临床荟萃

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认知知觉功能训练对脑损伤综合征患儿智能发育临床疗效观察

  

  1. 郑州市妇幼保健院 儿童康复科,河南 郑州 450000
  • 出版日期:2018-02-05 发布日期:2018-02-11
  • 通讯作者: 通信作者:高莉娟,Email: 854774166@qq.com

Clinical effect of cognitive function training on intelligent development of children with brain injury  syndrome

  1. Department  of  Rehabilitation Medicine,  Zhengzhou Maternity and Child Care Hospital, Zhengzhou 450000,China
  • Online:2018-02-05 Published:2018-02-11
  • Contact: Corresponding author:Gao Lijuan,Email: 854774166@qq.com

摘要: 目的 观察认知知觉功能训练对脑损伤综合征患儿智能发育的临床疗效。方法 将96例脑损伤综合征患儿分为对照组和观察组各48例,对照组患儿进行常规综合康复训练,观察组患儿在常规综合康复治疗的基础上加上早期认知知觉功能训练,治疗3个月后两组患儿分别进行Gesell心理行为测试评估。结果 训练后两组社会适应、大动作、语言、个人社交发育商均有改善(P<0.05),精细动作发育商差异无统计学意义(P>0.05);训练后观察组患儿智力各能区改善优于对照组(P<0.05);智力边缘组较智力发育迟缓组社会适应发育商差值有统计学意义(P<0.05),观察组较对照组各智力等级社会适应发育商差值有统计学意义(P<0.05)。结论 早期认知知觉功能训练能提高脑损伤综合征患儿智力发育,并能促进其他能区的发育,不同智力水平患儿提升幅度有差异。

关键词: 认知疗法, 脑损伤, 智能测验

Abstract: Objective  To observe the clinical effect of cognitive perceptual function training on the intelligent development of children with brain injury.Methods  Ninetysix cases of children with brain injury syndrome were divided into control group and observation group, 48 cases in control group with routine comprehensive rehabilitation training, observation group of children on the basis of routine comprehensive rehabilitation treatment combined with early cognitive perception function training,and 3 months after treatment, separately Gesell psychological behavior were evaluated in two groups of children. Results  Two groups improved social adaptation, big action, language and individual social development quotient (P<0.05), and there was no difference in fine motor development quotient (P>0.05). The improvement of intelligence in observation group after training was better than that of control group (P<0.05).There was significant difference in the social development quotient between edge intelligence group and mental retardation group(P<0.05).  Observation group showed  significant difference  in the intelligence level social adaptation development  as compared with  control group(P<0.05).Conclusion  Early cognitive perception function training can improve the mental development in children with brain injury syndrome, and  to promote the development of other functional areas, children with different intelligence have different levels of improvement.

Key words: cognitive therapy; , brain injuries, intellectual tests