数码听觉刺激与抚触综合干预婴幼儿脑功能障碍效果观察.docVIP

数码听觉刺激与抚触综合干预婴幼儿脑功能障碍效果观察 ? 842?中国康复理论与实践2006生旦箜鲞笙塑!!型翌堡:Q!!:::!: 数码听觉刺激与抚触综合干预婴幼儿脑功能障碍效果观察 罗丽茹,张玲,史丽琼 ? 专题? [摘要]目的观察数码听觉刺激与抚触综合干预婴幼儿脑功能障碍的效果.方法将有围产高危因素,丹佛小儿智能发育 检查(DDST)发育商不正常的388例婴幼儿,随机分为A组(n:135),B组(n一128)和C组(n一125),采用数码听觉刺激合用抚触 法(A组),单纯抚触法(B组)和单纯药物治疗(c组)三种不同治疗方法,均为10d1个疗程,疗程结束后进行DDST比较;B组和C 组继续6个疗程后,三组再测DDST进行比较;6个月后三组再测Gesell发育商(DQ)进行比较.结果1个疗程结束后,DQ正常率 为,A组71.11%,B组29.690A,C组20.o0;继续6个疗程后,DDST检测正常率为,A组90.37,B组62.500A,C组40.00;6 个月后,Gesell量表智测DQ≥86分的婴幼儿,A组为125例(92.60),B组为90例(70.31),C组为62例(49.60),三组间有 非常显着性差异(Pd0.01).结论数码听觉刺激结合抚触法疗程短,疗效高,是治疗婴幼儿脑功能障碍的一种较理想的治疗方 法. [关键词]数码听觉刺激;抚触;婴幼儿;脑功能障碍 EffectofDi【gitaiAuditoryActivationandTouchingInterventiononInfantswithCerebralDysfunctionLUOLi—ru,ZHANGLing, SHfLi—qiong.TheDepartmentofChildrenHeathCare,theFirstPeoplesHospitalofZhaoqing,Zhaoqing526021,Guang— dong,China Abstract:ObjectiveToobservetheeffectofdigitalauditoryactivationandtouchinginterventiononinfantswithcerebraldys— function.Methods388infantswithperinatalhigh-riskfactorsandabnormalresultofDenverDevelopmentScreeningTestDDST) wererandomlydividedintogroupA(n一135),groupB(n一128)andgroupC(n一125),andtreatedwithdigitalauditoryactivation combinedwithtouching(groupA),simpletouching(groupB)andsimpledrug(groupC)with10daysasacourse.Allinfantswere testedwithDDSTafteronetherapeuticcourse.andtestedagainwithDDSTaftertheinfantsofgroupBandgroupCtreatedcontinu— ouslyforsixtherapeuticcourses;andallinfantswereassessedwiththeGeselldevelopmentquotient(DQ)aftersixmonths.Resuits Afteronetherapeuticcourse,normalrateofDDSTwas71.110AingroupA,26.69ingroupBand20.00ingroupC.Aftersix therapeuticcourses,thatwas90.37ingroupA,62.50ingroupBand40.00ingroupC.Aftersixmonths,thechildrenwith theGesellDQover86scoreswas125(92.60)ingroupA,90(70.31)ingroupBand62(49.60)ingroupC.Therewere significantdifferencesamongthreegroups(Pd0.01).ConclusionThedigitalauditoryactivationcombinedwithtouchinghasshort therapeuticcourseandhighefficacy,soitisagoodtherapeuticmethodforinfantswithcerebraldysfunction. Keywords:digitalau