CAJ | 학술논문

目的:探讨1岁以内脑性瘫痪(CP)患儿精细动作早期干预及护理对患儿精细动作的影响.方法:将111例CP患儿随机分为干预组(58例)和对照组(53例)两组,两组患儿均给予常规康复训练,治疗组在此基础上进行精细动作早期干预,并针对干预中遇到问题采取相应护理对策,经过2个月干预及护理,进行脑瘫儿童精细运动功能评估量表(FMFM)评定及临床疗效观察.结果:干预组与对照组患儿FMFM值较治疗前均有显著性减小(P<0.05),与对照组相比,干预组患儿FMFM值有显著性减小(P<0.01),干预组临床疗效较对照组有显著性改善(P<0.01),干预组有效率(80.66%)较对照组(45.28%)有明显增加.结论:常规康复训练基础上进行精细动作早期干预及相应护理,可有效提高CP患儿精细运动功能.
목적:탐토1세이내뇌성탄탄(CP)환인정세동작조기간예급호리대환인정세동작적영향.방법:장111례CP환인수궤분위간예조(58례)화대조조(53례)량조,량조환인균급여상규강복훈련,치료조재차기출상진행정세동작조기간예,병침대간예중우도문제채취상응호리대책,경과2개월간예급호리,진행뇌탄인동정세운동공능평고량표(FMFM)평정급림상료효관찰.결과:간예조여대조조환인FMFM치교치료전균유현저성감소(P<0.05),여대조조상비,간예조환인FMFM치유현저성감소(P<0.01),간예조림상료효교대조조유현저성개선(P<0.01),간예조유효솔(80.66%)교대조조(45.28%)유명현증가.결론:상규강복훈련기출상진행정세동작조기간예급상응호리,가유효제고CP환인정세운동공능.
Objective: To explore the effection of the early intervention and the nursing to the fine motor of the children who had the cerebral palsy (CP) within 1 year old. Methods:111 children with CP were randomly divided into intervention group (58 cases) and control group (53 cases) , two groups were received conventional rehabilitation training , on this basis, intervention group were given early intervention of fine motor, and they were taken nursing strategy appropriately while running into problems in the intervention . After 2 months, the patients were evaluated by us-ing the Fine Motor Function Measure (FMFM) of children and observed the clinical efficacy. Re-sults:FMFM titre of intervention group and control group were significantly lower than before (P<0.05). Compared with control group, the FMFM titre of intervention group had reduced significant-ly (P<0.01).The clinical efficacy of intervention group improved significantly comparing with con-trol group (P<0.01). The effective rate of intervention group (80.66%) is significantly higher than that of control group (45.28%). Conclusion:Carrying on the early intervention of fine motor and the relevant nursing which was based on the conventional rehabilitation training can significantly improve the fine motor of CP children.