthe Second Affiliated Hospital of Wenzhou Medical University,Zhejiang Province,Wenzhou325000,China)
出处
《中国医药导报》
CAS
2023年第3期156-159,共4页
China Medical Herald
基金
浙江省医药卫生科技计划项目(2019RC231)。
关键词
音乐韵律感知疗法
言语障碍
智力低下
交流能力
重复经颅磁刺激
Music prosodic perception therapy
Speech disorder
Mental retardation
Communication ability
Repetitive transcranial magnetic stimulation
