经颅磁刺激联合语言训练对语言发育迟缓儿童小儿发育商及语言发育商的影响研究

Study on the effect of transcranial magnetic stimulation combined with speech therapy on developmental quotient and language development quotient in children with delayed language development

摘要:

目的 探究经颅磁刺激（TMS）与语言训练联合应用对儿童语言发育迟缓的治疗效果。方法 选取2022年2月—2024年2月淄博市市立医院接收的70例语言发育迟缓儿童为研究对象。按照随机数字表法分为参照组与联合组，每组35例。参照组进行常规语言训练，联合组在参照组基础上增加TMS治疗。比较两组儿童治疗前后的临床疗效、小儿发育商、语言发育商及口部运动功能。结果 治疗3个月后，联合组的总有效率高于参照组（P <0.05）。联合组与参照组治疗前、治疗后1个月、治疗后3个月的小儿语言能力比较，经重复测量设计的方差分析，结果 ①不同时期语言发展商（DQ）评分比较，差异有统计学意义（P <0.05）；②联合组与参照组语言DQ评分比较，差异有统计学意义（P <0.05），联合组评分较高；③两组语言DQ评分变化趋势比较，差异有统计学意义（P <0.05）。联合组治疗前后大运动行为、语言行为、精细动作行为、个人-社交行为、适应行为的Gesell小儿神经心理发育量表评分的差值均高于参照组（P <0.05）。联合组下颌部运动、唇部运动、舌部运动评分的差值均高于参照组（P <0.05）。结论 经颅磁刺激与语言训练的联合应用在提高儿童语言发育迟缓的治疗效果显著，能有效提升语言能力和口部运动功能，且效果持久。该联合治疗具有高效性和可行性，适合在临床上推广使用。

Abstract:

Objective To explore the therapeutic effects of combined transcranial magnetic stimulation (TMS) and language training on children with language development delays.Methods A total of 70 children with language development delays, admitted to Zibo City Hospital from February 2022 to February 2024, were selected for this study. They were divided into a reference group (n =35, conventional language training) and a combined group (n =35, conventional training plus additional TMS treatment) using a random number table method. The clinical efficacy, children's developmental quotient (DQ), language development quotient, and oral motor functions were compared between the two groups before and after the treatment.Results After three months of treatment, the total effectiveness rate of the combined group was higher than that of the reference group (P < 0.05). Comparisons of language DQ scores at different time points showed significant differences (P < 0.05). The combined group had significantly higher language DQ scores than the reference group (P < 0.05), with a statistically significant difference in the trend of language DQ scores between the groups (P < 0.05). Differences in the pre- and post-treatment scores on the Gesell Development Scales for adaptability, gross motor skills, fine motor skills, language behavior, and personal-social interaction were significantly higher in the combined group (P < 0.05). Improvements in jaw, lip, and tongue movements were also greater in the combined group (P <0.05).Conclusion The application of transcranial magnetic stimulation combined with language training significantly enhances the treatment outcomes in children with language development delays, effectively improving language abilities and oral motor functions, with lasting effects. Therefore, this combined treatment strategy is highly effective and feasible for clinical use.