CN111640487A - Cognitive recall imagination combined training device for mental patients - Google Patents
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Abstract
The invention discloses a mental patient cognition recall imagination combined training device, which comprises a cognition function training device, a life review training device, an imagination future training device and a life review and imagination future training device, wherein the cognition function training device is connected with the life review and imagination future training device through a network; the cognitive function training device and other three training devices form a cognitive-life review training device, a cognitive-imagining future training device and a cognitive-life review and imagining future training device respectively; the cognition-life review training device, the cognition-imagination future training device and the cognition-life review and imagination future training device are freely selected by the trainer according to the training purpose. The invention solves the problem that the existing mental patient training device is difficult to effectively improve the memory imagination function of the mental patient, thereby achieving the purpose of comprehensively improving the cognitive function, the memory imagination ability and the social function of the patient.
Description
Technical Field
The invention relates to the technical field of mental disease rehabilitation, in particular to a cognitive memory imagination combined training device for mental patients.
Background
The psycho-temporal journey (MTT) is a cognitive function, being the ability of an individual to recall the past and imagine the future. It is a common function existing in human and real life, and plays an important role in human life. It helps people make adaptive decisions, regulate mood, establish and maintain positive opinions on themselves, and help with psychological adaptation. If MTT is impaired, the cognitive, emotional and behavioral processes of a patient are affected, people have difficulty reviewing life, and it is not favorable for people to make decisions, solve problems, plan the future and make reasonable time estimates for activities of daily living, if the future is imagined.
Cognitive dysfunction such as difficulty in attention, memory decline, poor executive function, past memory recall and poor ability to imagine the future is one of the most serious symptoms restricting the outcome of treatment and rehabilitation of schizophrenia at present, and the search for effective means for improving cognitive dysfunction is one of the most important fields in clinical research of the schizophrenia at present. Unfortunately, to date, there is no clinically definite drug that can improve the cognitive function of patients in a comprehensive manner, and therefore, the search for non-drug treatment is one of the most important directions in the study of cognitive impairment caused by schizophrenia.
At present, some basic cognitive function training devices are available, but most of the basic cognitive function training devices are mainly used for improving cognitive functions and have no effect of improving the psychological time of schizophrenia. In addition, although some researchers have examined the improvement effect of life review training on the recall of schizophrenia patients in the past, the studies have not examined the influence of life review training on imagining the future, and have not examined the effect of using life review training, imagination future training and life review training respectively in combination with imagination future training. The traditional life review training device, the imagination future training device and the life review training combined imagination future training device all have the effect of improving the psychological time travel, and the interference effect difference of the methods is not obvious, but the improvement effect on the basic cognitive function is not good enough.
Therefore, it is necessary to provide a training device for mental patients, which effectively combines basic cognitive function training, life review training and imagination future training.
Disclosure of Invention
The invention aims to provide a mental patient cognitive memory imagination combined training device, which is used for solving the problems in the prior art and can achieve the purpose of effectively improving the cognitive function, the memory imagination capability and the social function of a patient.
In order to achieve the purpose, the invention provides the following scheme: the invention provides a cognitive recall imagination combined training device for mental patients, which is characterized in that: the training device comprises a cognitive function training device, a life review training device, a future imagination training device and a life review and future imagination training device;
the cognitive function training device and the life review training device form a cognitive-life review training device which is used for improving the psychological time travel cognitive function of the patient mainly based on the recall ability, helping the patient to psychologically adapt, regulating emotion and establishing and maintaining self positive opinions;
the cognitive function training device and the imagination future training device form a cognitive-imagination future training device which is used for improving the travel cognitive function of psychological time mainly based on imagination of patients, helping the patients to make decisions, solving problems, planning the future and making reasonable time estimation on daily life activities;
the cognitive function training device and the life review training and future imagining training device form a cognitive-life review and future imagining training device which is used for improving the cognitive function of the patient during the psychological time that the patient perceives the past, present and future self aspects as the main aspects, enhancing the self continuity from the present to the future, improving the experience of the patient from the past experience and generating detailed future expectation;
the cognition-life review training device, the cognition-imagination future training device and the cognition-life review and imagination future training device are freely selected by the trainer according to the training purpose.
