音乐治疗脑性瘫痪合并精神发育迟滞患儿的临床观察

发布时间：2018-06-16 18:45

本文选题：脑性瘫痪 + 精神发育迟滞　；参考：《中国儿童保健杂志》2014年06期

【摘要】：目地探讨音乐治疗在合并有精神发育迟滞的脑性瘫痪患儿康复治疗中的作用。方法对60例合并有精神发育迟滞的脑性瘫痪患儿进行音乐治疗,治疗过程包括:问题行为分析,确定靶行为,训练短期目标,训练长期目标。具体方法包括:1)聆听音乐;2)进行音乐暗示放松训练;3)奥尔夫音乐疗法的应用。疗程:每周6次,每次30~35min,3周为1个疗程,休息15d后再进行第2个疗程,3个疗程及6个疗程后分别评估疗效。疗效评定参照《新音乐治疗师手册》中音乐治疗前、中、后测量表进行治疗前后的评估。结果治疗3个疗程后显效15例,有效18例,总有效率为55.5%;6个月后随访,显效22例,有效19例,总有效率为68.3%。结论音乐治疗对合并有精神发育迟滞的脑性瘫痪患儿的认知能力、身体协调能力、音乐发育水平及情绪交往能力有改善作用,可在脑性瘫痪康复中起到良好的辅助作用。
[Abstract]:Objective to explore the role of music therapy in rehabilitation of children with cerebral palsy complicated with mental retardation. Methods Music therapy was performed on 60 children with cerebral palsy complicated with mental retardation. The treatment process included: analysis of problem behavior, determination of target behavior, training of short-term and long-term goals. Methods include: 1) listening to music 2) music hint relaxation training / 3) the application of Orff's music therapy. Course of treatment: 6 times a week, 30 minutes per week for 3 weeks as a course of treatment, rest for 15 days and then carry on the second course of treatment, 3 courses and 6 courses of treatment respectively to evaluate the curative effect. The therapeutic effect was evaluated with the "Manual of New Music therapists" before, after and after music therapy. Results after 3 courses of treatment, 15 cases were effective, 18 cases were effective, the total effective rate was 55.5%, and 6 months later, 22 cases were effective, 19 cases were effective, and the total effective rate was 68.3%. Conclusion Music therapy can improve the cognitive ability, physical coordination ability, music development level and emotional communication ability of children with cerebral palsy complicated with mental retardation, and can play a good auxiliary role in the rehabilitation of cerebral palsy.
【作者单位】：广州中医药大学附属南海妇产儿童医院;
【基金】：广东省中医药管理局科研立项项目(2010010)
【分类号】：R749.94

【参考文献】