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目的探讨综合疗法治疗小儿脑瘫的临床效果。方法选取2012年3月—2015年2月河南推拿职业学院附属医院收治的脑瘫患儿83例,按照掷硬币法分为单一康复组41例与综合康复组42例。单一康复组给予常规康复疗法,综合康复组在单一康复组基础上给予高压氧、针刺、药物、语言训练等综合疗法。比较两组患儿治疗效果、治疗前后粗大运动功能(GMFM)评分、日常生活活动能力(ADL)评分、智能发育指数(MDI)、运动发育指数(PDI)、患儿家长满意评分及住院时间。结果治疗前两组患儿MDI、PDI、GMFM评分、ADL评分比较,差异无统计学意义(P>0.05);治疗后综合康复组患儿MDI、PDI、GMFM评分、ADL评分高于单一康复组,差异有统计学意义(P<0.05)。综合康复组家长满意评分高于单一抗复组,患儿住院时间短于单一抗复组,差异有统计学意义(P<0.05)。结论综合疗法治疗小儿脑瘫效果确切,可有效改善患儿智力和运动能力,促进其智力发育,提高其日常活动能力,家长满意度较高。
Objective To investigate the clinical effect of comprehensive therapy in children with cerebral palsy. Methods Eighty-three children with cerebral palsy admitted from March 2012 to February 2015 in Henan Tailor-made Affiliated Hospital were divided into single rehabilitation group (n = 41) and comprehensive rehabilitation group (n = 42) according to the coin tossing method. The single rehabilitation group was given routine rehabilitation therapy. The comprehensive rehabilitation group was given comprehensive therapy of hyperbaric oxygen, acupuncture, medicine and language training on the basis of single rehabilitation group. The curative effect, GMFM score, ADL score, MDI, PDI, parents’ satisfaction score and length of hospital stay were compared between the two groups. Results There was no significant difference in MDI, PDI, GMFM scores and ADL scores between the two groups before treatment (P> 0.05). After treatment, the MDI, PDI, GMFM score and ADL score of children in comprehensive rehabilitation group were higher than those of single rehabilitation group , The difference was statistically significant (P <0.05). The satisfaction score of parents in comprehensive rehabilitation group was higher than that of single anti-complex group, and the hospitalization time was shorter than single anti-complex group (P <0.05). Conclusion Comprehensive treatment of cerebral palsy in children with exact results, can effectively improve the children’s intelligence and motor skills, and promote their intellectual development, improve their daily activities, parents with higher satisfaction.