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目的探讨中西医结合家庭医学康复模式在脑瘫康复治疗中的作用。方法治疗组及对照组各选择100例脑瘫患儿,治疗组接受系统的中西医结合家庭医学康复3个月,对照组接受不规律的家庭康复或不接受家庭康复。采用粗大运动功能量表(GMFM)评估患儿运动功能,采用盖什尔发育商(DQ)评估患儿智力水平,采用儿童生存质量测定量表(PedsQL4.0)评估患儿生存质量。结果治疗组各能区GMFM数值较治疗前均有显著性提高(P<0.05),在Ⅲ、Ⅳ、Ⅴ能区治疗后与对照组比较差异有统计学意义(P<0.05);治疗组大运动能区DQ值较治疗前有显著性提高。接受中西医结合家庭医学康复的患儿,其生理功能、社交功能、PedsQL总分较治疗前有显著提高(P<0.05)。结论中西医结合家庭医学康复可提高脑瘫患儿的运动功能及生存质量。
Objective To explore the effect of integrated traditional Chinese and western medicine on family medicine rehabilitation in rehabilitation of cerebral palsy. Methods 100 children with cerebral palsy were chosen as the treatment group and the control group. The treatment group received the Integrative Chinese and Western medicine family medicine rehabilitation for 3 months. The control group received irregular family rehabilitation or did not receive family rehabilitation. The motor function of the children was assessed by GMFM. The intelligence of children was assessed by Geschners Demonstration (DQ). The quality of life was evaluated by PedsQL4.0. Results The GMFM values in each energy area of the treatment group were significantly higher than those before treatment (P <0.05), and there was significant difference between the treatment group and the control group (P <0.05) DQ value of exercise area was significantly higher than before treatment. Children receiving Integrative Medicine and Family Medicine recovered their physical function, social function and PedsQL score significantly (P <0.05) before treatment. Conclusion Integrative Chinese and Western medicine family medicine rehabilitation can improve motor function and quality of life in children with cerebral palsy.