中国全科医学
中國全科醫學
중국전과의학
CHINESE GENERAL PRACTICE
2014年
20期
2378-2380
,共3页
赵辉%史艳%李玉娟%张培%宋利%史凤丽
趙輝%史豔%李玉娟%張培%宋利%史鳳麗
조휘%사염%리옥연%장배%송리%사봉려
脑性瘫痪%康复训练%家庭姿势管理%运动活动%日常生活活动
腦性癱瘓%康複訓練%傢庭姿勢管理%運動活動%日常生活活動
뇌성탄탄%강복훈련%가정자세관리%운동활동%일상생활활동
Cerebralpalsy%Rehabilitationtraining%Familyposturemanagement%motoractivity%Activitiesofdaily 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。
目的:觀察痙攣型腦癱患兒綜閤康複訓練結閤傢庭姿勢管理的效果。方法選取2009年6月-2012年6月邢檯市人民醫院康複科門診診治的痙攣型腦癱患兒40例,其中20例患兒因傢庭經濟睏難及其他因素放棄康複治療或間斷康複治療,不能進行傢庭姿勢管理(對照組);20例患兒治療全過程有固定傢長陪伴,實施綜閤康複訓練結閤傢庭姿勢管理(觀察組)。兩組患兒分彆在治療前和治療6箇月後採用粗大運動功能評估量錶( GmFm-88)和腦癱日常生活活動能力評價錶分彆評價其粗大運動功能和日常生活活動能力。結果治療前對照組和觀察組患兒GmFm-88評分總百分比〔(14.6±3.5)%與(15.8±3.7)%〕、日常生活活動能力評分〔(14.6±3.7)分與(15.5±4.6)分〕間無明顯差異(P﹥0.05);治療後觀察組患兒GmFm-88評分總百分比、日常生活活動能力評分均高于對照組〔(28.4±8.5)%與(17.2±3.7)%,(28.4±8.5)分與(16.5±3.5)分;P﹤0.05〕。結論綜閤康複訓練結閤傢庭姿勢管理可明顯改善痙攣型腦癱患兒的粗大運動能力,提高患兒日常生活活動能力。
목적:관찰경련형뇌탄환인종합강복훈련결합가정자세관리적효과。방법선취2009년6월-2012년6월형태시인민의원강복과문진진치적경련형뇌탄환인40례,기중20례환인인가정경제곤난급기타인소방기강복치료혹간단강복치료,불능진행가정자세관리(대조조);20례환인치료전과정유고정가장배반,실시종합강복훈련결합가정자세관리(관찰조)。량조환인분별재치료전화치료6개월후채용조대운동공능평고량표( GmFm-88)화뇌탄일상생활활동능력평개표분별평개기조대운동공능화일상생활활동능력。결과치료전대조조화관찰조환인GmFm-88평분총백분비〔(14.6±3.5)%여(15.8±3.7)%〕、일상생활활동능력평분〔(14.6±3.7)분여(15.5±4.6)분〕간무명현차이(P﹥0.05);치료후관찰조환인GmFm-88평분총백분비、일상생활활동능력평분균고우대조조〔(28.4±8.5)%여(17.2±3.7)%,(28.4±8.5)분여(16.5±3.5)분;P﹤0.05〕。결론종합강복훈련결합가정자세관리가명현개선경련형뇌탄환인적조대운동능력,제고환인일상생활활동능력。
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.