Preferably, the cognitive function training device comprises an attention module, a memory module, an execution function module and a social cognitive training module;
the cognitive training module comprises rapid matching, continuous matching, difference finding, picture classification, emotion management and a shopping plan.
Preferably, the life review training device comprises a life cycle event recall module and a specific time event recall module;
the life cycle event memory module is used for training memory of specific life events of childhood, adolescence, adulthood and the last year;
the specific time event memory module is used for training memory of specific life events of childhood, adolescence, adulthood and the last year, requires specific time, place and event to occur, lasts for no more than one day, and provides written specific events.
Preferably, the imagination future training device is used for training imagination for specific possible events or for specific goals and implementation steps after 1 week, 1 year, 5 years and 5 years.
Preferably, the life review training and envisioning means is for life review specific events that occur and envision specific life events that may occur in the future, and for each session, the participants are trained to retrieve past events over a period of time and envision possible future over a period of time.
The invention discloses the following technical effects: the invention solves the problem that the existing mental patient training device is difficult to effectively improve the cognitive recall imagination function of the mental patient, thereby comprehensively and effectively improving the cognitive ability, the life recall ability and the imagination future ability of the mental patient, being beneficial to helping the patient to make adaptive decision, adjust emotion and establish and maintain positive opinion on the patient, and being beneficial to social adaptation.
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In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive exercise.
FIG. 1 is a schematic diagram of a mental patient cognitive recall imagination training device of the invention;
fig. 2 is a schematic diagram of the specific training content of the mental patient cognitive recall imagination training device.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in further detail below.
Referring to fig. 1-2, the invention provides a cognitive recall imagination combined training device for mental patients, which comprises a cognitive function training device, a life review training device, an imagination future training device and a life review and imagination future training device;
the cognitive function training device and the life review training device form a cognitive-life review training device, the cognitive function training device and the imagination future training device form a cognitive-imagination future training device, the cognitive function training device and the life review and imagination future training device form a cognitive-life review and imagination future training device, and a patient can voluntarily select the three training devices according to training purposes.
The cognition-life review training device is used for improving the cognitive function of the psychological time based on the recall ability of the patient, helping the patient to psychologically adapt, regulating the emotion and establishing and maintaining the positive opinion on the patient; during training, a group of 6-8 people is taken as a training group, and the training group comprises 1-hour cognitive training and 1-hour life review training, 3 times per week and 4 weeks;
the cognitive function training device comprises an attention module, a memory module, an execution function module and a social cognitive training module, wherein the cognitive training module comprises quick matching, continuous matching, difference finding, picture classification, emotion management and shopping plans;
the life review training device comprises a life cycle event recall module and a specific time event recall module; the first three weeks are trained using a lifecycle events recall module that trains recall specific life events from childhood, adolescence, adulthood, and the last year, providing approximately 14 questions for each lifecycle to help retrieve specific events. Problems during childhood include: what are your most happy things? What do you father do a day to surprise you? Problems with puberty include: who are you most like? Why? The problems in adulthood include: what are you the best at work? What is the most important thing you have done? What is the most important thing in the last year? In the fourth week, training is carried out by adopting a specific time event recall module, wherein the specific time event recall module is used for training and recalling specific life events of childhood, adolescence, adulthood and the last year, requiring specific time, place and event to occur, lasting no more than one day and providing written specific events;
life review training devices encourage participants to share their life events with others during training, and if the events generated by the participants are not specific, the panelists or trainers will prompt the participants to be more specific until a particular event is generated.
The cognition-imagination future training device is used for improving the psychological time travel cognition function mainly based on imagination of a patient, helping the patient to make decisions, solve problems, plan the future and make reasonable time estimation on daily life activities; during training, a group of 6-8 people is taken as a group, and the group comprises 1-hour cognitive training and 1-hour imagination future training, wherein the training is performed 3 times per week for 4 weeks;
the cognitive function training device comprises an attention module, a memory module, an execution function module and a social cognitive training module, wherein the cognitive training module comprises quick matching, continuous matching, difference finding, picture classification, emotion management and shopping plans;
imagine a future training device for training to imagine events that may occur specifically after 1 week, 1 year, 5 years and 5 years into the future or to establish a specific target and implementation procedure, and to provide questions at each time period to help imagine a specific event or set a target. For example, the following week: what are you going to do next week? In the next year: what is the most important thing you are to do in the next year? And 5 years in the future: can you specify what is important in your life in the next 5 years? After five years: what is the most important thing you intend to do five years later? If the generated event is not specific, the panelist or trainer will prompt the participant to be more specific until a specific event is generated.
