贵州医科大学学报

2004, (05) 424-427

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脑性瘫痪患儿院内与社区家庭康复的对比及高危因素
A Comparison between Curative Results of Cerebral Palsy by Hospital Rehabilitation and Community Family Rehabilitation and A Study on the High-risk Factors

艾戎,邓冰,孙明明,周琳业,越敏
AI Rong 1, DENG Bing 2, SUN Ming-ming 1, ZHOU Lin-ye 2, YUE Min 1 (1.Department of Pediatric, The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China; 2.School of Public Health, Guiyang Medical College, Guiyang 550004, China )

摘要(Abstract):

目的 :对脑性瘫痪 (cerebralplasy ,以下简称脑瘫 )患儿进行院内康复与社区家庭康复疗效的对比研究 ,以探求切实、可行、有效的治疗 ,并通过对脑瘫高危因素的研究 ,提高脑瘫的早期诊断、早期治疗。方法 :以问卷方式详细记录 5 0例脑瘫患儿家族史、母亲孕期情况、围产期情况、新生儿期疾病、智力及运动发育情况、神经系统情况及其它伴随症状 ,并进行相关检查。将所有病人随机分成两组 :院内康复治疗组及社区家庭康复治疗组 ,治疗前后由专人做儿童心理行为测定量表 (以下简称儿心量表 )测定。结果 :(1)脑瘫的高危因素以出生前及围产期的因素为主 ;(2 )院内康复组与社区家庭康复组在治疗前后 ,儿心量表各能区及智龄和发育商的差异有显著性 (P <0 0 1) ;(3)院内康复治疗和家庭康复治疗后 ,脑瘫患儿在粗大动作、语言、社交行为的差异无显著性。精细动作、适应能力的差异有显著性 (P <0 0 1) ,院内康复治疗优于家庭康复治疗。结论 :(1)院内康复及社区家庭康复均是有效的治疗方式 ;(2 )加强脑瘫的三级预防措施 ,可达到减少脑瘫的发生 ,减轻脑瘫患儿的残疾程度进而达到提高脑瘫患儿生存质量的目的。
Objective: Through the curative results comparison between hospital rehabilitation and community family rehabilitation,we try to investigate the practical and effective treatment to cerebral palsy.By the study of the high-risk factors about the happening of cerebral palsy,we can improve the early diagnosis and early intervention of cerebral palsy.Methods:50 cases of cerebral palsy children were investigated.Family history,mothers’pregnant period(diseases and drug-intake),perinatal conditions,newborn diseases,development of intelligence and exercise,examination results of nerves and other symptoms(e.g.fed difficulty,sleep disorder,epilepsy,etc) were recorded by questionnaire method.Relative examinations were taken as the following:brain CT,electroencephalogram,etc.The patients were then divided into two groups randomly for different treatments,hospital rehabilitation and community family rehabilitation.The period of treatment was 3 months.The intelligence scale for children was tested before and after the treatment.Results:1) High-risk factors of cerebral palsy occurred mainly before birth and during perinatal period;2)there were obvious differences in mental age,development quotient and intelligent factors of the intelligence scale between the two groups after the treatment(P<0.01); 3)After the treatments,there was no obvious difference in gross motor area,language area,social area and development quotient,while obvious differences occurred in fine motor area,adaptive area and mental age.(P<0.01);Conclusions:Both hospital rehabilitation and community family rehabilitation are effective treatments.The investigation of high-risk factors shows that we can reduce the happening of cerebral palsy,lighten the degree of deformity and improve the quality of life by strengthening the performance of“Three-degree Preventions”for cerebral palsy.

关键词(KeyWords): 脑性瘫痪;康复护理;儿童;院内康复;社区家庭康复;高危因素
cerebral palsy; rehabilitation nursing; child; hospital rehabilitation; community family rehabilitation; high-risk factor

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作者(Author): 艾戎,邓冰,孙明明,周琳业,越敏
AI Rong 1, DENG Bing 2, SUN Ming-ming 1, ZHOU Lin-ye 2, YUE Min 1 (1.Department of Pediatric, The Affiliated Hospital of Guiyang Medical College, Guiyang 550004, China; 2.School of Public Health, Guiyang Medical College, Guiyang 550004, China )

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DOI: 10.19367/j.cnki.1000-2707.2004.05.015

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