论文部分内容阅读
目的:探讨对学龄前脑瘫儿童实施综合康复教育和训练的治疗效果。方法:对在医院就诊资料完整的脑瘫患儿进行回顾性分析,将2007~2009年接受常规物理康复的35例患儿列为对照组,2010~2012年接受综合康复教育训练(包括物理治疗、作业疗法、音乐疗法、游戏疗法、心理疗法等)的47例患儿列为治疗组,6月1疗程。采用PSQ量表评价心理状况,PedsQL4.0量表评价生存质量。结果:治疗后,两组GMFM评分分别为(41.5±10.2)和(50.8±12.5),均较治疗前显著提高(P<0.05),且治疗组提高更为明显;两组PedsQL量表生理功能、情感功能、社交功能、学校表现及总分均显著提高(P<0.05),且治疗组各指标提高更为明显;两组有效率分别为57.1%和88.8%,治疗组较高(P<0.05)。结论:在常规物理康复的基础上,对学龄前脑瘫患儿予以作业、音乐、游戏、心理等综合治疗,可明显改善粗大运动功能、提高生活质量及临床疗效,值得临床推广。
Objective: To explore the effect of comprehensive rehabilitation education and training for preschool children with cerebral palsy. Methods: Retrospective analysis was performed on children with cerebral palsy who had completed hospital treatment. 35 children receiving routine physical rehabilitation from 2007 to 2009 were selected as the control group. From 2010 to 2012, they received comprehensive rehabilitation education and training (including physical therapy, 47 cases of operation therapy, music therapy, game therapy, psychotherapy, etc.) as treatment group, June 1 course of treatment. PSQ scale used to evaluate the psychological status, PedsQL4.0 scale to evaluate the quality of life. Results: After treatment, the GMFM scores of the two groups were (41.5 ± 10.2) and (50.8 ± 12.5), respectively, significantly higher than those before treatment (P <0.05), and the treatment group improved more obviously. The PedsQL scale , Emotional function, social function, school performance and total score increased significantly (P <0.05), and the indicators of the treatment group increased more obviously; the effective rates of the two groups were 57.1% and 88.8% respectively, and the treatment group was higher (P < 0.05). Conclusion: On the basis of routine physical rehabilitation, comprehensive treatment of preschool children with cerebral palsy with operation, music, games, psychology and so on can significantly improve the function of gross motor, improve the quality of life and clinical efficacy, and is worthy of clinical promotion.