Rehabilitation Department, Baoji People's Hospital, Baoji, Shaanxi, China.
Medicine (Baltimore). 2024 Oct 25;103(43):e39898. doi: 10.1097/MD.0000000000039898.
This study aims to investigate the effects of early speech and language cognitive training on the nursing outcomes of children with language impairments and their impact on developmental quotient. From October 2018 to October 2023, the data of 80 children with language impairments treated at our hospital were selected. They were divided into an observation group (n = 40) and a control group (n = 40) based on the treatment plan. The control group received routine rehabilitation training, while the observation group received early cognitive language rehabilitation training. The treatment efficacy of the 2 groups, as well as differences in Gesell Developmental Schedule scores and serum indicators before and after treatment, were observed and analyzed. The treatment efficacy in the observation group was superior to that in the control group (P < .05), with a total effective rate of 92.50% in the observation group. After 6 months of treatment, the scores for adaptability, gross motor skills, fine motor skills, personal-social behavior, and language development quotient in the observation group were (77.41 ± 10.21), (77.15 ± 10.43), (80.43 ± 11.19), (71.14 ± 10.42), and (81.21 ± 12.03), respectively, significantly higher than those in the control group (P < .05). After 6 months of treatment, the mental development index and psychomotor development index in the observation group were (107.28 ± 10.43) and (96.60 ± 9.03), respectively, which were markedly higher than those in the control group (P < .05). After 6 months of treatment, the serum levels of insulin-like growth factor-1, 25-hydroxyvitamin D [25(OH)D3], and gamma-aminobutyric acid in the observation group were (52.43 ± 9.44) ng/mL, (31.45 ± 4.82) ng/mL, and (76.65 ± 10.54) µmol/mL, respectively. These levels were not significantly different from those in the control group (P > .05). The blood flow velocities of the middle cerebral artery, anterior cerebral artery, basal artery, and vertebral artery in the observation group and control group were compared after 6 months of treatment (P > .05). Early speech and cognitive training have shown promising efficacy in the treatment of language disorders, as it can improve developmental quotient in affected children and increase serum levels of insulin-like growth factor-1, 25(OH)D3, and gamma-aminobutyric acid.
本研究旨在探讨早期言语语言认知训练对语言障碍儿童护理结局的影响及其对发育商的影响。2018 年 10 月至 2023 年 10 月，选取我院收治的 80 例语言障碍患儿为研究对象，根据治疗方案分为观察组（n=40）和对照组（n=40）。对照组接受常规康复训练，观察组接受早期认知语言康复训练。观察两组治疗效果及治疗前后 Gesell 发育量表评分、血清指标的差异。观察组治疗效果优于对照组（P<0.05），观察组总有效率为 92.50%。治疗 6 个月后，观察组适应性、大运动技能、精细运动技能、个人-社会行为和语言发育商评分分别为（77.41±10.21）、（77.15±10.43）、（80.43±11.19）、（71.14±10.42）和（81.21±12.03），明显高于对照组（P<0.05）。治疗 6 个月后，观察组精神发育指数和运动发育指数分别为（107.28±10.43）和（96.60±9.03），明显高于对照组（P<0.05）。治疗 6 个月后，观察组血清胰岛素样生长因子-1、25-羟维生素 D[25（OH）D3]和γ-氨基丁酸水平分别为（52.43±9.44）ng/ml、（31.45±4.82）ng/ml和（76.65±10.54）μmol/ml，与对照组比较差异无统计学意义（P>0.05）。治疗 6 个月后，观察组和对照组大脑中动脉、大脑前动脉、基底动脉和椎动脉的血流速度比较，差异无统计学意义（P>0.05）。早期言语认知训练治疗语言障碍具有较好的疗效，能提高患儿发育商，且能增加血清胰岛素样生长因子-1、25（OH）D3和γ-氨基丁酸水平。
