Gesell发育量表对婴幼儿脑瘫康复疗效的评估

The evaluation of the rehabilitation effects on the children with cerebral palsy by Gesell development schedules

目的：探讨 Ｇｅｓｅｌｌ 发育量表对婴幼儿脑瘫康复疗效评估的效果。方法：采用 Ｇｅｓｅｌｌ 发育量表对３周岁以下的脑瘫患儿进行治疗前后测试对照。结果：发育龄４ 个能区（ 应物能、动作能、言语能、应人能）治疗前后均有非常显著差异（ Ｐ＜ ０ ．０１） ；发育商的言语能和应人能治疗前后有显著性差异（ Ｐ＜ ０ ．０５） 。结论： Ｇｅｓｅｌｌ 发育量表可以作为婴幼儿脑瘫康复疗效评估的一种方法，但有一定局限性。

Objective:To evaluate the rehabilitation effects on the cerebral palsy children.Method:Using the Gesell development schedules(GDS) to evaluate the cerebral palsy children aged under 3 years before and after the therapy.Result: The differences of the four functional areas(social area,adaptive area,language area,motor area) of the developmental age were significant( P <0.001),and the differences of the developmental quotient of the speech function and the adaption to other person were also significant ( P <0.05) comparing between before and after treatment by the Wilcoxon statistic way. Conclusion: GDS could be a way to evaluate the rehabilitation effects of the cerebral palsy children aged under 3 years,but it has its limitation and short comings. Author′s address\ Affiliated Children′s Hospital of Zhejiang University,310003