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目的:探讨小儿脑性瘫痪功能训练意外损伤的原因。方法:对2005年1月～2009年12月间在我院进行功能训练的脑瘫高危儿、脑瘫患儿进行回顾性调查,对筛查出的12例功能训练发生意外损伤的脑瘫高危儿、脑瘫患儿进行分析。结果:功能训练意外损伤以局部软组织损伤、骨关节脱臼为主,原因主要与年轻治疗师经验、患儿肌张力异常的类型、患儿与治疗师配合程度、家庭康复是否规范有关。结论:加强管理、规范培训治疗师、正确评价异常肌张力、增进与患儿的交流与沟通及家庭康复指导到位能有效降低功能训练意外损伤的发生。
Objective: To investigate the causes of accidental injury in children with cerebral palsy function training. Methods: From January 2005 to December 2009 in our hospital for functional training in cerebral palsy high risk infants and cerebral palsy children were retrospectively surveyed 12 cases of functional training accidental injury of cerebral palsy high-risk children, cerebral palsy Children were analyzed. Results: The accidental injuries in functional training were mainly caused by local soft tissue injury and dislocation of bone and joint. The reasons were mainly related to the experience of young therapists, the type of abnormal muscle tone in children, the cooperation between the patients and the therapists, and whether the family rehabilitation was regulated. Conclusion: To strengthen the management, standardize the training of therapists, correct assessment of abnormal muscle tone, improve communication and communication with children and guidance of home rehabilitation in place can effectively reduce the occurrence of accidental injury in functional training.