Vojta疗法联合语言认知训练在全面发育落后儿童中的临床应用  

Clinical effect of Vojta therapy combined with language cognitive training on global development delay in children

作　　者：董琳[1] 汪曲[1] 涂丹娜[2] 王丽[2] 姜勇超 DONG Lin;WANG Qu;TU Danna;WANG Li;JIANG Yongchao(Department of Pediatrics,Huanggang Central Hospital,Huanggang,Hubei 438000,China;Department of Pediatrics,Hubei Provincial Maternal and Child Health Hospital,Wuhan,Hubei 430070,China;Department of Pediatrics,Xiangyang Central Hospital,Affiliated Hospital of Hubei University of Arts and Science,Xiangyang,Hubei 441021,China)

机构地区：[1]黄冈市中心医院儿科,湖北黄冈438000 [2]湖北省妇幼保健院儿科,湖北武汉430070 [3]湖北文理学院附属医院、襄阳市中心医院儿科,湖北襄阳441021

出　　处：《安徽医药》2020年第5期908-911,共4页Anhui Medical and Pharmaceutical Journal

基　　金：湖北省卫计委基金项目(2015CFB660)。

摘　　要：目的探讨Vojta疗法联合语言认知训练对全面发育落后(GDD)病儿的临床应用价值,进一步为临床康复方法的选择提供依据。方法选取2017年6月至2018年6月黄冈市中心医院接收的73例GDD病儿为受试对象,根据随机数表法将其分为对照组36例和观察组37例,其中对照组只采用语言认知训练,观察组在语言认知训练的基础上联合Vojta疗法。采用Gesell发育量表、S S语言发育落后评价法(S S法)及PEABODY运动发育量表的5项指标分别对两组病儿的语言DQ及PEABODY运动发育量表进行评分,对两组不同干预措施的效果进行比较。结果治疗前,与对照组相比,观察组病儿童的语言认知能力[(47.49±0.175)%比(47.99±0.327)%]及运动能力[(53.44±0.307)%比(52.83±0.200)%]比较,差异无统计学意义(P>0.05);治疗后,观察组病儿的语言认知能力[(61.79±0.141)%比(56.81±0.302)%]及运动能力[(63.76±0.205)%比(61.48±0.190)%]均优于对照组,差异有统计学意义(P<0.05)。结论对GDD病儿在语言认知训练的基础上给予Vojta疗法可明显改善病儿语言认知和运动能力的康复效果,具有临床应用价值。Objective To explore the clinical effects of Vojta therapy combined with language cognitive training in children with global develepment delay(GDD)and to provide a basis for the selection of clinical rehabilitation methods.Methods 73 children with GDD received in our hospital from June 2017 to June 2018 were randomly divided into the control group(n=36)and the ob servation group(n=37).The control group was only treated with language cognitive training,and the experimental group was treat ed with Vojta therapy on the basis of language cognitive training.The language DQ and PEABODY motor development scales of the two groups were scored by Gesell development scale,S S language retardation evaluation method(S S method)and PEABODY mo tor development scale,respectively,and the effects of different intervention measures were compared between the two groups.Re sults Before treatment,compared with the control group,the language cognitive ability[(47.49±0.175)%vs.(47.99±0.327)%]and motor ability[(53.44±0.307)%vs.(52.83±0.200)%]of the experimental group were not significantly improved(P>0.05),howev er,the language cognitive ability[(61.79±0.141)%vs.(56.81±0.302)%]and motor ability[(63.76±0.205)%vs.(61.48±0.190)%]of the experimental group were better than those of the control group.The difference was significant(P<0.05).Conclu sion Vojta therapy on the basis of language cognitive training can significantly improve the rehabilitation effect of language cogni tion and motor ability in children with GDD,and has clinical application value.

关 键 词：儿童发育障碍 广泛性 认知疗法 姿势平衡 语言疗法 语言认知训练 VOJTA疗法 

分 类 号：R748[医药卫生—神经病学与精神病学]