论文部分内容阅读
目的探讨数码听觉统合训练治疗痉挛型脑性瘫痪患儿语言障碍方面的临床效果。方法选取2011-2013年在广西壮族自治区人民医院康复科门诊随访已停止常规康复治疗的痉挛型脑性瘫痪患儿60例,随机分为接受数码听觉统合训练治疗的30例为治疗组,另30例无任何治疗的患儿为对照组。采用盖塞尔(Gesell)发育量表评估两组患儿治疗前、治疗后3个月在语言能力方面的变化情况,并用单光子发射断层成像(SPECT)技术观察患儿治疗前、后脑血流灌注情况。结果治疗组治疗后语言能力发育商(DQ)均数(57.19±6.18)高于对照组(53.44±5.49),差异有统计学意义(P<0.05);治疗前、后头颅SPECT检查比较,治疗前两组脑血流异常灌注100.00%,治疗后下降到36.67%,优于对照组,差异有统计学意义(P<0.05)。结论数码听觉统合训练能改善痉挛型脑性瘫痪患儿语言方面的障碍,减轻患儿大脑血液灌注异常状况,可作为治疗脑瘫合并语言发育障碍的一项重要的辅助方法。
Objective To investigate the clinical effect of digital hearing training in treating speech impairment in children with spastic cerebral palsy. Methods A total of 60 children with spastic cerebral palsy who had been stopped from routine rehabilitation in the rehabilitation department of People’s Hospital of Guangxi Zhuang Autonomous Region from 2011 to 2013 were randomly divided into treatment group and 30 Cases without any treatment of children as a control group. The Gesell scale was used to evaluate the changes of language ability of the two groups before and after 3 months of treatment. The levels of cerebral blood flow before and after treatment were observed by single photon emission tomography (SPECT) Perfusion situation. Results The average number of DQ (57.19 ± 6.18) in the treatment group after treatment was significantly higher than that in the control group (53.44 ± 5.49) (P <0.05). Before and after treatment, the head and neck SPECT examination and treatment The first two groups of cerebral blood flow anomalous perfusion 100.00%, after treatment decreased to 36.67%, better than the control group, the difference was statistically significant (P <0.05). Conclusion Digital hearing training can improve the language barrier of children with spastic cerebral palsy and relieve the cerebral blood perfusion abnormalities in children with cerebral palsy. It can be used as an important adjunct method to treat cerebral palsy with language dysgenesis.