综合康复干预不同月龄脑性瘫痪患儿的效果比较分析  

Comparative analysis of effect by comprehensive rehabilitation intervention for cerebral palsy infants with different month age

作　　者：胡贵珍[1] 蒋英[1] 申洁琼[1] 

机构地区：[1]粤北人民医院儿科,512000

出　　处：《中国实用医药》2017年第14期90-91,共2页China Practical Medicine

摘　　要：目的研究综合康复干预对不同月龄的脑性瘫痪患儿的应用效果。方法 300例脑性瘫痪患儿,根据月龄不同分为1~3个月组99例、4~6个月组98例、7~9个月组103例。所有患儿均采取脑多肽、吡拉西坦进行药物治疗,并进行综合康复干预。观察三组不同月龄脑性瘫痪患儿神经行为发育测定(Gesell检查量表)诊断情况及粗大运动功能量表评价。结果干预后三组粗大运动功能量表评分及发育商较干预前均有所改善,且1~3个月组粗大运动功能量表评分为(27.79±3.28)分,发育商为(53.38±4.09)分,4~6个月组粗大运动功能量表评分为(24.87±2.76)分,发育商为(51.27±3.71)分,7~9个月组粗大运动功能量表评分为(22.98±3.56)分,发育商为(50.05±4.52)分,1~3月组改善效果最佳,4~6个月组次之,三组比较差异有统计学意义(P<0.05)。结论综合康复干预能够改善脑性瘫痪患儿病情,促进患儿正常化,月龄越小效果越好,对脑性瘫痪尽早诊断,及时实施干预措施,能够有效的控制、改善患儿病情,减轻患儿痛苦,减少家庭及社会负担,值得广泛使用于临床。Objective To research application effect by comprehensive rehabilitation intervention for cerebral palsy infants with different month age. Methods A total of 300 cerebral palsy infants were divided by different month age into 1-3 months group （99 cases）, 4-6 months group （98 cases） and 7-9 months group （103 cases）. All infants received brain polypeptide and piracetam for drug therapy, along wi.th comprehensive rehabilitation intervention. Observation was made on diagnosis of neurobehavioral development detection （Gesell examination scale） and gross motor function measure in the three groups. Results After intervention, all three groups had better gross motor function measure score and development quotient than those before intervention. 1-3 months group had gross motor function measure score as （27.79 ± 3.28） points and development quotient as （53.38 ± 4.09） points. 4-6 months group had gross motor function measure score as （24.87 ± 2.76） points and development quotient as （51.27 ± 3.71） points. 7-9 months group had gross motor function measure score as （22.98 ± 3.56） points and development quotient as （50.05 ± 4.52） points. 1 -3 months group had the best effect in improvement, followed by 4-6 months group, and the difference had statistical in the three groups had statistical significance （P〈0.05）. Conclusion Comprehensive rehabilitation intervention can improve condition of cerebral palsy infants and enhance normalization. The younger month age is, the better effect shows. Early diagnosis and timely implement of intervention measures for cerebral palsy infants can effective control and improve condition in infants, relieve their pain, and lower burden for family and society. This method is worth widely clinical application.

关 键 词：综合康复干预 不同月龄 脑性瘫痪 效果 

分 类 号：R742.3[医药卫生—神经病学与精神病学]