| 摘要: |
| ［摘要］ 目的 观察神经发育疗法联合认知训练在全面发育迟缓（GDD）婴儿家庭康复治疗中的应用效果。方法 招募2019年1月至2020年12月广西壮族自治区人民医院收治的GDD婴儿50例，采用随机数字表法将其分为观察组（接受神经发育疗法联合认知训练）和对照组（接受神经发育疗法），各25例。对照组有3例因未能完成治疗而剔除，最终纳入观察组25例，对照组22例。于治疗前、治疗1个月和治疗3个月时采用Gesell发育评估方法评估GDD婴儿适应性能区、粗大运动能区、精细运动能区、语言能区和个人社交能区的发育商（DQ），并进行组间比较。结果 两组治疗前适应性能区、粗大运动能区、精细运动能区、语言能区和个人社交能区的DQ比较差异无统计学意义（P>0.05）。在治疗1个月、治疗3个月时，两组适应性能区、粗大运动能区、精细运动能区和语言能区的DQ均较治疗前显著提高（P<0.05），且在治疗3个月时观察组上述4个能区的DQ均较对照组更高，差异有统计学意义（P<0.05）。在治疗3个月时，两组个人社交能区的DQ均较治疗前显著提高（P<0.05），且观察组的DQ较对照组更高，差异有统计学意义（P<0.05）。结论 在家庭康复治疗中应用神经发育疗法联合认知训练可改善GDD婴儿认知、运动、语言等各能区的发育水平。 |
| 关键词: 神经发育疗法 认知训练 全面发育迟缓 婴儿 家庭康复治疗 |
| DOI：10.3969/j.issn.1674-3806.2025.10.15 |
| 分类号:R 493 |
| 基金项目:广西壮族自治区人民医院青年基金项目（编号：QN2018-30） |
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| Observation on the application effect of neurodevelopmental therapy combined with cognitive training in the family rehabilitation treatment for infants with global developmental delay |
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LI Liewang, HE Shuang, LIU Yuancheng, XIAN Jun, LI Wei
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Department of Children′s Rehabilitation Treatment, the People′s Hospital of Guangxi Zhuang Autonomous Region, Nanning 530021, China
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| Abstract: |
| ［Abstract］ Objective To observe the application effect of neurodevelopmental therapy combined with cognitive training in the family rehabilitation treatment for infants with global developmental delay(GDD). Methods Fifty infants with GDD who were admitted to the People′s Hospital of Guangxi Zhuang Autonomous Region from January 2019 to December 2020 were recruited and divided into observation group(receiving neurodevelopmental therapy combined with cognitive training) and control group(receiving neurodevelopmental therapy) by random number table method, with 25 infants in each group. In the control group, 3 infants were excluded due to their incomplete treatments, and finally 25 infants were included in the observation group and 22 infants in the control group. The development quotients(DQ) of the GDD infants′ adaptation functional domain, gross motor functional domain, fine motor functional domain, language functional domain and personal social contact functional domain were evaluated by using Gesell Developmental Schedules before treatment, at 1 month of treatment and at 3 months of treatment, and comparisons were conducted between the two groups. Results There were no significant differences in the DQ of the adaptation functional domain, gross motor functional domain, fine motor functional domain, language functional domain and personal social contact functional domain between the two groups before treatment(P>0.05). At 1 month and 3 months of treatment, the DQ of the adaptation functional domain, gross motor functional domain, fine motor functional domain and language functional domain in the two groups were significantly increased compared with those before treatment(P<0.05), and the DQ of the 4 functional domains in the observation group were higher than those in the control group at 3 months of treatment, and the differences were statistically significant(P<0.05). At 3 months of treatment, the DQ of personal social contact functional domain in the two groups were significantly increased compared with those before treatment(P<0.05), and the DQ in the observation group were higher than those in the control group at 3 months of treatment, and the differences were statistically significant(P<0.05). Conclusion In family rehabilitation treatment, the application of neurodevelopmental therapy combined with cognitive training can improve the development levels of the cognitive, motor and language functional domains in GDD infants. |
| Key words: Neurodevelopmental therapy Cognitive training Global developmental delay(GDD) Infants Family rehabilitation treatment |
