引导式教育对脑瘫儿童粗大运动功能和Gesell发育测试结果的影响

The effects of conductive education on gross motor function and Gesell development test results in children with cerebral palsy

目的 探讨引导式教育对脑性瘫痪患儿粗大运动功能和Gesell发育是否有促进作用.方法 将138例脑瘫患儿按性别和粗大运动功能分级系统（GMFCS）分层随机分为引导式教育组和对照组,分别经过4个月的引导式教育加一般综合训练和单纯一般综合训练治疗,观察2种训练方法对两组患儿粗大运动功能和Gesell发育测试结果的影响.结果 粗大运动方面,粗大运动功能测试量表（GMFM）评估结果比较运用协方差分析（F =4.479,P＜0.05）,引导式教育组优于对照组;但两组在治疗前后比较,差异均有统计学意义,两组均可促进粗大运动功能的发育.Gesell发育测试结果比较（F=37.80,P＜0.01）,引导式教育组优于对照组;引导式教育组治疗前后比较（t=24.93,P＜0.01）,差异有统计学意义;对照组治疗前后比较（t=13.34,P＞0.05）,尚不能认为两组对照有统计学差异.结论 引导式教育可以促进脑瘫患儿粗大运动功能的提高及整体的发育.

Objective To observe the effects of conductive education on gross motor function and Gesell development test results in children with cerebral palsy.Methods One hundred and thirty-eight children with cerebral palsy were stratified randomly according to the gross motor function classification system （GMFCS） and sexes into two groups：the conductive education group received conductive education combined with general comprehensive rehabilitation,the control group received general comprehensive rehabilitation only.After 4 months of training,the results of both groups in terms of gross motor function and Gesell development test results were compared.Results The GMFCS evaluation results of the 2 groups were compared through covariance analysis （F =4.479,P =0.036 ＜0.05）,the result of conductive education group was better than that of control group; in both groups the result after training was superior to that before training.For Gesell development test results comparison,the differences between conductive education group and control group were statistically significant （P ＜ 0.05） ; the result of conductive education group was better than before the training （t =24.93,P =0.00 ＜ 0.05） ; but in control group the difference between the results before and after training was not significant （t =13.34,P ＞ 0.05）.Conclusions Conductive education could improve gross motor function and whole body development.