可视音乐治疗对小儿精神发育迟滞的康复影响
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摘要
目的分析可视音乐治疗对精神发育迟滞儿童的康复影响。方法选取2013年6月-2016年6月在潍坊市妇幼保健院儿童康复科治疗的精神发育迟滞儿童100例,年龄3~6岁,随机分为观察组和对照组各50例。对照组采用常规康复治疗,观察组在对照组基础上予以可视音乐治疗。两组在治疗前及治疗6个月后均采用Gesell发育量表及婴儿-初中生社会生活能力量表进行评定,观察智能水平和社会生活能力改善情况。结果治疗后观察组Gesell发育量表中适应性、大运动、精细动作、语言和个人-社交5个能区发育商(DQ)和发育年龄(DA)均优于治疗前和对照组,差异均有统计学意义(P<0.05)。治疗后两组婴儿-初中生社会生活能力量表中总分及标准分均优于治疗前;两组治疗后,观察组总分及标准分提高程度均高于对照组,差异均有统计学意义(P均<0.05)。结论可视音乐治疗能明显提高精神发育迟滞儿童的智能发育水平及社会适应能力,值得在临床推广使用。
Objective To explore visual music therapy to mental retardation children's rehabilitation effect. Methods A total of 100 children with mental retardation in children's rehabilitation treatment from June 2013 to June 2015,3 to 6 years old,were randomly divided into observation group and control group with 50 cases in each group.The control group was treated with routine rehabilitation therapy,and the observation group was treated with visual music based on the control group.They were evaluated by Gesell Development Scale and Infants-Junior Middle School Students' Social Life Ability Scale before treatment and after 6months,to observate improvement of children's intelligence level and of social life ability. Results After treatment,the Gesell Development Scale of adaptability,large movement,fine motor,language and personal social 5 areas development quotient(DQ)and development age(DA)in observation group were better than that of before treatment and the control group,the differences were all statistically significant(all P <0.05).After treatment Infants Junior Middle School Students' Social Life Ability Scale scores and standard scores of two groups were better than that of before;after treatment,the observation group total score and standard score improvement degree of the two groups were higher than that of the control group,the differences were all statistically significant(all P <0.05). Conclusion Visual music therapy can significantly improve the mental retardation and social life ability of children with mental development,it is worth in clinical application.
Objective To explore visual music therapy to mental retardation children's rehabilitation effect. Methods A total of 100 children with mental retardation in children's rehabilitation treatment from June 2013 to June 2015,3 to 6 years old,were randomly divided into observation group and control group with 50 cases in each group.The control group was treated with routine rehabilitation therapy,and the observation group was treated with visual music based on the control group.They were evaluated by Gesell Development Scale and Infants-Junior Middle School Students' Social Life Ability Scale before treatment and after 6months,to observate improvement of children's intelligence level and of social life ability. Results After treatment,the Gesell Development Scale of adaptability,large movement,fine motor,language and personal social 5 areas development quotient(DQ)and development age(DA)in observation group were better than that of before treatment and the control group,the differences were all statistically significant(all P <0.05).After treatment Infants Junior Middle School Students' Social Life Ability Scale scores and standard scores of two groups were better than that of before;after treatment,the observation group total score and standard score improvement degree of the two groups were higher than that of the control group,the differences were all statistically significant(all P <0.05). Conclusion Visual music therapy can significantly improve the mental retardation and social life ability of children with mental development,it is worth in clinical application.
引文
[1]Koya PK,Chougaonkar MP,Predeep P,et al.Effect of low and chronic radiation exposure:A case-control study of mental retardation and cleft lip/palate in the monazite-bearing coastal areas of Southern Kerala[J].Radiat Res,2012,177(1):109-116.
[2]Alpatov R,Lesch BJ,Nakamoto-Kinoshita M,et al.A Chromatin-Dependent Role of the Fragile X Mental Retardation Protein FMRP in the DNA Damage Response[J].Cell,2014,157(4):869-881.
[3]王新宪,朱庆生.中国0~6岁残疾儿童抽样调查报告[M].北京:中国统计出版社,2001:94-103.
[4]李雪荣,苏林雁,罗学荣,等.中国精神疾病分类与诊断标准第三版(CCMD-3)儿童青少年部分的修订与现场测试[J].中国心理卫生杂志,2002,16(4):230-233.
[5]张致祥,左启华.“婴儿-初中生社会生活能力量表”再标准化[J].中国临床心理学杂志,1995,3(1):12-15.
