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偏癱型腦癱患兒綜合康復(fù)治療后療效分析

發(fā)布時(shí)間:2018-01-04 07:25

  本文關(guān)鍵詞:偏癱型腦癱患兒綜合康復(fù)治療后療效分析 出處:《中華全科醫(yī)學(xué)》2016年12期  論文類型:期刊論文


  更多相關(guān)文章: 綜合康復(fù)治療 腦性癱瘓 偏癱


【摘要】:目的分析與比較綜合康復(fù)治療對于不同兒童的運(yùn)動(dòng)能力與智力的治療效果。方法選取2012年1月—2014年1月間在溫州育英兒童醫(yī)院接受綜合康復(fù)醫(yī)治的偏癱型腦癱患兒共計(jì)69名,將患兒分為2組:對照組34例僅接受傳統(tǒng)手段進(jìn)行康復(fù)治療,試驗(yàn)組35例接受綜合康復(fù)治療,對比他們在接受綜合康復(fù)治療前后智力水平與行動(dòng)能力的變化。結(jié)果對照組患兒動(dòng)作能發(fā)育商為(54.78±27.37)分,明顯低于試驗(yàn)組患兒的(67.24±26.34)分,P0.05;對照組治療后的應(yīng)物能、語言能、應(yīng)人能發(fā)育商分別為(54.38±9.23)、(55.08±9.37)、(53.87±26.12)分,明顯低于試驗(yàn)組的(65.24±8.34)、(67.24±26.34)、(66.19±25.54)分,P0.05;接受綜合康復(fù)治療的腦癱患兒運(yùn)動(dòng)能力與智力水平的恢復(fù)優(yōu)于接受傳統(tǒng)康復(fù)治療的患兒,差異存在統(tǒng)計(jì)學(xué)意義(P0.05)。此外,統(tǒng)計(jì)結(jié)果還表明智力水平輕度缺陷及以下的患兒行動(dòng)能恢復(fù)效果優(yōu)于智力水平中度、重度、極重度缺陷的患兒,行動(dòng)水平輕度缺陷及以下的患兒智力水平恢復(fù)效果優(yōu)于行動(dòng)能力中度、重度、極重度缺陷的患兒,首次接受治療時(shí)間在6個(gè)月以下的患兒治療效果顯著優(yōu)于首次接受治療時(shí)間在6個(gè)月以上的患兒。結(jié)論綜合康復(fù)治療能夠有效地促進(jìn)偏癱型腦性癱瘓患兒的智力水平與行動(dòng)能力的恢復(fù),應(yīng)當(dāng)更加廣泛地應(yīng)用于臨床的康復(fù)治療中。越早接受康復(fù)治療越能夠得到更有效的治療結(jié)果,因此患有偏癱型腦癱疾病的患者家長應(yīng)盡早帶孩子接受綜合康復(fù)治療。
[Abstract]:Objective: to analyze and compare the comprehensive rehabilitation treatment for children of different sports ability and intelligence treatment. Methods from January 2012 to January 2014 in Wenzhou children's Hospital Yuying accept the comprehensive rehabilitation treatment of hemiplegic cerebral palsy children a total of 69, children were divided into 2 groups: 34 cases in the control group only received conventional means of rehabilitation therapy, test group 35 patients received comprehensive rehabilitation treatment, comparing them to accept the comprehensive rehabilitation treatment before and after the level of intelligence and action ability changes. Results the patients in the control group movement developmental quotient was (54.78 + 27.37), significantly lower than the experimental group (67.24 + 26.34) points, the control can be P0.05; can, language group the people should be developmental quotient respectively (54.38 + 9.23), (55.08 + 9.37), (53.87 + 26.12), the test group was significantly lower than that of (65.24 + 8.34), (67.24 + 26.34), (66.19 + 25.54) points, P0.05 received comprehensive rehabilitation treatment; The ability of infants with cerebral palsy and intelligence level recovery than those received traditional rehabilitation treatment of children, there is a statistically significant difference (P0.05). In addition, the statistical results also show that the level of intelligence and the children with mild defects following action can be recovered better than the intelligence level of moderate, severe and extremely severe defects with mild defects and below the level of action the level of intelligence in children recovered better than the action ability of moderate, severe and extremely severe defects in children, the first treatment time in children with treatment under 6 months was significantly higher than that of the first treatment time in more than 6 months of children. Conclusion the comprehensive rehabilitation therapy can effectively promote hemiplegia in children with cerebral palsy with intelligence and action the ability of recovery, should be more widely used in rehabilitation clinic. Earlier rehabilitation therapy is able to obtain more effective treatment. Therefore, the parents of the patients with hemiplegic cerebral palsy should take their children to receive comprehensive rehabilitation therapy as early as possible.

【作者單位】: 溫州醫(yī)科大學(xué)附屬育英兒童醫(yī)院兒童康復(fù)科;臺(tái)州市第一人民醫(yī)院兒科;
【分類號(hào)】:R742.3
【正文快照】: 腦癱是指由于各種原因造成的發(fā)育期胎兒或嬰兒非進(jìn)行性腦損傷,臨床主要表現(xiàn)為運(yùn)動(dòng)發(fā)育和姿勢異常、運(yùn)動(dòng)功能受限[1-2]。按癱瘓累及部位分類,腦癱分為四肢癱、雙癱、截癱、偏癱、三肢癱和單癱等[3-4]。偏癱型腦癱患兒的肢體協(xié)調(diào)性和平衡性較差。功能訓(xùn)練、技能訓(xùn)練、語言訓(xùn)練結(jié)

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