Abstract：Objective To explore the application of transcranial direct current stimulation combined with family rehabilitation guidance in children with retardation, and to analyze its effect. Methods From March 2019 to March 2020, a total of 200 children with retardation were admitted to Hu’nan Children’s Hospital. They all received transcranial direct current stimulation and were divided into control group and observation group by random number table method, with 100 cases in each group. The control group was combined with routine rehabilitation guidance, and the observation group was combined with family rehabilitation guidance, and the results were evaluated at three months of nursing. Before nursing and at three months of nursing, the Chinese Webster’s children’s intelligence scale, Gesell developmental diagnostic scale, and Peabody fine motor developmental assessment scale were used to evaluate the two groups of verbal intelligence quotient (VIQ), performance intelligence quotient (PIQ) and full intelligence quotient (FIQ), language and adaptive development quotient, and fine motor function. Results At three months of nursing, the VIQ, PIQ and FIQ of the two groups were higher than before nursing, and those of the observation group were higher than those of the control group, and the differences were statistically significant (P ＜ 0.05). The language development quotient and adaptive development quotient of the two groups were higher than those before nursing, and those of the observation group were higher than the control group, and the differences were statistically significant (P ＜ 0.05). The grasping ability and visual-motor comprehensive ability of the two groups were improved compared with that before nursing, and those of the observation group were higher than the control group (P ＜ 0.05). Conclusion The intervention of transcranial direct current stimulation combined with family rehabilitation guidance to guide children with retardation is more conducive to promoting the multifunctional development of children with retardation, and is more beneficial for the development of the children’s intelligence quotient, and has significant effect.
黄琴1 苏珍辉1 肖冬梅2. 经颅直流电刺激联合家庭康复指导在发育迟滞患儿中的应用[J]. 中国医药导报, 2021, 18(11): 185-188.
HUANG Qin1 SU Zhenhui1 XIAO Dongmei2. Application of transcranial direct current stimulation combined with family rehabilitation guidance in children with retardation. 中国医药导报, 2021, 18(11): 185-188.
[1] Vasudevan P，Suri M. A clinical approach to retardation and intellectual disability [J]. Clin Med （Lond），2017，17（6）：558-561.
[2] Ciechanski P，Kirton A. Transcranial Direct-Current Stimulation Can Enhance Motor Learning in Children [J]. Cereb Cortex，2017，27（5）：2758-2767.
[3] 陈建树，胡继红，黄凤舞，等.早期进行听知觉训练对3岁以内发育迟滞儿童语言发育的影响[J].中国优生与遗传杂志，2016，24（9）：121-123.
[4] 刘月余，胡继红，刘丽君，等.感觉统合结合面对面对视训练对发育迟滞患儿社会功能的影响[J].中国医师杂志，2015，17（11）：1702-1703.
[5] 张婕，赵小艳，王丽芳，等.医疗机构康复训练联合家庭康复训练治疗儿童孤独症效果分析[J].临床误诊误治，2017，30（11）：97-101.
[6] 董广珍.贲门癌术后家庭康复护理指导[J].中国医药导报，2010，7（19）：140-141.
[7] 王卫平，孙锟，常立文，等.儿科学[M].9版.北京：人民卫生出版社，2018：7-24.
[8] 龚耀先，蔡太生.韦氏儿童智力量表修订本[M].长沙：湖南地图出版社，1993：187-210.
[9] 姜丽娜，李明，边旸.Gesell问卷用于评价小儿神经发育的信度及效度分析[J].临床和实验医学杂志，2015，14（13）：1133-1135.
[10] Hartingsveldt MJV，Cup EH，Oostendorp RA. Reliability and validity of the fine motor scale of the Peabody Developmental Motor Scales-2 [J]. Occup Ther Int，2010， 12（1）：1-13.
[11] Murias K，Moir A，Myers KA，et al. Systematic review of MRI findings in children with retardation or cognitive impairment [J]. Brain Dev，2017，39（8）：644-655.
[12] Boczek NJ，Lahner CA，Nguyen TM，et al. retardation and failure to thrive associated with a loss-of-function variant in WHSC1 （NSD2） [J]. Am J Med Genet A，2018， 176（12）：2798-2802.
[13] 吴春薇，谢瑛.经颅直流电刺激的研究进展[J].中国康复理论与实践，2015，21（2）：171-175.
[14] 吴东川，吴晓霞，王广君，等.多巴丝肼片口服联合经颅直流电刺激对帕金森病患者非运动症状的改善作用[J].山东医药，2016，56（31）：88-90.
[15] Straube B，Schülke R，Drewing K，et al. Hemispheric differences in the processing of visual consequences of active vs. passive movements：a transcranial direct current stimulation study [J]. Exp Brain Res，2017，235（10）：3207-3216.
[16] 曲斯伟，宋为群.经颅直流电刺激在卒中后认知功能障碍康复中的研究进展[J].中国脑血管病杂志，2016，13（4）：219-224.
[17] Okano AH，Machado DGS，Neto LO，et al. Can Transcranial Direct Current Stimulation Modulate Psychophysiological Response in Sedentary Men during Vigorous Aerobic Exercise? [J]. Int J Sports Med，2017，38（7）：493-500.
[18] 刘涓，谢瑞娟，翟晓燕，等.早期同步规范化家庭康复在痉挛型脑瘫患儿运动治疗中的应用[J].河北医药，2019， 41（10）：139-142.
[19] 顾丽慧，沈敏，徐纯鑫，等.家庭康复结合机构康复对脑性瘫痪患儿早期康复疗效的影响[J].中国康复医学杂志，2019，34（6）：656-660.
[20] 王菲.脑卒中患者远程视频家庭康复指导与常规家庭康复指导效果对比研究[J].山西医药杂志，2018，47（13）：1553-1554.
[21] 林海英，徐胜林，陈璟，等.听障儿童早期家庭康复指导工作模式探索[J].中国听力语言康复科学杂志，2015， 49（1）：46-49.
[22] 李容，万娜.康复护理干预对小儿脑瘫患儿运动功能及康复效果的影响价值分析[J].中外医学研究，2019，17（6）：106-107.
[23] 袁应川，栾新平，闫宝锋.星状神经节阻滞对痉挛型单侧脑瘫患儿颈动脉外膜剥脱术后康复效果的影响[J].中国医药，2019，14（12）：1808-1812.
[24] 赵蕾.康复护理干预对脑瘫患儿功能恢复的影响[J].中国现代医生，2020，58（8）：184-186，192.
[25] 王丹，钟清玲，李博，等.脑性瘫痪患儿家长对家庭康复微信平台的指导需求及影响因素分析[J].中国康复医学杂志，2018，33（1）：93-95.
[26] 张芹，江钟立，方欣，等.词联导航训练法联合经颅直流电刺激改善失语症言语流畅度及命名能力的临床观察[J].中国康复医学杂志，2017，32（8）：879-884.
[27] 赵秀英，阙利双，廖锋，等.镜像反馈疗法结合任务导向训练在偏瘫型脑瘫患儿中的实践效果[J].中国医药导报，2020，17（17）：101-104，108.
[28] 黎锦灵，黄宏亮，崔文瑞.早期康复治疗对福利院脑瘫患儿的影响[J].中国当代医药，2020，27（24）：131-133， 137.
[29] 张姝妤，苏振军，吴彦云，等.医疗机构康复训练联合家庭康复训练对孤独症患儿的效果[J].国际精神病学杂志，2019，46（5）：867-869，874.
[30] 邓家勤.家庭康复训练对缺氧缺血性脑病患儿智力发育及心理运动发育的影响[J].中国医药导报，2016，13（35）：147-150.
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