听觉统合训练在智力低下患儿治疗中的作用

Effect of auditory integration training in treatment of children with mental retardation

目的 探讨听觉统合训练（AIT）对智力低下患儿智能发育的影响.方法 收集2016年5月至10月本院收治的智力低下患儿86例,按随机数字表分为观察组（n=43）与对照组（n=43）,对照组采用常规综合康复治疗,观察组在常规综合康复治疗的基础上联合早期AIT治疗,治疗后2个月评价临床疗效.治疗前、治疗后2个月分别行Gesell发育诊断量表测试,计算患儿运动发育指数（PDI）、智力发育指数（MDI）.结果 治疗后2个月进行疗效评价,观察组和对照组治疗有效率分别为93.0％（40/43）、69.8％（30/43）,组间比较差异有统计学意义（P＜0.05）.治疗后2个月观察组患儿Gesell发育诊断量表测试各项评分均显著高于对照组（均P＜0.05）.治疗后2个月观察组患儿PDI、MDI值分别为78.03±5.87、80.12±5.51,对照组分别为69.86±6.10、70.83±5.48,组间比较差异均有统计学意义（均P＜0.05）.结论 早期AIT可增强智力低下患儿的康复治疗效果,显著改善其智能发育.

Objective To investigate the effect of auditory integration training （AIT） on the intelligence development of children with mental retardation.Methods Eighty-six children with mental retardation,who were hospitalized in our hospital between May 2016 and October 2016,were randomly divided into the study group （n=43） and the control group （n=43）.The control group was treated by conventional comprehensive rehabilitation,and the study group was treated with early AIT on the basis of conventional comprehensive rehabilitation.The clinical effects were evaluated at 2 months after treatment.The Gesell development test was performed at the baseline and at 2 months after treatment,respectively,and the physical development index （PDI） and mental development index （MDI） were calculated.Results The effects were evaluated at 2 months after the treatment,and the effective rates in the study group and thecontrol group were 93.0% （40/43） and 69.8% （30/43）,respectively,with the statistically significantdifference between two groups （P〈0.05）.At 2 months after treatment,the scores of Gesell development test in the study group were significantly higher than those in the control group （all P〈0.05）.The PDI and MDI at 2 months after treatment were （78.03±5.87） and （80.12±5.51） in the study group,and （69.86±6.10） and （70.83 ±5.48） in the control group,respectively,with the statistically significant differences between two groups （all P〈0.05）.Conclusion Early AIT may enhance the rehabilitation of children with mental retardation,and significantly improve their intelligence development.