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目的探讨小儿脑瘫康复治疗有效、简便而经济的方法。方法以215例小儿脑瘫对自行设计的简便家庭疗育(家庭训练和物理疗法)、脑活素以及家庭疗育加脑活素的疗效进行比较研究,并作3~5年随访。结果简便家庭疗育组的总有效率为759%。与对照组(未经任何治疗)比较,χ2=4367,P<0001,差异有高度显著性;与脑活素组比较,χ2=005,P>005(但1岁以内者以脑活素疗效较佳,1岁以上以家庭疗育法较好),差异无显著性;与家庭疗育加脑活素组比较,χ2=461,P<005,差异有显著性。结论家庭疗育加脑活素组疗效较佳;简便家庭疗育对小儿瘫的康复有显著的疗效。
Objective To investigate the effective, simple and economical method of rehabilitation treatment of cerebral palsy in children. Methods A total of 215 children with cerebral palsy were enrolled in this study. Their simple home-based therapy (family training and physiotherapy), cerebrolysin and family therapy combined with cerebrolysin were comparatively studied and followed up for 3 to 5 years. The results of simple family therapy group, the total effective rate was 75 9%. Compared with the control group (without any treatment), χ2 = 4367, P <0001, the difference was highly significant; compared with the brain activity group, χ2 = 005, P> 005 (but 1 Year-old who better efficacy of cerebrolysin, 1-year-old family therapy is better), the difference was not significant; compared with family therapy plus cerebrolysin group, χ2 = 4 61, P <0 05 , The difference was significant. Conclusion family therapy plus cerebrolysin group better curative effect; simple family therapy has a significant effect on the rehabilitation of pediatric paralysis.