感觉统合训练联合作业疗法治疗中枢性协调障碍患儿的效果研究  

Effect of sensory integration training combined with occupational therapy on children with central coordination disorder

作　　者：陈雪娟 任麦青 CHEN Xue-juan;REN Mai-qing(Department of Pediatric Rehabilitation,Zhengzhou Central Hospital,Zhengzhou 450000,Henan,CHINA)

机构地区：[1]郑州市中心医院儿童康复科病区,河南郑州450000

出　　处：《海南医学》2025年第5期684-688,共5页Hainan Medical Journal

基　　金：河南省医学科技攻关计划联合共建项目(编号:LHGJ20200308)。

摘　　要：目的 研究感觉统合训练联合作业疗法治疗中枢性协调障碍患儿的临床效果。方法 选取2022年3月至2024年3月郑州市中心医院收治的81例CCD患儿作为研究对象,按随机数表法分为对照组40例和研究组41例,对照组患儿采用感觉统合训练治疗,研究组患儿在对照组治疗的基础上采用作业疗法治疗。治疗6个月后,比较两组患儿的临床疗效,以及治疗前后的格赛尔(Gesell)婴幼儿发展量表的发育商(DQ)值[包括个人-社交、语言、适应性、精细运动和大运动DQ值]、粗大运动评估88项(GMFM-88)评分和儿童功能独立性评分量表(WeeFIM)评分。结果 治疗6个月后,研究组患儿的总有效率为97.56%,明显高于对照组的82.50%,差异有统计学意义(P<0.05);治疗前,两组患儿Gesell婴幼儿发展量表的DQ值比较差异无统计学意义(P>0.05),治疗6个月后,两组患儿Gesell婴幼儿发展量表的DQ值均增加,且研究组患儿Gesell婴幼儿发展量表中的个人-社交、语言、适应性、精细运动、大运动DQ值分别为(74.39±6.10)分、(73.29±6.70)分、(74.72±6.25)分、(77.89±8.63)分、(78.06±9.16)分,明显高于对照组的(71.50±6.42)分、(69.03±6.43)分、(71.18±6.93)分、(70.03±7.12)分、(72.07±7.55)分,差异均有统计学意义(P<0.05);治疗前,两组患儿的GMFM-88评分、Wee FIM评分比较差异均无统计学意义(P>0.05),治疗6个月后,两组患儿的GMFM-88评分、Wee FIM评分均增加,且研究组患儿的GMFM-88评分、WeeFIM评分分别为(43.80±3.29)分、(92.03±4.53)分,明显高于对照组的(38.71±3.56)分、(84.65±5.64)分,差异均有统计学意义(P<0.05)。结论 感觉统合训练联合作业疗法是CCD患儿有效的康复疗法,能够改善患儿智力及运动功能,提高患儿的日常生活能力,具有临床应用价值。Objective To study the clinical effect of sensory integration training combined with occupational therapy on children with central coordination disorder(CCD).Methods A total of 81 children with CCD admitted to Zhengzhou Central Hospital from March 2022 to March 2024 were randomized into a control group(n=40)and a study group(n=41).Patients in the control group received sensory integration training,while those in the study group received occupational therapy in addition to sensory integration training.After 6 months of treatment,clinical efficacy was compared between the two groups.Developmental quotient(DQ)values from the Gesell Developmental Schedules(including personal-social,language,adaptive,fine motor,and gross motor domains),Gross Motor Function Measure-88(GMFM-88)scores,and Functional Independence Measure for Children(WeeFIM)scores were assessed before and after treatment.Results After 6 months,the total effective rate in the study group(97.56%)was significantly higher than that in the control group(82.50%),P<0.05.Before treatment,there were no significant differences in Gesell DQ values,GMFM-88 scores,or WeeFIM scores between the two groups(P>0.05).After 6 months of treatment,the DQ values of personal-social,language,adaptive,fine motor,and gross motor in Gesell Developmental Schedules of the study group were(74.39±6.10)points,(73.29±6.70)points,(74.72±6.25)points,(77.89±8.63)points,and(78.06±9.16)points,respectively,which were significantly higher than(71.50±6.42)points,(69.03±6.43)points,(71.18±6.93)points,(70.03±7.12)points,and(72.07±7.55)points of the control group(P<0.05).After 6 months of treatment,both groups of children showed an increase in GMFM-88 scores and WeeFIM scores;the GMFM-88 scores and WeeFIM scores of the study group were(43.80±3.29)points and(92.03±4.53)points,respectively,which were significantly higher than(38.71±3.56)points and(84.65±5.64)points of the control group(P<0.05).Conclusion Sensory integration training combined with occupational therapy is an effective reha

关 键 词：儿童 中枢性协调障碍 感觉统合训练 作业疗法 智力 粗大运动 

分 类 号：R725[医药卫生—儿科]