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[脑复康治疗过程中的诵读困难:临床、神经生理学及神经心理学表现]

[Dyslexia: clinical, neurophysiological and neuropsychological manifestations during the treatment with nootropil].

作者信息

Zavadenko N N, Rumiantseva M V, Tolstova V A

出版信息

Zh Nevrol Psikhiatr Im S S Korsakova. 2009;109(5):36-42.

Abstract

Forty children with dyslexia, aged 7-12 years, have been randomized into two groups in an open controlled study: 18 of them received Nootropil (piracetam) in the dose of 100 mg/kg daily for 2 months and 22 were examined as a control group. Nootropil exerted positive effects on reading and spelling skills in 56% of children with dyslexia who demonstrated the improvement of fluency and accuracy of reading along with a significant decrease of specific errors (dysphonemic and visuospatial) in dictation. In the control group, the improvement was seen only in 10% of children. These data corresponded to the results of neuropsychological testing that demonstrated the improvement of automatic lexical retrieval, phonological skills and sustained attention in dyslexic children treated with nootropil as compared to the control group. The dynamics of interhemispheric asymmetry in EEG alpha-theta-subbands (4-13 Hz) during the performance of incomplete figures recognition test in the nootropil treatment may be indicative of the formation of compensative mechanisms linked with the functional activation of the right hemisphere structures and associative anterior left hemisphere areas which contributed to the progress in reading and spelling skills.

摘要

在一项开放性对照研究中,40名7至12岁的诵读困难儿童被随机分为两组:其中18名儿童每天接受100mg/kg剂量的脑复康(吡拉西坦)治疗,为期2个月,另外22名儿童作为对照组接受检查。脑复康对56%的诵读困难儿童的阅读和拼写能力产生了积极影响,这些儿童的阅读流畅性和准确性得到了提高,同时听写中的特定错误(语音和视觉空间错误)显著减少。在对照组中,只有10%的儿童有改善。这些数据与神经心理学测试结果一致,该测试表明,与对照组相比,接受脑复康治疗的诵读困难儿童在自动词汇检索、语音技能和持续注意力方面有所改善。在脑复康治疗期间进行不完整图形识别测试时,脑电图α-θ子带(4-13Hz)的半球间不对称动态可能表明与右半球结构和左半球前部关联区域的功能激活相关的补偿机制的形成,这有助于阅读和拼写技能的进步。

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