脑性瘫痪儿童社会适应行为的观察及干预研究

Observation and Intervention Research of Adaptive Behavior on Children with Cerebral Palsy

目的为了让脑性瘫痪患儿在得到躯体康复的基础上更好地适应社会、回归社会。方法对304例不同类型脑瘫患儿进行为期2～3年的社会适应行为调查，且进行干预组与非干预组的近远期研究。同时观察合并有癫痫的脑性瘫痪患儿在不同药物控制前后的变化。结果不同类型脑性瘫痪患儿的社会适应行为有显著性差异，而干预组与非干预组之间的差异也有统计学意义（P〈0．05）。对合并癫痫者需尽早控制，而且对抗癫痫药需进行选择。结论大部分脑性瘫痪患儿存在社会适应能力问题；对脑性瘫痪患儿进行社会适应行为观察和干预治疗已成为康复训练不可缺少的一部分。

Objective To make it possible increasely for the children with cerebral palsy to adapt society on the basis of getting well physically. Methods Social adaptive behavior of the 304 children with cerebral palsy in different types has been investigated for two-three years. The studied children with cerebral palsy were devided into two groups one of which was intervened. And a variety of adaptire behavior of the children with cerebral palsy and epilepsy was observed during taking the various medicament. Results A high significant difference in Social adaptive behavior of the 304 children with cerebral palsy in different types was showed . The significant difference between the intervened group and the non-intervened was also detected. The epileptic with cerebral palsy should be treated as soon as possible. And the medicament should be choosed in reason. Conclusion Most of children with cerebral palsy can not adapt society. It is indispensable for the children with cerebral palsy to be observed in the aspect of social adaptive behavior and intervention therapy.