Abstract: Objective To observe the effect of repetitive transcranial magnetic stimulation (rTMS) combined with rehabilitation training on children with language development disorder.Methods Totally 86 children hospitalized in the rehabilitation center of Henan Children′s Hospital from February 2017 to February 2018 were enrolled in this study,and were randomly divided into observation group and control group,with 43 children in each group.Before and after treatment,comprehension,expression,basic operation ability,communication attitude,development quotient and language development quotient of children in different groups were assessed with the Chinese version of S-S language development retardation evaluation method developed by China Rehabilitation Research Center. Results After treatment,the efficacy in observation group was significantly better than that in control group (95.35% vs.79.07%,χ²=5.108,P<0.05).Moreover,the developmental quotient andlanguage developmental quotient of children in both groups significantly increased after treatment (t=4.827,5.009,P<0.05). Conclusion As a new electrophysiological technique for early intervention of language development disorder,rTMS combined with rehabilitation training has better effect on improving the language development ability.

Key words: repetitive transcranial magnetic stimulation, language dysplasia, rehabilitation therapy

摘要： 目的 观察重复经颅磁刺激联合康复训练对语言发育障碍患儿的影响。方法 选取2017年2月—2018年2月间在河南省儿童医院康复中心住院的患儿86例,按随机数字表法随机分为观察组和对照组各43例。选用中国康复研究中心研制的汉语版S-S语言发育迟缓评价法,分别对不同组别患儿在治疗前后进行理解能力、表达能力、基本操作能力、交流态度、发育商和语言发育商对比评定。结果 治疗后,观察组疗效(95.35%)明显优于对照组(79.07%),差异有统计学意义(χ²=5.108,P＜0.05);与治疗前相比,治疗后两组患儿发育商、语言发育商均显著升高,且两组之间差异有统计学意义(t=4.827,5.009,P＜0.05)。结论 重复经颅磁刺激作为一种早期干预语言发育障碍的新型电生理技术,联合康复训练对语言发育能力改善有较好的效果。

关键词: 重复经颅刺激, 语言障碍, 康复治疗