《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

早期认知语言康复训练对发育迟缓患儿各发育能区的影响①

胡继红，周平秋，郭春光，刘丽君，陈建树，张惠佳   

  1. 湖南省儿童医院康复一科，湖南长沙市410007。
  • 出版日期:2016-01-25 发布日期:2016-05-23

Effect of Early Cognitive and Speech Intervention on Developmental Delay

HU Ji-hong, ZHOU Ping-qiu, GUO Chun-guang, LIU Li-jun, CHEN Jian-shu, ZHANG Hui-jia   

  1. Rehabilitation Department I of Hunan Children's Hospital, Changsha, Hunan 410007, China
  • Published:2016-01-25 Online:2016-05-23

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摘要： 目的探讨早期认知语言康复训练对发育迟缓患儿各项发育能区的影响。方法2014 年6 月~2015 年6 月住院和门诊治疗的发育迟缓患儿58 例，根据诊疗情况分为观察组(n=32)和对照组(n=26)。观察组接受早期认知语言康复训练和常规康复，对照组仅接受常规康复。两组患儿在治疗前和治疗3 个月后，分别采用Gesell 发育量表进行评定。结果两组治疗后，大运动、精细动作、语言、个人-社交能区发育商均有显著改善(t>2.90, P<0.001)，观察组各能区改善优于对照组(t>2.84, P<0.05)；观察组中<1 岁者各能区的改善明显优于1~2 岁和2~3 岁者(F>36.52, P<0.01)。结论早期认知语言训练能有效提高发育迟缓患儿各能区发育水平，越早干预效果越好。

关键词: 全面性发育迟缓, 认知, 语言, 康复, 早期干预, 发育

Abstract: Objective To observe the effect of early cognitive and speech intervention on children with developmental delay. Methods 58 inpatient or outpatient children with developmental delay from June, 2014 to June, 2015 were diveded into observation group (n=32) and control group (n=26). The observation group accepted early cognitive and speech therapy and routine rehabilitation training, while the control group accepted the routine rehabilitation only. They were assessed with Gesell Development Schedule before and 3 months after treatment. Results The developmental quotient of the gross movement, fine movement, language and peasonal-social improved in both groups after treatment (t>2.90, P<0.001), and improved more in the observation group than in the control group (t>2.84, P<0.05), especially in children of 1 year old than those of 1-2 or 2-3 years old (F>36.52, P<0.01). Conclusion Early cognitive and speech intervention may improve development of many dimensions in children with developmental delay. The earlier the intervention, the better the outcome.

Key words: global developmental delay, cognition, language, rehabilitation, early intervention, development