Cognition-life review and imagination future training devices are used for improving the cognitive function of a patient on perceiving past, present and future psychological time-based travel of self aspects, enhancing the continuity of self from present to future, improving the experience of the patient on the past experience, and generating detailed future expectations; at the time of training, a group of 6-8 people is taken, and the group comprises 1 hour cognitive training and 1 hour life retrospective and imagination future training, 3 times per week for 4 weeks;
the cognitive function training device comprises an attention module, a memory module, an execution function module and a social cognitive training module, wherein the cognitive training module comprises quick matching, continuous matching, difference finding, picture classification, emotion management and shopping plans;
life review training and envisioning device in training, participants are asked to recall specific events that occurred in the past and to envision specific life events that may occur in the future, and for each session, participants are trained to retrieve past events over a period of time and to envision a possible future over a period of time that is the same as the life review training device, the envisioning training future.
To further verify the effectiveness of the present invention, 100 patients with schizophrenia in the Anshun Corning Hospital, Guizhou province were selected in this example. The training set is divided into a imagination future training set, a life review and imagination future training set, a life review training set, a cognition-life review and imagination future training set and a control set at random, wherein each set comprises 20 cases. Patients in the training group received training and medication. The control group was treated with the conventional medication only. A 20 demographically matched healthy control group was also recruited. According to the prior research, the three training devices, namely the future training device, the life review and imagination future training device and the life review training device, are found to have the effect of improving the psychological time travel, and the interference effect difference of the methods is not obvious, so that the embodiment only adopts the cognition-life review and imagination future training device to actually train the patient, and the training result obtained by the training device can indirectly reflect the training effect achieved by the cognition-life review training device and the cognition-imagination future training device.
Patient inclusion criteria were 1) compliance with the international classification of diseases (ICD-10) tenth revision (world health organization, 1992) diagnostic criteria for schizophrenia; 2) no history of neurological disease; 3) no history of drug/alcohol abuse/dependence; 4) untreated by electric shock for approximately three months; 5) age 18-55 years old; 6) the intelligence quotient of primary school and above culture is higher than 70.
The inclusion criteria for healthy controls were 1) no history of psychosis; 2) a first degree of relatives not diagnosed with a psychiatric disorder; 3) no history of neurological disease; 4) no history of drug/alcohol abuse/dependence; 5) age 18-55 years; the intelligence quotient of primary school and above culture is higher than 70. Age, gender, age of education and intelligence quotient were matched between the patient group and the healthy control group. This example was approved by the ethical committee and given written informed consent from all participants.
The embodiment analyzes the training result by adopting an MTT test and a cognitive function test, and the specific content is as follows:
the MTT test is an adaptation of the self-propagating memory test, which includes two parts: recall the past and imagine the future. In the test, participants were asked to recall past events of a specificity associated with a cue word or imagine a future event of a specificity associated with a cue word that may occur. For each clue, the participant has a time of one minute to generate a specific event, which is then described. There are two groups of 15 clue words (5 positive clue words, 5 neutral clue words, 5 negative clue words in each group). Each group of cue words is randomly assigned to recall or imagination and balanced among the participants. The sequence of recall and imagination is also relatively balanced among the participants. The participants are informed of the criteria of a specific event, i.e. a specific event refers to an event that occurs at a specific time, place, duration, not exceeding one day. Examples of specific events are provided. The subject is also asked to report the perspective (observer or participant) of the generated event. The participant means to see what happens through his eyes, and the observer means to see the event from the outside as one observer. The answers to be tested are recorded and then scored. The proportion of specific events and the field view ratio used are the main indicators of the test. Two scoring workers scored the specificity of the events generated by 5 participants and calculated the scoring consistency, with the score coefficient of 0.85 for the scorers with better consistency.
