ISSN 1674-3865  CN 21-1569/R
主管：国家卫生健康委员会
主办：中国医师协会
　　　辽宁省基础医学研究所
　　　辽宁中医药大学附属医院
中国中西医结合儿科学

中国中西医结合儿科学 ›› 2016, Vol. 8 ›› Issue (5): 476-479.doi: 10.3969/j.issn.167-3865.2016.05.005

• 临床论著 • 上一篇    下一篇

低频重复经颅磁刺激对痉挛型脑性瘫痪儿童步行功能及日常生活活动功能的疗效

刘陈，李晓捷，戚询中   

  1. 154002 黑龙江 佳木斯，佳木斯大学康复医学院2013级康复医学与理疗学专业硕士研究生(刘陈)；佳木斯大学附属第三医院脑瘫一科(李晓捷)，神经康复科(戚询中)
  • 出版日期:2016-10-25 发布日期:2017-12-08
  • 通讯作者: 李晓捷，E-mail：xiaojljms@vip.163.com
  • 作者简介:刘陈(1990-)，男，佳木斯大学康复医学院2013级硕士研究生在读。研究方向：小儿脑损伤发病机制及早期防治研究
  • 基金资助:
    卫生行业科研专项项目(201002006)

Effect of low frequency repetitive transcranial magnetic stimulation on gait function and daily life activities of children with spastic cerebral palsy

LIU Chen，LI Xiaojie，QI Xunzhong   

  1. Rehabilitation Medicine Institute of Jiamusi University，Jiamusi 154002，China.
  • Online:2016-10-25 Published:2017-12-08

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135

摘要：
目的：观察低频(1 Hz)重复经颅磁刺激对痉挛型脑性瘫痪(简称脑瘫)儿童步行功能及日常生活活动功能的疗效。
方法：2015年2月至12月佳木斯大学附属第三医院收治住院或门诊治疗的痉挛型脑瘫患儿40例，随机分为对照组和观察组各20例。对照组采用综合康复治疗，观察组在对照组治疗基础上进行低频重复经颅磁刺激治疗，治疗8周。治疗前后对两组脑瘫儿童采用足印分析法、10 m步行测试(10MWT)及改良Barthel指数(MBI)进行评定。
结果：治疗8周后，两组步长、步宽、10MWT以及MBI评分均较治疗前有改善，差异有统计学意义(P<0.01)；观察组治疗后步长、步宽、10MWT以及MBI评分的改善效果优于对照组，差异有统计学意义(P<0.01)。
结论：低频(1 Hz)重复经颅磁刺激治疗结合综合康复训练能够改善痉挛型脑瘫儿童的步行功能及日常生活活动能力，其疗效优于单纯综合康复训练。

关键词: 脑性瘫痪, 低频重复经颅磁刺激, 步行功能, 日常生活活动能力, 儿童

Abstract:
Objective：To study the effect of low frequency(1 Hz)repetitive transcranial magnetic stimulation(rTMS) on gait function and daily life activities of children with spastic cerebral palsy.
Methods：Forty children treated in hospital or outpatient department with spastic cerebral palsy in Jiamusi University Third Affiliated Hospital from February to December of 2015 were selected and randomly divided into two groups:control group(20 cases) and treatment group(20 cases).Control group received comprehensive rehabilitation treatment，while the treatment group was given comprehensive rehabilitation training and low-frequency repetitive transcranial magnetic stimulation treatment，which lasts a total of 8 weeks.Before and after the treatment footprints analytical method，10 meters walk test(10MWT) and modified Barthel index(MBI) were used to assess the children of the two groups.
Results：After 8 weeks of treatment，stride step length and width，10MWT and MBI were improved greatly in the two groups(P<0.01)，and the observation group was better than the control group,the difference being statistical(P<0.01).
Conclusion：Low frequency(1 Hz) repetitive transcranial magnetic stimulation combined with comprehensive rehabilitation training can improve the function of walking and daily life activities ability in cerebral palsy children，and its curative effect is better than that of comprehensive rehabilitation training alone.

Key words: Cerebral palsy, Low-frequency repetitive transcranial magnetic stimulation, Gait function, Daily life activities ability, Children