可视音乐治疗对精神发育迟滞患儿语言康复的作用

摘要

Objective To discuss the effects of visual music therapy on language rehabilitation in chil-dren with mental retardation.Methods Eighty children with mental retardation treated in Child Rehabilita-tion Department of our hospital from March 2013 to March 201 5 were divided into observation group(40 ca-ses)and control group(40 cases);control group received comprehensive training of language cognition,and observation group received visual music therapy combined with comprehensive training of language cogni-tion.Both groups received 2 courses of continuous treatment with 3 months as a course.Tests were per-formed with Beijing Gesell Scale for Children of 0~6 Years Old before and 2 courses after treatment to eval-uate language development quotient(DQ)and development months,and language function improvement was observed.Results After treatment,DQ in most cases of both groups was improved,but it was reduced to different extent in 4 cases of observation group and 14 cases in the control group.The DQ after treatment was better than that before treatment in the observation group,and there was statistical difference(P <0.05).The development month of both groups was better after treatment than before treatment,and the difference was statistical(P <0.05 ).After treatment,the DQ and language development month were both higher in the observation group than in the control group,the difference being statistical(P <0.05).Conclu-sion Visual music intervention combined with language training can better improve the language function of children with mental retardation.%目的：观察可视音乐治疗对精神发育迟滞患儿语言康复的疗效。方法2013年3月至2015年3月潍坊市妇幼保健院儿童康复科收治的精神发育迟滞患儿80例，随机分为观察组和对照组各40例。对照组予语言认知综合训练，观察组予可视音乐治疗结合语言认知综合训练。两组均为3个月1个疗程，连续治疗2个疗程。两组在治疗前及治疗2个疗程后均采用北京0~6岁 Gesell 量表测试，评估语言发育商(DQ)、发育月龄，观察患儿语言功能改善情况。结果治疗后两组大多数语言 DQ 值提高，部分较治疗前有不同程度降低，其中观察组4例，对照组14例。治疗后观察组 DQ 值优于治疗前，差异有统计学意义(P <0.05)；治疗后两组发育月龄均优于治疗前，差异有统计学意义(P <0.05)；两组治疗后观察组 DQ 值和语言发育月龄值均高于对照组，差异有统计学意义(P <0.05)。结论可视音乐干预结合语言训练能更好地改善精神发育迟滞患儿的语言功能。