Verbal memory and visual memory were measured using the modified logical memory (immediate and delayed recall) and visual reproduction (immediate and delayed recall) sub-tests of the wegener's memory scale. In addition, language fluency tests are used to measure cognitive function. IQ is measured using the four sub-scales (information, arithmetic, similarity and numerical extent) of the Webster adult mental Scale revision (WAIS-R).
Data were analyzed using SPSS 24.0. The data analysis mainly comprises two parts, namely a first part, and the comparison among schizophrenia groups uses repeated measurement analysis of variance to investigate the intervention effect. Second, the patient group and the healthy control group were compared at the time of evaluation of the anterior test and the posterior test, respectively, to check the degree of injury of the patients at the time of the anterior test and whether the posterior test could reach a healthy level. All pairwise comparisons were corrected for Bonferroni.
By adopting the above training and measuring indexes, the present embodiment obtains the following results:
(1) demographic and clinical data
The demographic and clinical assessments of the pretest are shown in table 1. There was no statistical significance for the difference in demographic variables between patient groups, patient groups and healthy groups (p < 0.05). Clinical variable differences among patient groups were not statistically significant (p < 0.05).
TABLE 1 Subjects' premeasured demographic and clinical data (mean. + -. standard deviation)
(2) Comparison of MTT specificity in previous and subsequent measurements
1. Imagining future training set, life review and imagining future training set, life review training set, cognition-life review and imagining future training set, control group comparison at ante-survey and post-survey
5 (group: imagine future training group, life review and imagine future training group, life review training group, cognition-life review and imagine future training group, control group) × 2 (time points: forerun, backrun) × 2 (time direction: recall, imagine) repeated measures analysis of variance test training improvement in specificity (descriptive statistics are given in table 2). The results show that: the main effect difference of the group is significant, [ F (4,95) ═ 3.049, p ═ 0.021, and η p2 ═ 0.11], after Bonferroni correction, the specificity of the schizophrenia training group is significantly higher than that of the control group. The main effect difference in the former and later tests is significant, [ F (1,95) ═ 97.017, p ═ 0.000, η p2 ═ 0.51], and the former test is significantly lower than the latter test. The main effect is remarkable by recalling imagination, [ F (1,95) ═ 97.987, p ═ 0.000, and η p2 ═ 0.51], and the recalling specificity is remarkably higher than imagination.
The former and latter tests showed significant interaction with the group, [ F (4,95) ═ 13.108, p ═ 0.000, η p2 ═ 0.36], simple effect analysis according to the group found: the imagination future training group, the life review and imagination future training group, the life review training group, the cognition-life review and imagination future training group are all significantly lower than the posterior measurement in the anterior measurement, p is 0.000, 0.001, 0.000 and 0.000, the difference between the anterior measurement and the posterior measurement of the control group is not significant, and the simple effect discovery analysis is carried out according to the anterior measurement and the posterior measurement: the former 5 groups had no significant difference, and the latter: the control group was significantly lower than the schizophrenia training group (imagine a future training group, life review and imagine a future training group, life review training group, cognition-life review and imagine a future training group, p is 0.000, 0.008, 0.011, 0.000). The cognition-life review and imagination future training set is significantly higher than the life review and imagination future training set, the life review training set and the control group, and p is 0.012, 0.009 and 0.000.
From the above results, it can be seen that: 1. the ability to recall imagination events can be improved by imagining a future training set, life review and imagination future training set, life review training set, cognition-life review and imagination future training set training. 2. Recall that the event specificity is significantly higher than imagination. 3. Whether the effect produced by the cognition-life review and imagination future training device is obviously better than that produced by a pure life review and imagination future training device and a pure life review training device is better than that produced by an imagination future training device or not needs further sample size expansion and further verification.
TABLE 2 MTT specificity comparison at previous and subsequent measurements (mean. + -. SD)
2. Comparison of patient groups with healthy control groups
The differences in specificity of MTT between the groups at the time of the anterior and posterior tests were measured using a 6 (group: 5 patient groups, healthy control group) × 2 (time direction: recall, imagine) mixed variance analysis, which here we only show the differences between patients and healthy control groups. The results show that the main effects of the groups are significantly different, [ F (5,114) ═ 19.256, p ═ 0.000, η p2 ═ 0.46], and the specificity of the healthy control group is significantly higher than that of each group of schizophrenia (mean p <0.001) after Bonferroni correction.
