重复经颅磁刺激联合针刺对颅脑损伤患儿认知功能障碍的疗效观察

文章信息/Info

• Title:重复经颅磁刺激联合针刺对颅脑损伤患儿认知功能障碍的疗效观察

• 卷期:2024年22卷1期

• 作者:吴婧，吴浪龙，汪杨，高琦,聂晶莉

• 江西省儿童医院康复中心，江西 南昌330006

• Author(s):WU jing1,WU lang-long2，WANG yang1,Gao qi3，NIE jing-li4

• Rehabilitation Center Of Jiangxi Provincial Children's Hospital

• 关键词重复经颅磁刺激；针刺；颅脑损伤；认知功能障碍

• Keywords: repetitive transcranial magnetic stimulation;acupuncture;traumatic brain injury;cognitive dysfunction

• 摘要:目的：观察重复经颅磁刺激联合针刺对颅脑损伤患儿认知功能障碍的临床疗效。方法：选取2020年2月-2022年2月在我院就诊的颅脑损伤后认知障碍患儿48例，采用数字随机法分为rTMS组（n=16）、针刺组（n=16）、联合组（n=16），分别予rTMS、醒脑开窍针刺和rTMS联合醒脑开窍针刺治疗，共8周。训练前后采用Gesell发育商评分进行评定。结果：治疗前，各组患儿Gesell发育商评分均无显著性差异（P>0.05），治疗后联合组评分最优（P<0.05）。结论：运用rTMS联合针刺能更有效地改善颅脑损伤后患儿的认知功能。                                                                                                                                                                                

• Abstract:To observe the clinical effect of rTMS combined with acupuncture in treating on cognitive dysfunction after children with traumatic brain injury.Methods:From February 2020 to February 2022,48 traumatic brain injury children with cognitive impairment were selected as the participants,and were randomly divided into rTMS group (n=16),acupuncture group (n=16) and combination group(n=16).who accepted rTMS, Xingnao-Kaiqiao acupuncture and combination of rTMS and Xingnao-Kaiqiao acupuncture, repectively, for eight weeks.They were assessed by Geiser’S Developmental Scale (Gesell) before and after treatment.Results:There was no significant difference in scores Gesell among three groups before treatment（P>0.05）.The scores of Gesell were the best in the combination group after treatment（P<0.05）.Conclusion:The combination of rTMS and Xingnao-Kaiqiao acupuncture is more effective in improving cognitive function after traumatic brain injury than either alone.

  颅脑损伤是外力作用于头部导致的一种急性损伤，致残率很高，相比较运动障碍导致的身体残疾，颅脑损伤患儿的认知行为及情感障碍最能长久的影响患儿的日常生活[1-2]。发达国家的颅脑损伤年发生率高达（150~250）/10万人，我国颅脑损伤的年发生率为（100~200）/10万[3]。