文章摘要
胡继红,郭春光,周平秋,刘丽君,陈建树,张惠佳.早期作业治疗对全面性发育迟缓患儿认知发育的影响[J].中国康复,2016,31(4):261-263
早期作业治疗对全面性发育迟缓患儿认知发育的影响
Effect of early cognitive occupational therapy on children with global developmental delay
  
DOI:
中文关键词: 全面性发育迟缓  作业疗法  认知发育
英文关键词: global developmental delay  occupational therapy  intellectual development
基金项目:
作者单位
胡继红 湖南省儿童医院长沙 410007 
郭春光 湖南省儿童医院长沙 410007 
周平秋 湖南省儿童医院长沙 410007 
刘丽君 湖南省儿童医院长沙 410007 
陈建树 湖南省儿童医院长沙 410007 
张惠佳 湖南省儿童医院长沙 410007 
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中文摘要:
  目的:探讨早期作业疗法对全面性发育迟缓患儿智力发育的影响。方法:将62例全面性发育迟缓患儿分为观察组38例和对照组24例,对照组患儿接受运动训练、慢性小脑电刺激、水疗等康复训练治疗,观察组在此基础上进行早期作业治疗。2组治疗前和治疗12周后分别进行Gesell智力测试评估检查(GDS)和Peabody运动发育量表(PDMS)测试。结果:治疗12周后,2组GDS及PDMS各项评分均较治疗前明显提高(P<0.05),且观察组更高于对照组(P<0.05)。在不同年龄段,治疗前后观察组患儿的GDS各项评分差值有统计学差异(P<0.05),1岁以内的患儿治疗前后发育商差值最大。结论:早期作业训练治疗可有效的提高全面性发育迟缓患儿的智力各能区的发育水平,越早干预效果越好,值得临床推广。
英文摘要:
  Objective: To evaluate the effect of early occupational therapy on cognitive development of children with global developmental delay. Methods: Sixty-two children with global developmental delay were divided into observation group (n=38) and control group (n=24). Observation group accepted early occupational therapy and general comprehensive rehabilitation therapies, such as exercise training, low-frequency cerebellum electrical stimulation, hydrotherapy and so on, while the control group only accepted the comprehensive rehabilitation therapy. Each group was assessed with Gesell developmental scale (GDS) and Peabody developmental motor scale (PDMS) before and 12 weeks after treatment. Results: The scores of GDS and PDMS in the observation group and the control group were significantly increased after 12-week treatment (P<0.05), more significantly in the observation group than in the control group (P<0.05). At different age states, and before and after treatment, the GDS scores showed significant differences in the observation group (P<0.05). The difference in GDS scores was greatest in the children less than one year old before and after treatment. Conclusion: Early occupational therapy may improve the intellectual development of children with global developmental delay. The earlier the better.
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