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目的探究分析偏瘫型脑瘫患儿应用综合康复治疗的临床效果。方法选择2015年10月—2016年10月收治的偏瘫型脑瘫患儿76例,随机分为观察者和对照组各38例。对照组实施常规治疗,包括药物、心理行为指导、高压氧治疗、心理指导等。观察组在对照组基础上给予综合康复疗法,两组疗程均为8周,对比两组疗效、格赛尔发育量表评分及认知障碍分级。计量资料比较采用t检验,计数资料比较采用χ~2检验,P<0.05为差异有统计学意义。结果治疗后观察组格赛尔发育量表运动、语言、应人、应物发育商(developmental quotient,DQ)评分分别为(68.92±13.44)、(67.81±15.13)、(65.59±16.32)、(65.39±10.43)分,均高于对照组(53.48±7.12)、(55.23±8.32)、(54.98±10.10)、(54.28±5.39)分,具有统计学意义(均P<0.05)。观察组总有效率为94.74%、对照组为84.21%,两组总有效率比较差异有统计学意义(P<0.05)。治疗后观察组认知功能障碍分级Ⅶ级比例高于对照组(P<0.05),两组其他级别比例比较差异无统计学意义(均P>0.05)。结论对偏瘫型脑瘫患儿实施综合康复治疗,有利于提高患儿智力、运动水平,改善认知障碍,促进患儿康复。
Objective To investigate the clinical effect of comprehensive rehabilitation treatment in children with hemiplegia cerebral palsy. Methods Seventy-six children with hemiplegia cerebral palsy who were admitted to our hospital from October 2015 to October 2016 were randomly divided into observation group (38 cases) and control group (38 cases). Control group to implement conventional treatment, including drugs, psychological behavior guidance, hyperbaric oxygen therapy, psychological guidance. The observation group was given comprehensive rehabilitation therapy on the basis of the control group. The two courses of treatment were 8 weeks. The curative effect of the two groups were compared. The scores of the Gesell Scale and the classification of cognitive impairment were compared. Measurement data were compared using t test, count data were compared using χ ~ 2 test, P <0.05 for the difference was statistically significant. Results The scores of developmental quotient (DQ) in the observation group were (68.92 ± 13.44), (67.81 ± 15.13), (65.59 ± 16.32) and 65.39 ± 10.43) were higher than those in the control group (53.48 ± 7.12), (55.23 ± 8.32), (54.98 ± 10.10) and (54.28 ± 5.39), respectively, with statistical significance (all P <0.05). The total effective rate was 94.74% in the observation group and 84.21% in the control group. There was significant difference between the two groups in total effective rate (P <0.05). After treatment, the proportion of cognitive dysfunction grade Ⅶ in the observation group was higher than that in the control group (P <0.05). There was no significant difference in the other grades of the two groups (all P> 0.05). Conclusion The comprehensive rehabilitation of children with hemiplegia cerebral palsy is beneficial to improve children’s intelligence, exercise level, improve cognitive disorders, and promote the rehabilitation of children.