家庭参与式康复干预在小儿脑瘫中的应用及远期康复效果分析

Application of family participation rehabilitation intervention in children with cerebral palsy and its long-term rehabilitation effect

目的探究家庭参与式康复干预在小儿脑瘫中的应用及远期康复效果。方法100例小儿脑瘫患者采用简单随机化法分为实验组与对照组,各50例。对照组在康复机构中接受康复干预,实验组给予家庭参与式康复干预。对比两组临床疗效、干预前后康复评分及生活质量。结果实验组总有效率为90.00%高于对照组的74.00%,差异具有统计学意义(P<0.05)。干预后,两组患者个人社交行为、语言行为、精细运动行为、大运动行为、适应行为评分均高于本组治疗前,且实验组高于对照组,差异均具有统计学意义(P<0.05)。干预后,两组患者生理功能、社交功能、情感功能评分均高于本组治疗前,且实验组生理功能、社交功能、情感功能评分分别为(40.47±9.78)、(43.58±9.62)、(69.12±9.51)分,高于对照组的(30.23±8.25)、(30.25±7.56)、(60.57±7.56)分,差异均具有统计学意义(P<0.05)。结论小儿脑瘫患者接受家庭参与式康复干预,能够促进其肢体功能水平的提高,促进其预后的改善,意义重大,值得推广应用。

Objective To investigate the application of family participation rehabilitation intervention in children with cerebral palsy and its long-term rehabilitation effect.Methods A total of 100 children with cerebral palsy were divided into experimental group and control group according to simple randomization method,with 50 cases in each group.The control group received rehabilitation intervention in rehabilitation institutions,and the experimental group received family participation rehabilitation intervention.The clinical efficacy,rehabilitation score and quality of life before and after intervention were compared between the two groups.Results The total effective rate 90.00%of the experimental group was higher than 74.00%of the control group,and the difference was statistically significant(P<0.05).After intervention,the personal social behavior,language behavior,fine motor behavior,big motor behavior and adaptive behavior score of the two groups were higher than those before treatment,and the experimental group was higher than the control group.All the difference was statistically significant(P<0.05).After intervention,the physiological function,social function and emotional function score of the two groups were higher than those before treatment,and the physiological function score(40.47±9.78)points,social function score(69.12±9.51)points and emotional function score(43.58±9.62)points of the experimental group were higher than(30.23±8.25),(30.25±7.56)and(60.57±7.56)points of the control group.All the difference was statistically significant(P<0.05).Conclusion Family participation rehabilitation intervention is of great significance for children with cerebral palsy,and it can promote the improvement of limb function and prognosis.It is worthy of promotion and application.