摘要
目的 探究院内早期综合康复训练改善脑瘫(CP)患儿的效果。方法 回顾性分析2015年1月~2016年12月入院的60例 CP患儿临床资料,分为研究组(n=30,行院内早期综合康复训练)和对照组(n=30,行家庭康复护理)。观察2组疗 效,评估治疗前后患儿运动功能[粗大运动功能量表(GMFM)]及发育情况[贝利婴幼儿发展量表(BSID)]。结果 ①治 疗6个月后,研究组显效率及总有效率均高于对照组(P<0.05);②治疗6月后,2组GMFM评分和运动发育水平均较治 疗前上升(P<0.05),且研究组增幅较对照组大(P<0.05),2组智力发育水平治疗前后及组间差异均无统计学意义 (P>0.05)。结论 院内早期综合康复训练对患儿运动发育更有利,且能显著改善其粗大运动功能。
Objective To explore the effect of early nosocomial and comprehensive rehabilitation training on improving children with cerebral palsy (CP). Methods From Jan. 2015 to Dec. 2016, 60 CP children whose clinical data were retrospectively analyzed were taken as the research objects, and they were divided into study group (n=30) and control group (n=30). The study group was given early nosocomial and comprehensive rehabilitation training, while the control group was given familial rehabilitation nursing. The curative effects in the two groups were observed, and the motor function [Gross Motor Function Measure ( GMFM)] and development of children [Bayley Scale of Infant Development (BSID)] in the two groups were evaluated before and after treatment. Results 6 months after treatment, the excellence rate and total effective rate in the study group were all significantly higher than those in the control group (P<0.05), the GMFM score and motor development in the two groups were all significantly increased (P<0.05), and the increase in the study group was significantly higher than that in the control group (P<0.05), the intragroup and intergroup differences were not statistically significant (P>0.05). Conclusion Early nosocomial and comprehensive rehabilitation training which is more favorable for children's motor development, can significantly improve their gross motor function.
【关键词】小儿脑瘫;康复训练;早期干预;院内
【中图分类号】R742.3
【文献标识码】A
【DOI】10.3969/j.issn.1009-3257.2018.05.028
前言
脑瘫(CP)是脑性瘫痪的简称,为一组先天性运动 功能障碍及姿势异常的综合征,发病机制复杂,临床 后果严重,给患儿及其家庭带来较大负担。近年来此 病发生率呈上升趋势,减轻患儿致残率成为相关研究 者的研究重点。有文献指出,早期确诊、干预是改善 患儿生长发育水平、提高其日后生活自理能力的关 键[1],但目前我国相关临床治疗水平仍处在发展期, 故需更多临床证据以推进早期干预的改善和应用率的 提高。基于此,本研究选取我院收治的CP患儿60例进 行研究,以探讨院内早期综合康复训练改善CP患儿的效果,现报告如下。
罕少疾病杂志
第25卷, 第 5 期
2019年11月
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