痉挛型脑瘫患儿综合康复训练结合家庭姿势管理的效果研究

摘要

Objective Tostudytheeffectofcomprehensiverehabilitationtrainingcombinedwithfamilypostureman-agementonspasticitycerebralpalsychildren.Methods 40childrenwithspasticitycerebralpalsyadmittedtotherehabilitation department of Xingtai People′s Hospital for diagnosis and treatment from June 2009 to June 2012 , were divided into control group,in which the 20 children gave up or interrupted rehabilitation treatment due to financial difficulties or other causes and could not be treated with family posture management,and the observation group,in which the 20 children had fixed parent par-ticipation in the whole course of treatment and could be treated with family posture management. The general motor function and capability of daily living activities of the two groups were evaluated by GmFm-88 and daily living activities scale before treatment andsixmonthsaftertreatment.Results TheGmFm-88scoringpercentageandscoreofdailylivingactivitiesofthetwogroups before treatment〔(14. 6 ± 3. 5)% vs. (15. 8 ± 3. 7)%〕and〔(14. 6 ± 3. 7)vs. (15. 5 ± 4. 6)〕respectively,showed no sta-tistically significant difference(P﹥0. 05). After treatment,the GmFm-88 scoring percentage and score of daily living activi-ties in the observation group were both higher than the control group,the results being〔(28. 4 ± 8. 5)% vs. (17. 2 ± 3. 7)%〕and〔(28.4±8.5)vs.(16.5±3.5)〕respectively(P﹤0.05).Conclusion Comprehensiverehabilitationtrainingcombined with family posture management could improve the motor ability of the children with spasticity cerebral palsy significantly,thus improving the ability of activities of daily living.%目的：观察痉挛型脑瘫患儿综合康复训练结合家庭姿势管理的效果。方法选取2009年6月-2012年6月邢台市人民医院康复科门诊诊治的痉挛型脑瘫患儿40例，其中20例患儿因家庭经济困难及其他因素放弃康复治疗或间断康复治疗，不能进行家庭姿势管理（对照组）；20例患儿治疗全过程有固定家长陪伴，实施综合康复训练结合家庭姿势管理（观察组）。两组患儿分别在治疗前和治疗6个月后采用粗大运动功能评估量表（ GmFm-88）和脑瘫日常生活活动能力评价表分别评价其粗大运动功能和日常生活活动能力。结果治疗前对照组和观察组患儿GmFm-88评分总百分比〔（14.6±3.5）%与（15.8±3.7）%〕、日常生活活动能力评分〔（14.6±3.7）分与（15.5±4.6）分〕间无明显差异（P﹥0.05）；治疗后观察组患儿GmFm-88评分总百分比、日常生活活动能力评分均高于对照组〔（28.4±8.5）%与（17.2±3.7）%，（28.4±8.5）分与（16.5±3.5）分；P﹤0.05〕。结论综合康复训练结合家庭姿势管理可明显改善痉挛型脑瘫患儿的粗大运动能力，提高患儿日常生活活动能力。