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目的探讨早期康复治疗联合家庭康复训练对小儿脑损伤综合征及脑瘫的效果。方法选择2015年1月—2016年1月收治的小儿脑损伤综合征及脑瘫患儿106例,随机分为观察组和对照组各53例。对照组采取家庭康复训练,观察组采取早期康复治疗联合家庭康复训练的方式。比较两组运动功能评分(FMA)及生活自理能力评价(ADL),比较两组护理前后运动功能及生活自理能力,比较两组护理前后生活质量评分及护理后康复效果。计数资料比较采用χ~2检验,计量资料比较采用t检验,P<0.05为差异有统计学意义。结果两组护理后FMA及ADL评分均升高,且观察组FMA、ADL评分[(59.8±2.3)、(8.8±1.4)分]均高于对照组[(51.0±2.4)、(7.2±1.3)分](均P<0.05);两组护理后各项生存质量评分均升高(均P<0.05),且观察组情感、生理及社交功能评分[(66.1±5.8)、(36.2±7.4)、(37.3±9.3)分]均高于对照组[(60.7±5.4)、(30.2±6.9)、(31.0±8.9)分](均P<0.05);护理后观察组有效率(90.56%)高于对照组(71.69%)(P<0.05)。结论早期康复治疗联合家庭康复训练对小儿脑损伤综合征及脑瘫的治疗效果优于单纯家庭康复训练,值得推广。
Objective To investigate the effect of early rehabilitation therapy combined with family rehabilitation training on cerebral injury syndrome and cerebral palsy in children. Methods A total of 106 children with cerebral injury syndrome and cerebral palsy admitted from January 2015 to January 2016 were randomly divided into observation group and control group with 53 cases each. Control group to take home rehabilitation training, observation group to take early rehabilitation treatment combined with family rehabilitation training. The motor function scores (FMA) and ADL were compared between the two groups before and after exercise to compare motor function and self-care ability, before and after care quality of life scores and post-care rehabilitation. Counting data were compared using χ ~ 2 test, measurement data were compared using t test, P <0.05 for the difference was statistically significant. Results The scores of FMA and ADL in both groups were increased after treatment. The scores of FMA and ADL in the observation group were significantly higher than those in the control group [(59.8 ± 2.3) and (8.8 ± 1.4) points, respectively] (51.0 ± 2.4 and 7.2 ± 1.3 ) (All P <0.05). The scores of quality of life in both groups were significantly higher after nursing (all P <0.05), and the scores of emotional, physical and social function in the observation group were (66.1 ± 5.8) and (36.2 ± 7.4 ) Were significantly higher than those in the control group [(60.7 ± 5.4), (30.2 ± 6.9), (31.0 ± 8.9) points respectively] (all P <0.05) ) Was higher than the control group (71.69%) (P <0.05). Conclusion Early rehabilitation therapy combined with family rehabilitation training for children with brain injury syndrome and cerebral palsy is better than pure family rehabilitation training, which is worth promoting.