中文摘要：

目的：通过音乐疗法对脑瘫儿童的疗效观察,探讨音乐治疗对脑瘫儿童的身体协调性、认知、音乐发育水平、情绪交往水平的影响。方法：收集2009年1月至2010年1月在广州中医药大学附属南海妇产儿童医院进行康复治疗,病史资料完整的脑性瘫痪患儿30例,其中男22例,女8例,年龄（3.9±1.2）岁,存在明确围产期脑缺氧病史者20例,早产15例,病理性黄疸13例。开始治疗时各患儿均伴有不同程度精神发育迟滞。根据各个儿童的个体情况,选择具体的音乐治疗项目,包括RBT音乐疗法、创造性音乐疗法、奥尔夫音乐疗法、即兴音乐活动、歌谣运用、音乐提示行为疗法、个体音乐疗法、群体音乐疗法、身势训练法、音乐聆听法、音乐系统脱敏训练、体感音乐疗法。以完成60次治疗为一疗程,于治疗前、疗程结束后采用音乐治疗评估量表对患儿行为水、情绪交往水平以及音乐发育水平进行测评,并对照前后两次分值改变情况。结果：显效8例（26.7%）,有效19例（63.3%）,无效3例（10%）,总有效率90.0%。总分情况,治疗前分值为（32.3±6.9）,治疗后分值为（46.3±6.5）,t值-8.0,P值为0.00（P〈0.01）;身体协调性、认知,治疗前分值为（15.8±4.1）,治疗后分值为（18.6±4.1）,t值-2.6,P值为0.01（P〈0.05）;音乐发育水平治疗前分值为（13.8±2.5）,治疗后分值为（17.0±2.5）,t值-4.8,p值为0.00（P〈0.01）;情绪治疗前分值为（1.5±1.3）,治疗后分值为（5.5±1.7）,t值-10.0,P值为0.00（P〈0.01）;交往治疗前分值为（1.2±1.3）,治疗后分值为（5.1±1.4）,t值-10.7,P值为0.00（P〈0.01）。结论：音乐治疗对脑瘫儿童的肢体运动协调能力、提高认知能力、改善情绪交往有一定的改善作用。

英文摘要：

Objective： To explore the effect of music therapy on children with cerebral palsy about the the physical coordination, cognition and music development level, emotional communication level. Methods：30 children with cerebral palsy ,collected in the Nanhai maternity and children hospital affiliated to Guangzhou university of Chinese medicine from January 2009 to January2010 , 22 boys and 8 girls ,age（3.9±1.2）years, 20 cases of HIE, 15 cases of premature birth, 13 cases of pathologic jaundice.At the beginning of treatments, the cases were diagnosed with mental retardation. According to the individual situation of each child, we would choose the specific music therapy program , such as RBT music therapy, creative music therapy, Orff music therapy, improvisational music activities, music prompt behavioral therapy, individual music therapy,group music therapy, body training, music listening, music desensitization training, body feeling music therapy. 60 times is a period of treatment.Before and after the treatment , we would evaluate the behavior, emotional communication and music development level by using the music therapy assessment scale.Results：8 cases （26.7%） were markly effictive, 19 cases （63.3%） effective , 3 cases （10%） invalid, the total efficiency 90%. About the total scores s, scores of before treatment is（32.3±6.9）, after treatment（46.3±6.5）, t value -8.0, P value 0.00 （ P〈0.01）;About the physical coordination and cognition , scores of before treatment was（15.8±4.1）, after treatment（18.6±4.1）, t value -2.6, P value 0.01 （P〈0.05）;About music development level, scores of before treatment was（13.8±2.5）, after treatment（17.0±2.5）, t value -4.8, P value 0.00 （P〈0.01）;About the emotional scores,scores of before treatment was（1.5±1.3）, after treatment（5.5±1.7）, t value -10, P value 0.00 （P〈0.01）;About the communication scores ,scores of before treatment was（1.2±1.3）, after treatment（5.1±1.4）, t value -10.7, P value 0.