[6]邵丽.音乐治疗的现况与进展[J].中国康复医学杂志,2009,24(10):959-962.
[7]黄昭鸣,李立勤,金野.特殊需要儿童可视音乐干预的原理与方法[J].中国听力语言康复科学杂志,2008,31(6):67-69.
[8]赵慧慧.可视音乐在治疗自闭症患者中的应用价值[J].艺术科技,2016,29(2):65-66.
[9]任孝杰,邓贵森,苏合英.生物MCAI视听表达心理策略的设计[J].运城学院学报,2006,24(2):53-54.
[10]李玲,焦云,黄翠.运动障碍儿童Gesell发育量表评估情况分析[J].中国康复医学杂志,2012,11(18):1060-1061.
[11]Nguyen-Minh S,Drossel K,Horn D,et al.Combined deletion 18q22.2and duplication/triplication 18q22.1causes microcephaly,mental retardation and leukencephalopathy[J].Gene,2013,523(1):92-98.
[12]刘振寰,尹鲜桃,赵勇.音乐治疗脑性瘫痪合并精神发育迟滞患儿的临床观察[J].中国儿童保健杂志,2014,22(6):670-672.
[13]孙殿荣,候梅,郭洪磊.婴幼儿脑瘫治疗前后Gesell发育量表的评估结果及分析[J].中国儿童保健杂志,2015,23(1):67-69.
[14]邹小兵,静进.发育行为儿科学[M].北京:人民卫生出版社,2005:11-13.
[15]刘艳,查树伟,陈银花,等.江苏省有代表性地区4-7岁儿童智力发育和社会生活能力筛查分析[J].中国儿童保健杂志,2012,20(6):498-500.
[16]刘松怀,梁志锋,洪晔,等.169例脑瘫患儿的智力及适应行为分析[J].中国康复理论与实践,2010,16(12):1180-1182.
[2]Alpatov R,Lesch BJ,Nakamoto-Kinoshita M,et al.A Chromatin-Dependent Role of the Fragile X Mental Retardation Protein FMRP in the DNA Damage Response[J].Cell,2014,157(4):869-881.
[3]王新宪,朱庆生.中国0~6岁残疾儿童抽样调查报告[M].北京:中国统计出版社,2001:94-103.
[4]李雪荣,苏林雁,罗学荣,等.中国精神疾病分类与诊断标准第三版(CCMD-3)儿童青少年部分的修订与现场测试[J].中国心理卫生杂志,2002,16(4):230-233.
[5]张致祥,左启华.“婴儿-初中生社会生活能力量表”再标准化[J].中国临床心理学杂志,1995,3(1):12-15.
[6]邵丽.音乐治疗的现况与进展[J].中国康复医学杂志,2009,24(10):959-962.
[7]黄昭鸣,李立勤,金野.特殊需要儿童可视音乐干预的原理与方法[J].中国听力语言康复科学杂志,2008,31(6):67-69.
[8]赵慧慧.可视音乐在治疗自闭症患者中的应用价值[J].艺术科技,2016,29(2):65-66.
[9]任孝杰,邓贵森,苏合英.生物MCAI视听表达心理策略的设计[J].运城学院学报,2006,24(2):53-54.
[10]李玲,焦云,黄翠.运动障碍儿童Gesell发育量表评估情况分析[J].中国康复医学杂志,2012,11(18):1060-1061.
[11]Nguyen-Minh S,Drossel K,Horn D,et al.Combined deletion 18q22.2and duplication/triplication 18q22.1causes microcephaly,mental retardation and leukencephalopathy[J].Gene,2013,523(1):92-98.
[12]刘振寰,尹鲜桃,赵勇.音乐治疗脑性瘫痪合并精神发育迟滞患儿的临床观察[J].中国儿童保健杂志,2014,22(6):670-672.
[13]孙殿荣,候梅,郭洪磊.婴幼儿脑瘫治疗前后Gesell发育量表的评估结果及分析[J].中国儿童保健杂志,2015,23(1):67-69.
[14]邹小兵,静进.发育行为儿科学[M].北京:人民卫生出版社,2005:11-13.
[15]刘艳,查树伟,陈银花,等.江苏省有代表性地区4-7岁儿童智力发育和社会生活能力筛查分析[J].中国儿童保健杂志,2012,20(6):498-500.
[16]刘松怀,梁志锋,洪晔,等.169例脑瘫患儿的智力及适应行为分析[J].中国康复理论与实践,2010,16(12):1180-1182.