康复辅具对小儿脑瘫康复治疗效果探讨  

Effect of rehabilitation treatment using the assistive devices for children with cerebral palsy

作　　者：张树新[1] 杜青[2] 王欢[1] 陈佩杰[2] 励建安[3] 周璇[1] 陈楠[1] 李孝洁[1] 吴超[2] 

机构地区：[1]上海交通大学医学院附属新华医院康复医学科,200092 [2]上海体育学院运动科学学院 [3]南京医科大学第一附属医院康复医学科

出　　处：《中华全科医师杂志》2012年第10期753-756,共4页Chinese Journal of General Practitioners

摘　　要：目的探讨小儿瘫家庭使用康复辅具配合医疗机构综合康复治疗的有效性。方法将2009年6月至2010年6月于我院明确诊断为脑瘫的患儿60例（男性31例，女性29例）分为治疗组和对照组，每组30例。两组患儿均在医疗机构进行每周3次的综合康复治疗，不同的是治疗组在康复治疗师指导下，由家长每天使用康复辅具进行家庭康复训练。治疗前、治疗6个月后，采用粗大运动功能测试量表（gross motor function measure，GMFM）66项和88项评估两组患儿粗大运动功能。结果治疗后两组GMFM66项总分均高于治疗前，治疗组51±13与44±15（t=-7．473，P=0．000），对照组42±17与38±16（t=-3．580，P=0．001），且治疗组高于对照组（P〈0．05）。治疗后，除对照组卧位与翻身功能区外，两组患儿GMFM88项各功能区得分均高于治疗前（P〈0．01），治疗组在卧位与翻身、坐位、行走与跑跳功能区得分均显著高于对照组，卧位与翻身：F：4．59，P=0．036；坐位：F=6．40，P=0．014；行走与跑跳：F=4．35，P=0．041。结论在医疗机构综合康复治疗的同时，配合康复辅具进行家庭康复，可以有效地促进小儿脑瘫粗大运动功能的改善。Objective To investigate the effect of the synthetic rehabilitation treatment using the assistive devices for children with cerebral palsy. Methods 60 outpatients （male 31, female 29） diagnosed as cerebral palsy in our hospital from June 2009 to June 2010 were divided into trial group （n = 30 ） and control group （ n = 30 ）. Both of the two groups received our rehabilitation treatment three times a week. Compared with the daily family rehabilitation training of the control group, trial group still received a daily rehabilitation treatment by their parents using the assistive devices under the guidance of the therapist. They were assessed with Gross Motor Function Measure 66 items version （ GMFM-66 ） and 88 items version （GMFM-88） before and after 6 months treatment. Results The total score of GMFM-66 and each dimension score of GMFM-88 improved in both group after 6 months treatment, except the centrol group Lying ＆ Rolling dimension. Trial group 51 ± 13 vs. 44 ±15, control group 42± 17 vs. 38 ± 16 （t = -3. 580, P = 0. 001 ）. There was significant difference on the total score of GMFM-66 and the three dimensions score （ Lying ＆ Rolling, Sitting and Walking, Running ＆ Jumping ） of GMFM-88 between two group. Lying ＆ Rolling ： F = 4. 59,P = 0. 036 ; Sitting ： F = 6. 40, P = 0. 014 ; Walking, Running ＆ Jumping ： F = 4. 35, P = 0. 041. Conclusion The synthetic rehabilitation treatment in Medical institutions associate with family rehabilitation treatment using the assistive devices can effectively improve the recovery of gross motor function in children with cerebral palsy.

关 键 词：自助装置 脑性瘫痪 功能恢复 

分 类 号：R4[医药卫生—临床医学] R742