A similar analysis of variance was performed for the post-test evaluation. The main effects of the groups are significantly different, [ F (5,114) ═ 9.747, p ═ 0.000, η p2 ═ 0.30], after Bonferroni correction, the specificity of the healthy control group is significantly higher than that of the control group, the life review and imagination future training group and the life review training group (both p < 0.05). Imagine that the future training group, cognition-life review and imagine that the future training group is significantly higher than the control group (average p < ═ 0.001). This suggests that under the training of a cognitive-life review and imagination future training device, the patient's mental time travel may approach a healthy level.
(3) Comparison of MTT field Vision at previous and subsequent times
1. Comparison of training and control groups in visual context in MTT field
A5 (group: imagination future training group, life review and imagination future training group, life review training group, cognition-life review and imagination future training group, control group) × 2 (time points: forward measurement, backward measurement) × 2 (time direction: recall, imagination). The results show that the main effect difference between the former and the latter is obvious, [ F (1,95) ═ 35.276, p ═ 0.000, η p2 ═ 0.27], and the former is obviously lower than the latter. The comparison results are shown in table 3.
TABLE 3 comparison of MTT field Vision at previous and subsequent times (mean + -SD)
2. Comparison of training groups with healthy control groups
In the former measurement, 6(5 groups: patient group, healthy control group) × 2 (time direction: recall, imagine) repeated measurement analysis of variance results show that the group main effects are significantly different, [ F (5,114) ═ 6.351, p ═ 0.000, η p2 ═ 0.22], after correction, the healthy control group participant ratio is significantly higher than that of the control group, the future training group is imagined, the life review is compared with the future training group, and the life review training group (average p ≦ 0.01).
Similar analysis showed significant group major effect differences on post-test evaluation, [ F (5,114) ═ 2.607, p ═ 0.029, η p2 ═ 0.10], corrected for, 6 groups were not significant (p both > 0.05). This indicates that the patient's self-impairment is significantly improved after a cognitive-life review and device training envisioned for the future.
(4) Comparison of cognitive function in previous and subsequent measurements
A5 (group: imagine future training group, life review and imagine future training group, life review training group, cognition-life review and imagine future training group, control group) × 2 (time point: baseline, after training) performs repeated measures anova on cognitive function, and examines the effect of training on cognitive function. The results show that the main effects of the delayed visual memory group are significantly different, [ F (4,94) ═ 2.862, p ═ 0.028, η p2 ═ 0.11], and the cognition-life review and imagination future training group is significantly higher than the control group, imagination future training group, life review and imagination future training group and life review training group (p < 0.05). The corrected result is: the cognition-life review and imagined future training set is significantly higher than the imagined future training set, life review and imagined future training set (ps < 0.05). The main effect of other cognitive function groups is not obvious (ps is greater than 0.05), the main effect of each cognitive index time point is obvious (ps is less than 0.05), and the evaluation after training is superior to the baseline. There is a significant interaction of groups with time points on the delay logic memory. Simple effect analysis results according to groups show that: the control group showed no significant difference in the front and back measurements, and the remaining 4 groups were all lower in the front measurement than in the back measurement (ps < 0.05). Simple effect analysis showed that all training groups had improved after training (ps <0.05), whereas the control group did not. The comparison results are shown in table 4.
TABLE 4 comparison of cognitive function at previous and subsequent measurements
The baseline evaluation was performed using one-way anova (group: 5 patients, healthy control group) and the results showed no significant difference between the immediate logical memory and delayed logical memory 6 groups. The immediate visual memory healthy control group was significantly higher than the imagined future training group, the life review and the imagined future training group (ps < 0.05). The delayed visual memory healthy control group was significantly higher than the imagined future training group, the life review and imagined future training group (ps <0.01), and the cognitive-life review and imagined future training group was significantly higher than the imagined future training group. The healthy control group with vocabulary fluency was significantly higher than the schizophrenia groups (ps < 0.05).
