高能量摄入干预治疗痉挛型脑瘫患儿的作用

Effect of high energy intake intervention on children with spastic cerebral palsy

目的探讨高能量摄入在痉挛型脑瘫患儿临床治疗中的作用。方法随机选取郑州大学第三附属医院就诊经高能量饮食干预的痉挛型脑瘫患儿32例为试验组,1∶1匹配普通饮食干预的患儿为对照组,6个月后收集整理两组干预结果,采用盖塞尔儿童发育量表评定5个能区的发育商DQ值。结果试验组干预后粗大运动行为、精细动作行为、适应行为、言语行为及个人-社交行为DQ评分分别为(90.81±10.02)、(89.18±9.63)、(91.44±9.27)、(90.37±9.59)、(92.79±9.66)明显高于对照组,差异有统计学意义(P<0.05)。结论能量摄入充足的饮食干预可提升痉挛型脑瘫患儿的临床治疗效果,并有助于改善预后。

Objective To explore the effect of high energy intake intervention on children with spastic cerebral palsy. Methods Thirty- two spastic cerebral palsy patients receiving high energy intake intervention were randomly selected from the hospital as experimental group; thirty- two patients receiving general diet intervention were selected as control group; after six months,the intervention results in the two groups were collected,Gesell Developmental Scale was used to evaluate the development quotients of five domains. Results After intervention,the development quotients of gross motor,fine movement,adaptation behavior,language behavior,and individual- social behavior in experimental group were（ 90. 81 ± 10. 02）,（ 89. 18 ± 9. 63）,（ 91. 44 ± 9. 27）,（ 90. 37 ± 9. 59）,and（ 92. 79 ± 9. 66）,respectively,which were statistically significantly higher than those in control group（ P〈0. 05）. Conclusion High energy intake dietary intervention can improve the clinical effect and prognosis of children with spastic cerebral palsy.