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目的探讨早期认知干预对脑损伤综合征患儿智力发育的影响。方法将80例脑损伤综合征患儿分为观察组45例和对照组35例,观察组患儿接受包括早期认知干预治疗的综合康复治疗,而对照组患儿仅接受常规的康复训练治疗,两组患儿训练治疗和3个月后分别进行Gesell智力测试评估检查。结果观察组和对照组训练后与训练前比较智力各能区均有显著改善(P<0.01),训练后观察组患儿智力各能区改善优于对照组(P<0.05);观察组中2-6月组训练后智力等级的改善优于7-12月组(P<0.05),观察组中的智力正常及边缘水平组智力各能区提高的发育商差值优于智力落后组患儿(P<0.01)。结论早期认知干预训练可有效的提高脑损伤综合征患儿的智力各能区的发育水平,越早干预效果越好,不同智力发育水平患儿学习提高有差异。
Objective To investigate the effect of early cognitive intervention on the mental development of children with brain injury syndrome. Methods Eighty children with brain injury syndrome were divided into observation group (n = 45) and control group (n = 35). The observation group received comprehensive rehabilitation treatment including early cognitive intervention, while the control group received only conventional rehabilitation training , Two groups of children training treatment and 3 months after the Gesell intelligence test assessment examination. Results Compared with the control group (P <0.05), the improvement of mental capacity in observation group and control group were significantly improved (P <0.01) The improvement of intelligence grade in group training from February to June was better than that in July to December (P <0.05). The differences between the normal and marginal levels in the observation group and those in the mental retardation group were superior to those in the mental retardation group Children (P <0.01). Conclusion Early cognitive intervention training can effectively improve the development of mental capacity in children with brain injury syndrome. The earlier the intervention is, the better the learning performance of children with different levels of mental development is different.