听觉统合训练联合递进式情景语言认知训练对精神发育迟滞患儿语言功能的影响观察

Observation on the Impact of Auditory Integration Training Combined with Progressive Situational Language Cognitive Training on Language Function in Children with Mental Retardation

目的:探究听觉统合训练联合递进式情景语言认知训练对精神发育迟滞(mental retardation,MR)患儿语言功能的影响。方法:于2021年10月—2022年10月上饶市人民医院收治的MR患儿中选取100例作为研究对象,并按照随机数字表法分成对照组(50例)和研究组(50例)。对照组应用递进式情景语言认知训练,研究组应用听觉统合训练联合递进式情景语言认知训练。比较两组疗效、Gesell发育量表(语言行为、精细动作行为、大运动行为、适应行为、个人-社交行为)评分、S-S儿童语言发育迟缓量表(语言理解能力、表达能力、基本操作能力、交流态度)评分、Frenchay构音障碍量表(言语、口部肌肉运动、反射、呼吸)评分和婴儿-初中生社会生活能力量表评分。结果:研究组总有效率为94.00%,高于对照组的80.00%,差异有统计学意义(P<0.05)。治疗后,两组神经心理发育、语言发育、语言功能障碍和社会生活能力各项评分均高于治疗前,且研究组评分均高于对照组,差异均有统计学意义(P<0.05)。结论:听觉统合训练联合递进式情景语言认知训练对MR患儿的疗效显著,能有效改善患儿的神经发育情况,减轻语言功能障碍,提高社会生活能力。

Objective:To explore the effects of auditory integration training combined with progressive situational language cognitive training on language function in children with mental retardation(MR).Method:A total of 100 children with MR admitted to Shangrao People's Hospital were selected as the research objects form October 2021 to October 2022,they were divided into control group(50 cases)and study group(50 cases)according to random number table method.The control group was given progressive situational language cognitive training,while study group was given auditory integration training combined with progressive situational language cognitive training.The curative effect,Gesell development scale(language behaviors,fine motor behaviors,large motor behaviors,adaption behaviors,personal-social behaviors)scores,S-S children language development delay scale(language comprehension ability,expression ability,basic operating ability,communication attitude)scores,Frenchay dysarthria scale(language,oral muscle movement,reflex,breath)scores and the infants-junior middle school students'social-life abilities scale scores in the two groups were compared.Result:After treatment,the total effective rate in study group was 94.00%,higher than 80.00%in control group,the difference was statistically significantly(P<0.05).After treatment,scores of neuropsychological development,language development,language dysfunction and social life abilities in both groups were increased than those before treatment,and those in study group were higher than those in control group,the differences were statistically significantly(P<0.05).Conclusion:Curative effect of auditory integration training combined with progressive situational language cognitive training is significant on MR children,which can effectively improve neurological development,reduce language dysfunction and improve social life abilities.