小儿脑损伤综合症及脑瘫早期康复训练的效果评价

Effect of hospitalization rehabilitation training versus family rehabilitation training for children with brain damage syndrome and cerebral palsy

目的评价早期正规康复训练对小儿脑损伤综合症及脑瘫的意义。方法将0～2岁脑损伤综合症及脑瘫患儿180例随机分为A、B两组，两组中0～6个月的患儿分别归为A1、B1组，6个月～2岁患儿分别归为A2、B2组，A组在医院接受早期正规强化康复训练，B组经指导后进行家庭康复护理，治疗半年后根据盖塞尔发育量表，对两组进行发育商（DQ）评定。结果A组发育商高于B组（P〈0．01），A1组高于A2组（P〈0．05）。结论早期进行正规康复训练对治疗早期脑瘫疗效显著。

Objective To compare the efficacy of early rehabilitation training for children with brain damage syndrome and cerebral palsy executed in hospital and in family, Methods 180 cases of children of 0-2 years old with brain damage syndrome and cerebral palsy were divided into group A and group B randomly. The children of 0 -6months old were in group A1 and B1, while the children of 6 months-2 years old were in group A2 and B2, correspondingly. Children in group A accepted early canonical intensive rehabilitation training in hospital, and children in group B received family rehabilitation training under the guidance of medical staff. Development quotient（DQ） were assessed with Gesell Developmental Schedules half a year after. Results The DQ of group A showed higher than that of group B（P〈0.01）, and the DQ of group A1 was higher than that of group A2（P〈0.05）. Conclusion This study provides support that early rehabilitation training in hospital is more effective than in family for children with brain damage syndrome and cerebral palsy.