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目的:观察综合神经康复治疗对智力障碍(ID)儿童的临床疗效;方法:2013年6月至2014年46例智力障碍患儿,其中智力发育障碍26例,全面发育迟缓20例,综合给予3个月的神经康复药物治疗、神经康复理疗和神经康复功能训练。治疗前和治疗后进行智力发育测试,比较治疗前后的智力变化情况。结果:(1)治疗后26名ID患儿韦氏智力测试得分仅2名智商无变化,13名提高5分以内,11名提高5分以上。治疗后言语智商、操作智商和总智商较治疗前均明显提高(P<0.05);(2)治疗后20名全面发育迟缓(GDD)儿童0~6岁儿童神经心理发育量表仅2名智龄无变化、10名提高3个月以内、8名提高3个月以上。治疗后较各项指标较治疗前有不同程度提高,其中大运动、精细运动、适应行为、语言和智龄比较,差异具有统计学意义(P<0.05),社交行为和发育商比较,差异无统计学意义(P>0.05)。结论:综合神经康复治疗能够明显提高智力障碍患儿的智龄和智商。
Objective: To observe the clinical effect of comprehensive neuro-rehabilitation on children with mental retardation (ID). Methods: From June 2013 to 2014, 46 children with mental retardation, including 26 cases of mental retardation, 20 cases of complete development retardation, were given 3 Month of neurological rehabilitation drug therapy, neurological rehabilitation and neurological rehabilitation training. Before and after treatment of mental development test, comparison of mental changes before and after treatment. Results: (1) After treatment, the scores of Wechsler intelligence test score of 26 ID children only remained unchanged within 2 points, within 13 points and within 5 points, 11 points increased above 5 points. After treatment, speech-IQ, IQ and total IQ were all significantly increased (P <0.05); (2) After treatment, the neuropsychological scores of 20 children with complete developmental delay (GDD) No change in age, 10 increased within 3 months, 8 increased more than 3 months. After treatment, compared with before treatment, all the indexes improved to some extent, among them, the difference was statistically significant (P <0.05) between the big exercise, fine motor, adaptation behavior, language and intellectual age, Statistical significance (P> 0.05). Conclusion: Comprehensive neurological rehabilitation can significantly improve the intellectual age and IQ of children with mental retardation.