偏瘫型脑瘫患儿综合康复治疗后疗效分析

Curative effect of comprehensive rehabilitation program in children with hemiplegic cerebral palsy

目的分析与比较综合康复治疗对于不同儿童的运动能力与智力的治疗效果。方法选取2012年1月—2014年1月间在温州育英儿童医院接受综合康复医治的偏瘫型脑瘫患儿共计69名,将患儿分为2组:对照组34例仅接受传统手段进行康复治疗,试验组35例接受综合康复治疗,对比他们在接受综合康复治疗前后智力水平与行动能力的变化。结果对照组患儿动作能发育商为(54.78±27.37)分,明显低于试验组患儿的(67.24±26.34)分,P<0.05;对照组治疗后的应物能、语言能、应人能发育商分别为(54.38±9.23)、(55.08±9.37)、(53.87±26.12)分,明显低于试验组的(65.24±8.34)、(67.24±26.34)、(66.19±25.54)分,P<0.05;接受综合康复治疗的脑瘫患儿运动能力与智力水平的恢复优于接受传统康复治疗的患儿,差异存在统计学意义(P<0.05)。此外,统计结果还表明智力水平轻度缺陷及以下的患儿行动能恢复效果优于智力水平中度、重度、极重度缺陷的患儿,行动水平轻度缺陷及以下的患儿智力水平恢复效果优于行动能力中度、重度、极重度缺陷的患儿,首次接受治疗时间在6个月以下的患儿治疗效果显著优于首次接受治疗时间在6个月以上的患儿。结论综合康复治疗能够有效地促进偏瘫型脑性瘫痪患儿的智力水平与行动能力的恢复,应当更加广泛地应用于临床的康复治疗中。越早接受康复治疗越能够得到更有效的治疗结果,因此患有偏瘫型脑瘫疾病的患者家长应尽早带孩子接受综合康复治疗。

Objective To discuss the therapeutic efficacy of comprehensive rehabilitation treatment on the motor ability and intelligence in children with hemiplegic cerebral palsy. Methods Total 69 children with hemiplegic cerebral palsy in Yuying Children＇s Hospital of Wenzhou Medical University between January,2012 and January, 2014 were enrolled and divided into control group （34 cases） and experimental group （35 cases）. The control group received the traditional rehabilitation treatment, while the experimental group received the comprehensive rehabilitation treatment. The changes in the motor ability and intelligence before and after the treatment were compared between the two groups. Results The motor skills development quotient （DQ） score of the control group was 54.78 ± 27. 37, which was obviously lower than （ 67.24 ± 26.34） the experimental group, P 〈 0. 05. After the treatment, the object,language and human respond skill DQ score of the control group were 54.38 ± 9.23,55.08 ± 9.37 and 53.87 ± 26.12, respectively ,which were obviously lower than 67.24 ± 26.34,67.24 ± 26.34 and 66.19 ± 25.54 of the experimental group. The motor ability and intelligence in the experimental group were improved obviously as compared with the control group, the difference was significant, P 〈 0.05. The rehabilitation effects of the motor ability in children with mild or lighter mental retardation is superior to that in children with moderate, severe and very severe intelligence defects; the rehabilitation effects of intelligence in children with mild or lighter motor skills is superior to that with moderate, severe and very severe motor skill defects. The outcome of children with the initial treatment time less than 6 months was better than those with the initial treatment time more than 6 months. Conclusions The comprehensive rehabilitation treatment can effectively improve the motor ability and intelligence of the children with hemiplegic cerebral palsy. The early rehabilitation treatment could achieve a better outcome, so the parents of patients should take the children to accept comprehensive rehabilitation treatment as early as possible.