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目的探讨家长参与下的运动疗法联合小脑电刺激对小儿脑瘫的临床疗效和经济成本效益。方法选取2012年8月-2013年10月来该院就诊的资料完整的脑瘫患儿127例,其中65例患儿为家长参与组(观察组),62例为对照组。两组患儿均采用运动疗法和小脑电刺激治疗。观察组家长参与康复知识和个性化技能免费培训,对患儿进行日常生活能力等训练,使其在日常生活里贯穿正确的运动生活模式。分别于3、6个月根据量表评估比较两组患儿的康复疗效,比较两组患儿平均住院天数及平均住院费用。结果治疗3、6个月后,观察组疗效显著,两组差异有统计学意义(P<0.05);观察组患儿平均住院天数及平均住院费用均少于对照组(P<0.05)。结论家长参与下的运动疗法联合小脑电刺激对小儿脑瘫的临床疗效显著,有良好的经济效益,是值得推广的康复模式。
Objective To explore the clinical efficacy and economic cost-effectiveness of motor therapy combined with cerebellar electrical stimulation on pediatric cerebral palsy under the participation of parents. Methods A total of 127 children with cerebral palsy were enrolled in this hospital from August 2012 to October 2013, of which 65 children were parents participating group (observation group) and 62 were control group. Both groups were treated with exercise therapy and cerebellar electrical stimulation. The observation group’s parents participated in the free training of rehabilitation knowledge and personalized skills, and trained their children’s daily living ability so that they would run through the correct sports life style in daily life. The curative effect of rehabilitation was compared between the two groups according to the scale assessment at 3 and 6 months. The mean length of hospital stay and the average hospitalization cost were compared between the two groups. Results After 3 and 6 months of treatment, the observation group had a significant effect, with significant difference between the two groups (P <0.05). The average length of hospital stay and average hospitalization in the observation group were less than those in the control group (P <0.05). Conclusion With the participation of parents, the combination of exercise therapy and cerebellum electrical stimulation has significant clinical effect on pediatric cerebral palsy with good economic benefits and is worth promoting.