引导式教育在精神发育迟滞幼儿中 疗效研究.docVIP

引导式教育在精神发育迟滞幼儿中 疗效研究 　　【摘要】 目的 探讨引导式教育对精神发育迟滞幼儿的疗效及年龄、病情程度对疗效的影响。方法 精神发育迟滞幼儿256例， 按照家长意愿分为治疗组142 例， 对照组114例。对照组常规给予运动疗法、作业疗法、语言训练等一对一的康复训练， 治疗组除以上方法外加用引导式教育。对两组治疗前后DQ结果进行对比分析， 并观察两组不同年龄、不同病情程度的疗效。结果 两组治疗后及两组内部治疗前后DQ值对比， 差异均有统计学意义（P0.05）。轻度、中度与重度病情不同患儿， 治疗前后DQ差值差异均有统计学意义（P0.05）。结论 对幼儿精神发育迟滞患者来说， 在传统康复治疗基础上采用引导式教育疗效显著， 年龄越小， 病情越轻， 疗效越好。 　　【关键词】 引导式教育；精神发育迟滞；幼儿 　　Effect of conductive education on young children with mental retardation NIU Guo-hui， XIONG Hua-chun， ZHU Deng-na， et al. Department of Rehabilitation， Third Affiliated Hospital of Zhengzhou University ， Zhengzhou 450052， China 　　【Abstract】 Objective To study the effect of conductive education on children with mental retardation， and different ages and degree of epathogenetic condition on curative effect. Methods From January 2010 to June 2013， 256 cases of young children with mental retardation were divided into treatment group （142 cases ）and control group （114 cases ） according to the parents’ intend. All childrenreceived one-on-one rehabilitation training including physical therapy， occupational therapy and speech therapy. Additionally， children from the treatment group also got conductive education. The inter-group and inner-group comparison of DQ before and after the intervention were evaluated， as well as the influence of different age and degree of epathogenetic condition on the curative effect. Results The inter-group and inner-group differences of DQ before and after the intervention， and the total curative rate in both group s were significant（P0.05）. Children less than 2 years old revealed better curative rate in treatment group than in control group （P0.05）， but there were no significant differences in children between 2～3 years old. The differences of DQ in children with mild， moderate and severe illness before and after the treatment were significant （P0.05）. Conclusion Conductive education has a favorable effect on the basis of traditional rehabilitation therapy for young children with men