In the post-training evaluation, the similarity analysis showed that the difference between the 6 groups of real-time logical memory, delayed logical memory, and real-time visual memory was not significant. Delaying visual memory: the healthy control group, cognitive-life review and imagination future training group was significantly higher than the life review and imagination future training group (p < 0.05). The healthy control group for lexical fluency was significantly higher than the control and life review training groups (p <0.05), with no significant differences among the other groups.
According to the embodiment, the cognition-life review and phenomenon future training device has a more obvious improvement effect on the improvement of the cognitive function and psychological time of the patient; accordingly, the cognition-life review training device of the invention has the obvious improvement effect on the cognitive function and psychological time travel of the patient as well as the cognition-imagination future training device.
The invention solves the problem that the existing training device for mental patients is difficult to effectively and comprehensively improve the cognitive recall imagination ability of mental patients by adopting three training devices of cognition-life review, cognition-imagination future, cognition-life review and imagination future, further improves the self aspect of the patients perceiving the past, present and future, strengthens the self continuity from the present to the future, improves the experience of the patients from the past experience, generates detailed future expectation, and achieves the aim of comprehensively improving the cognitive function, the recall imagination ability and the social function of the patients.
The above-described embodiments are merely illustrative of the preferred embodiments of the present invention, and do not limit the scope of the present invention, and various modifications and improvements of the technical solutions of the present invention can be made by those skilled in the art without departing from the spirit of the present invention, and the technical solutions of the present invention are within the scope of the present invention defined by the claims.
Claims (5)
1. A cognitive recall imagination combined training device for mental patients is characterized in that: the training device comprises a cognitive function training device, a life review training device, a future imagination training device and a life review and future imagination training device;
the cognitive function training device and the life review training device form a cognitive-life review training device which is used for improving the psychological time travel cognitive function of the patient mainly based on the recall ability, helping the patient to psychologically adapt, regulating emotion and establishing and maintaining self positive opinions;
the cognitive function training device and the imagination future training device form a cognitive-imagination future training device which is used for improving the travel cognitive function of psychological time mainly based on imagination of patients, helping the patients to make decisions, solving problems, planning the future and making reasonable time estimation on daily life activities;
the cognitive function training device and the life review training and future imagining training device form a cognitive-life review and future imagining training device which is used for improving the cognitive function of the patient during the psychological time that the patient perceives the past, present and future self aspects as the main aspects, enhancing the self continuity from the present to the future, improving the experience of the patient from the past experience and generating detailed future expectation;
the cognition-life review training device, the cognition-imagination future training device and the cognition-life review and imagination future training device are freely selected by the trainer according to the training purpose.
2. The cognitive recall imagination combined training device of mental patients according to claim 1, wherein:
the cognitive function training device comprises an attention module, a memory module, an execution function module and a social cognitive training module;
the cognitive training module comprises rapid matching, continuous matching, difference finding, picture classification, emotion management and a shopping plan.
3. The cognitive recall imagination combined training device of mental patients according to claim 1, wherein:
the life review training device comprises a life cycle event recall module and a specific time event recall module;
the life cycle event memory module is used for training memory of specific life events of childhood, adolescence, adulthood and the last year;
the specific time event memory module is used for training memory of specific life events of childhood, adolescence, adulthood and the last year, requires specific time, place and event to occur, lasts for no more than one day, and provides written specific events.
4. The cognitive recall imagination combined training device of mental patients according to claim 1, wherein:
the imagination future training device is used for training imagination for specific possible events or establishing a specific target and realizing steps after 1 week, 1 year, 5 years and 5 years.
5. The cognitive recall imagination combined training device of mental patients according to claim 1, wherein:
the life review training and envisioning means is for life review of specific events that occur and envision specific life events that may occur in the future, and for each session, participants are trained to retrieve past events over a period of time and envision possible future events over a period of time.
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CN106816061A (en) * | 2017-04-06 | 2017-06-09 | 姜大鹏 | The prenatal culture method and module of fetus talent are developed by stimulating pregnant woman's human thinking |
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CN106816061A (en) * | 2017-04-06 | 2017-06-09 | 姜大鹏 | The prenatal culture method and module of fetus talent are developed by stimulating pregnant woman's human thinking |
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