听觉统合训练对整体发育迟缓儿童语言及情绪-社会性的影响

关键词：听觉统合训练  语言  情绪  社会性  整体发育迟缓儿童

Keywords:auditory integration training  language  emotion  social  global developmental delay children

摘要：

      摘要 目的:探讨听觉统合训练（auditory integration training，AIT）对整体发育迟缓（global developmental delay，GDD）儿童语言及情绪-社会性的治疗效果。 方法:144例GDD儿童随机分成治疗组、对照组和空白对照组，每组轻度GDD 28例，中重度GDD 20例。运用脑干诱发电位仪行ASSR测试判定听觉敏感频率，数码听觉统合训练仪进行AIT治疗，采用0—6岁小儿神经心理发育检查表、AIT疗效调查表，治疗前后3个月语言发育商、总发育商评分差异及AIT治疗3个月后临床症状的变化来评估整体疗效。 结果:治疗3个月后，治疗组中轻度GDD语言DQ、总DQ较治疗前明显提高(P＜0.001)，而治疗组中中重度GDD患儿以及全部对照组中患儿语言DQ、总DQ较治疗前提高不明显，差异无显著性意义(P＞0.05)，全部空白对照组语言DQ、总DQ较治疗前明显降低(P＜0.01，P＜0.05)。轻度GDD三组患儿治疗后3个月语言DQ、总DQ差异有非常显著性意义(P＜0.001)，中重度GDD三组患儿治疗后3个月总DQ差异有显著性意义(P＜0.05)。治疗后两两比较显示：轻度GDD治疗组与空白对照组语言DQ、总DQ比较差异显著(P＜0.01，P＜0.01)，中重度GDD治疗组与空白对照组总DQ比较差异显著(P＜0.05)，轻度、中重度GDD对照组与空白对照组总DQ比较差异显著(P＜0.05)，轻度GDD对照组与空白对照组语言DQ比较差异无显著性意义(P＞0.05)。AIT治疗3个月后在语言、社会交往上平均总有效率60.42%、72.92%，控制情绪能力平均总有效率20.83%。 结论:AIT能促进轻度GDD儿童语言发育水平，提高GDD儿童社会交往能力及改善情绪。

Abstract:

      Abstract Objective：To discuss the curative efficacy of auditory integration training（AIT） on global developmental delay（GDD） children's development of language and emotional-sociality. Method：Totally 144 cases diagnosed as GDD children were randomly divided into 3 groups, namely as treatment group, control group and blank control group. Cases in each group composed of 28 mild GDD children and 20 severe GDD children. Data on auditory sensitive frequency in ASSR tests by brainstem evoked potential equipment，the neuropsychological development checklist for children aged 0-6 years old, AIT efficacy questionnaire，patients' changing of language DQ， general DQ， as well as symptoms were collected before and 3 months after AIT treatment with digital auditory integration training instrument were adopted to access the overall efficacy. Result: Three months after the treatment，mild GDD patients in treatment group had significant improvement in language DQ and general DQ comparing with the status before treatment (P<0.001). The severe GDD patients in treatment group and all patients in control group had no significant improvement in language DQ and general DQ comparing with the status before treatment (P>0.05). All patients in blank control group showed significant decrease in language DQ and general DQ comparing with the status before treatment (P<0.01, P<0.05). 3 months after the treatment, mild GDD patients in 3 groups had statistically significant difference (P<0.001) in language DQ and general DQ, while the severe GDD patients in 3 groups had statistically significant difference (P<0.05) in general DQ. Comparing in pairs after treatment, mild GDD patients in the treatment group and in the blank control group had very significant difference in language DQ and general DQ (P<0.01,P<0.01). Severe GDD patients in treatment group and in blank control group had relatively significant difference in general DQ (P<0.05), Mild and severe GDD patients in the control group and in blank control group had relatively significant difference in general DQ (P<0.05). Mild GDD patients in control group and in blank control group had no statistically significant difference in language DQ (P>0.05). After 3 months of AIT, the average overall efficacy rate are 60.42% in language and 72.92% in social behavior，and the average overall efficacy rate was 20.83% in emotional control ability. Conclusion：AIT can help to foster mild GDD children's language development，improve GDD children's social communication ability and emotion control ability.