CAJ | 학술논문

目的：探讨重复经颅磁刺激(rTMS)对脑瘫并发癫痫患儿智力的影响。方法脑瘫并发癫痫患儿156例，采用随机数字表法分为对照组(n=70)和治疗组(n=86)。对照组采用中西医结合综合康复，治疗组在对照组基础上加用rTMS。2个月和4个月后，分别用Gesell发育量表适应性发育商(DQ)及婴幼儿智能发育检查量表智力发育指数(MDI)进行评估。结果两组患儿DQ和MDI两次评分治疗组均显著高于对照组(P<0.001)。结论 rTMS能促进脑瘫并发癫痫患儿的智力发育。
목적：탐토중복경로자자격(rTMS)대뇌탄병발전간환인지력적영향。방법뇌탄병발전간환인156례，채용수궤수자표법분위대조조(n=70)화치료조(n=86)。대조조채용중서의결합종합강복，치료조재대조조기출상가용rTMS。2개월화4개월후，분별용Gesell발육량표괄응성발육상(DQ)급영유인지능발육검사량표지력발육지수(MDI)진행평고。결과량조환인DQ화MDI량차평분치료조균현저고우대조조(P<0.001)。결론 rTMS능촉진뇌탄병발전간환인적지력발육。
Objective To explore the effect of repetitive transcranial magnetic stimulation (rTMS) on intelligence development in chil-dren with cerebral palsy with epilepsy. Methods 156 children with cerebral palsy with epilepsy were randomly divided into control group (n=70) and treatment group (n=86). The control group received comprehensive rehabilitation combined with traditional Chinese and western medicine. The treatment group received rTMS in addition. Both groups were evaluated with the development quotient (DQ) of Gesell Devel-opment Schedules and Mental Developmental Index (MDI) of Children's Development Center of China (CDCC) intelligence test before, and 2 and 4 months after treatment. Results The DQ and MDI improved more in the treatment group than in the control group (P<0.001). Con-clusion rTMS can improve the intelligent development in children with cerebral palsy with epilepsy.