康复依从性对痉挛型脑性瘫痪患儿的疗效影响  

Effects of rehabilitation compliance on the efficacy of treatment for children with spasmodic cerebral palsy

作　　者：王素丽[1] 岳保珠[1] 陈建贵[1] 马宗艳[1] 王培英[1] WANG Suli;YUE Baozhu;CHEN Jiangui;MA Zongyan;WANG Peiying(Weifang Maternal and Child Health Care Hospital,Weifang 261011,China)

机构地区：[1]潍坊市妇幼保健院儿童康复科

出　　处：《中国中西医结合儿科学》2019年第3期235-238,共4页Chinese Pediatrics of Integrated Traditional and Western Medicine

基　　金：山东省潍坊市卫生计生委科研项目(2015015)

摘　　要：目的 探讨痉挛型脑性瘫痪(简称脑瘫)患儿康复依从性对疗效的影响。方法 选择2015年1月至2018年10月在潍坊市妇幼保健院儿童康复科治疗的痉挛型脑瘫患儿100例为研究对象,根据康复治疗的依从情况分组,将治疗全过程有固定家长陪伴患儿、并实施综合康复治疗结合家庭康复训练者作为观察组(50例),将各种原因不能实施综合康复治疗、不能有效配合家庭康复训练者作为对照组(50例)。对照组给予运动疗法、作业治疗、推拿治疗;观察组在对照组治疗基础上增加引导式教育、感觉统合训练、音乐治疗等实施综合康复治疗,并结合家庭训练及管理,定期对患儿家长进行集体化、个体化培训及心理辅导。两组在治疗前及治疗3个月后采用粗大运动功能测试量表(GMFM-88)及香港学前儿童小肌肉发展评估量表(HK-PFMDA)分别进行评定,观察患儿粗大运动功能和精细运动能力改善情况。结果 治疗后两组GMFM评分总百分比、HK-PFMDA评分均优于治疗前,差异有统计学意义(P<0.05);治疗后观察组GMFM评分总百分比、HK-PFMDA评分均优于对照组,差异有统计学意义(P<0.05)。结论 康复治疗依从性影响脑瘫患儿的康复疗效,依从性良好的患儿可明显改善脑瘫患儿的粗大运动功能和精细运动能力,能最大程度地促进其身心康复,提高生存质量。Objective To study the effect of rehabilitation compliance of children with spasmodic cerebral palsy on the treatment efficacy. Methods A total of 100 children with spasmodic cerebral palsy(CP),who were treated in Weifang Maternal and Child Health Care Hospital form Jan. 2015 to Oct. 2018, were chosen as the research subjects. They were divided into two groups according to their compliance in rehabilitation treatment: the observation group(50 children) in which the children were accompanied by a fixed parent during the whole process and received comprehensive rehabilitation treatment combined with rehabilitation training at home, and the control group(50 children) in which the children couldn't receive comprehensive rehabilitation treatment or rehabilitation training at home. Both groups were given motortherapy, occupational therapy and massage therapy. In addition, the observation group received guided education, sensory integration training and music therapy, and training and management at home were also performed;the parents received grouped and individualized training and psychological tutoring regularly. Both groups were assessed respectively with GMFM-88 and HK-PFMDA before treatment and 3 months after treatment. The improvement in the gross motor function and fine motor function was observed in the children. Results The total percentage of GMFM score and HK-PFMDA score were better after treatment than before treatment in the two groups, the difference bring statistically significant( P <0.05), and they were better in observation group with statistical difference after treatment( P <0.05). Conclusion The rehabilitation compliance of children affects the treatment effects;the children with good compliance have significantly greater improvement in gross and fine motor function,which can promote their physical and psychological rehabilitation to the largest extent and improve their life quality.

关 键 词：痉挛型脑瘫 康复依从性 疗效 儿童 

分 类 号：R742.3[医药卫生—神经病学与精神病学]