The application effect of repetitive transcranial magnetic stimulation in the rehabilitation treatment of children with autism spectrum disorder
重复经颅磁刺激在孤独症谱系障碍患儿康复治疗中的应用效果

摘要

目的 将重复经颅磁刺激（rTMS）用于孤独症谱系障碍（ASD）患儿中，对其应用效果进行探究。方法 选取2024年3月-2025年5月本院收治的70例ASD患儿，随机分组，对照组35例行常规康复治疗，观察组35例在此基础上予以rTMS治疗，对两组干预结果进行比较。结果 治疗前，两组感觉、躯体运动、交往各项ABC评分比较，不具显著差异（P>0.05），治疗后，观察组各项ABC评分更低（P<0.05）；治疗前，两组CARS、ATEC评分比较，不具显著差异（P>0.05），治疗后，观察组各评分更低（P<0.05）；观察组患儿治疗完成＜10次、10~19次、20次比例分别为14.29%、34.29%、94.29%，与对照组比较有显著差异（P<0.05）。结论 对ASD患儿来说，应用rTMS治疗可较好改善患儿孤独行为及孤独症状，更好改善其病情，并提高患儿治疗完成度，具有较高应用价值。

Abstract

Objective To explore the application effect of repetitive transcranial magnetic stimulation (rTMS) in children with autism spectrum disorder (ASD).
Methods A total of 70 children with ASD admitted to our hospital from March 2022 to May 2025 were selected and randomly grouped. 35 cases in the control group received conventional rehabilitation treatment, while 35 cases in the observation group were treated with rTMS on this basis. The intervention results of the two groups were compared.
Results Before treatment, there was no significant difference in the ABC scores of sensation, somatomotor, and interaction between the two groups (P>0.05). After treatment, the ABC scores of each item in the observation group were lower (P<0.05). Before treatment, there was no significant difference in the CARS and ATEC scores between the two groups (P>0.05). After treatment, the scores of each group in the observation group were lower (P<0.05). The proportions of children in the observation group who completed treatment < 10 times, 10-19 times, and 20 times were 14.29%, 34.29%, and 94.29% respectively, which were significantly different from those in the control group (P<0.05).
Conclusion   For children with ASD, the application of rTMS treatment can better improve their lonely behaviors and symptoms, better improve their condition, and increase the completion rate of treatment for children, which has high application value.