中华实用儿科临床杂志
中華實用兒科臨床雜誌
중화실용인과림상잡지
Journal of Applied Clinical Pediatrics
2014年
23期
1825-1827
,共3页
霍洪亮%顾琴%师晓燕%李岩%曹徐君%吉永春
霍洪亮%顧琴%師曉燕%李巖%曹徐君%吉永春
곽홍량%고금%사효연%리암%조서군%길영춘
脑性瘫痪%Alberta评分%婴幼儿语言评定量表%康复训练
腦性癱瘓%Alberta評分%嬰幼兒語言評定量錶%康複訓練
뇌성탄탄%Alberta평분%영유인어언평정량표%강복훈련
Cerebral palsy%Alberta score%Infant Language Assessment Scale%Rehabilitation training
目的 观察Alberta评分联合婴幼儿语言评定量表在脑性瘫痪(脑瘫)患儿康复训练中的应用.方法 选择2012年6月至2013年6月在苏州大学附属儿童医院神经康复科进行治疗的脑瘫患儿64例,根据干预方法不同采用随机数字表法分为观察组和对照组各32例.对照组行常规康复训练,包括运动疗法(主要是Bobath疗法、上田疗法)及应用婴幼儿语言评定量表进行治疗;观察组在此基础上应用Alberta评分进行评估,根据Alberta婴儿运动量表(AIMS)评估结果设定动作、制订康复计划.每天坚持3h,反复强化训练.比较2组患儿治疗后的疗效及2组患儿治疗前后大动作及精细动作发育商(DQ)的变化情况.结果 观察组和对照组治疗后的总有效率分别为90.6％和71.9％,2组总有效率比较差异有统计学意义(x2=6.317,P＜0.05).观察组患儿治疗后的大动作(47.92±7.15)及精细动作DQ(42.55 ±8.13)均较治疗前(36.18±8.23,33.71±10.16)及对照组治疗后(38.13±8.21,36.58±8.06)明显升高,差异均有统计学意义(t=6.235、5.452、6.137、5.243,P均＜0.05).结论 在脑瘫患儿康复训练中结合Alberta评分联合婴幼儿语言评定量表,有利于提高康复治疗效果,改善患儿的运动功能,值得推广和应用.
目的 觀察Alberta評分聯閤嬰幼兒語言評定量錶在腦性癱瘓(腦癱)患兒康複訓練中的應用.方法 選擇2012年6月至2013年6月在囌州大學附屬兒童醫院神經康複科進行治療的腦癱患兒64例,根據榦預方法不同採用隨機數字錶法分為觀察組和對照組各32例.對照組行常規康複訓練,包括運動療法(主要是Bobath療法、上田療法)及應用嬰幼兒語言評定量錶進行治療;觀察組在此基礎上應用Alberta評分進行評估,根據Alberta嬰兒運動量錶(AIMS)評估結果設定動作、製訂康複計劃.每天堅持3h,反複彊化訓練.比較2組患兒治療後的療效及2組患兒治療前後大動作及精細動作髮育商(DQ)的變化情況.結果 觀察組和對照組治療後的總有效率分彆為90.6％和71.9％,2組總有效率比較差異有統計學意義(x2=6.317,P＜0.05).觀察組患兒治療後的大動作(47.92±7.15)及精細動作DQ(42.55 ±8.13)均較治療前(36.18±8.23,33.71±10.16)及對照組治療後(38.13±8.21,36.58±8.06)明顯升高,差異均有統計學意義(t=6.235、5.452、6.137、5.243,P均＜0.05).結論 在腦癱患兒康複訓練中結閤Alberta評分聯閤嬰幼兒語言評定量錶,有利于提高康複治療效果,改善患兒的運動功能,值得推廣和應用.
목적 관찰Alberta평분연합영유인어언평정량표재뇌성탄탄(뇌탄)환인강복훈련중적응용.방법 선택2012년6월지2013년6월재소주대학부속인동의원신경강복과진행치료적뇌탄환인64례,근거간예방법불동채용수궤수자표법분위관찰조화대조조각32례.대조조행상규강복훈련,포괄운동요법(주요시Bobath요법、상전요법)급응용영유인어언평정량표진행치료;관찰조재차기출상응용Alberta평분진행평고,근거Alberta영인운동량표(AIMS)평고결과설정동작、제정강복계화.매천견지3h,반복강화훈련.비교2조환인치료후적료효급2조환인치료전후대동작급정세동작발육상(DQ)적변화정황.결과 관찰조화대조조치료후적총유효솔분별위90.6％화71.9％,2조총유효솔비교차이유통계학의의(x2=6.317,P＜0.05).관찰조환인치료후적대동작(47.92±7.15)급정세동작DQ(42.55 ±8.13)균교치료전(36.18±8.23,33.71±10.16)급대조조치료후(38.13±8.21,36.58±8.06)명현승고,차이균유통계학의의(t=6.235、5.452、6.137、5.243,P균＜0.05).결론 재뇌탄환인강복훈련중결합Alberta평분연합영유인어언평정량표,유리우제고강복치료효과,개선환인적운동공능,치득추엄화응용.
Objective To observe the Alberta combined with Infant Language Assessment Scale used in rehabilitation for children with cerebral palsy.Methods From Jun.2012 to Jun.2013,64 cases of cerebral palsy in Children's Hospital Affiliated to Suzhou University were selected according to the different interventions and were randomly divided into an observation group and a control group,32 patients in each group.The control group underwent conventional rehabilitation training included exercise therapy (mainly Bobath therapy,Ueda therapy) and application Infants Language Assessment Scale for treatment,and the observation group on the basis of the method above,set the action in accordance with Alberta infant motor scale(AIMS) assessment to develop rehabilitation programs.Adhere to 3 hours a day of repeated intensive training.Efficacy in children after treatment was compared,and forceful move and fine motor movements and the changes in development quotient(DQ) before and after treatment were compared between 2 groups.Results The total efficiency of the observation group and the control group was 90.6％ and 71.9％,respectively,and there was statistically significant differences between 2 groups (x2 =6.317,P ＜ 0.05).After treatment,the DQ of big movement and fine motor in observation group (47.92 ± 7.15,42.55 ± 8.1 3) were significantly higher than before treatment (36.18 ± 8.23,33.71 ± 10.16) and the control group (38.13 ± 8.21,36.58 ± 8.06),the differences were statistically significant(t =6.235,5.452,6.137,5.243,all P ＜ 0.05).Conclusions The combination of the rehabilitation for children with cerebral palsy in infants language Alberta combined score rating scale,help to improve rehabilitation results and motor function in children,which is of recommendation and application.
