CAJ | 학술논문

目的：探讨围产期脑损伤因素对脑瘫患儿康复疗效及预后的影响。方法：176例脑瘫患儿，其中女48例，男128例。按年龄分为8个月～2岁、2～4岁和4～5岁3组，各年龄组采用方法均为物理疗法、针灸治疗、穴位注射、营养脑神经药物等综合康复治疗。治疗后评估各项结果，按照等级分别为显效、有效和无效。应用Gesell发育量表与粗大运动功能评估（ GM-FM）对各组患儿进行临床评定。结果：2～4岁组疗效明显优于8个月～2岁和4～5岁组（P＜0．05）；4～5岁组疗效最低（P＜0．05）。新生儿颅内出血＋HIE组和足月出生组疗效较为明显，早产患儿在4岁前的治疗效果明显高于4岁后的治疗效果。结论：小儿脑性瘫痪的康复治疗效果可能与年龄有关，年龄越小的患儿治疗效果越好，脑瘫的康复治疗疗效可能还与围产期的高危因素有关，其中早产儿的治疗效果最不明显。
목적：탐토위산기뇌손상인소대뇌탄환인강복료효급예후적영향。방법：176례뇌탄환인，기중녀48례，남128례。안년령분위8개월～2세、2～4세화4～5세3조，각년령조채용방법균위물리요법、침구치료、혈위주사、영양뇌신경약물등종합강복치료。치료후평고각항결과，안조등급분별위현효、유효화무효。응용Gesell발육량표여조대운동공능평고（ GM-FM）대각조환인진행림상평정。결과：2～4세조료효명현우우8개월～2세화4～5세조（P＜0．05）；4～5세조료효최저（P＜0．05）。신생인로내출혈＋HIE조화족월출생조료효교위명현，조산환인재4세전적치료효과명현고우4세후적치료효과。결론：소인뇌성탄탄적강복치료효과가능여년령유관，년령월소적환인치료효과월호，뇌탄적강복치료료효가능환여위산기적고위인소유관，기중조산인적치료효과최불명현。
Objective:To observe the relationship between perinatal brain damage and the Rehabilitation effects and prognosis about cerebral palsy.Methods:176 cases of children with cerebral palsy patients , including 48 females and 128 male patients,who were divided into three age groups:8 months to 2 years, 2 to 4 years and 4 to 5 years.each age group using methods are training in physical therapy , acupuncture, point injection,nutrition brain drug treatment,etc.The Gesell Scale and the Gross Motor Function Measure (GMFM) were used to assess the effectiveness .Results: The therapeutic effect of the 2 to 4 years group was evidently better than that of the other groups.,and the 4 to 5years group is the lowest .The therapeutic effect of the newborns with intracranial hemorrhage +HIE group and full-term children group was better than that of the other groups .Conclusion:The rehabilitation effects and prognosis about cerebral palsy may be related to age and perinatal brain damage .The younger , the better therapeutic effect could be obtained .