《中国康复理论与实践》 ›› 2002, Vol. 8 ›› Issue (11): 646-647.

• 专题研究 • 上一篇    下一篇

90例婴幼儿脑性瘫痪康复的临床研究

李燕春; 胡莹媛; 吴卫红; 刘建军; 张雁; 陆华宝   

  1. 首都医科大学康复医学院,中国康复研究中心 北京市 100077
  • 收稿日期:2002-08-14 出版日期:2002-11-25 发布日期:2002-11-25

Clinical rehabilitation research on 90 infants with cerebral palsy

LI Yan-chun, HU Ying-yuan, WU Wei-hong, et al   

  1. Beijing CharityHospital affiliated to Chinese Rehabilitation Research Center. Beijing 100077,China
  • Received:2002-08-14 Published:2002-11-25 Online:2002-11-25

摘要: 目的探讨婴幼儿脑性瘫痪不同年龄、不同病情程度、不同康复时间的康复疗效。方法选择3—36个月的脑瘫儿90例,用前瞻性方法,随机将3—12个月、13—24个月、25—36个月分为3组。每组30例,其中轻、中、重度各10例,分别全面康复治疗2个月与3个月,对每例行治疗前、后生活自理能力(ADL)评价,将所提高分值百分比进行组间比较,做统计学分析。结果婴幼儿CP康复治疗时间3个月组明显优于2个月组,病情程度一致的各年龄组组间比较康复疗效及各年龄组轻、中、重度CP比较均有显著性差异(P<0.01)。3—12个月组明显优于25-36个月组。结论婴幼儿脑瘫康复治疗3个月疗效显著。轻、中度脑瘫康复疗效明显,轻度脑瘫效果最佳。年龄越小,康复效果越好。

关键词: 婴幼儿脑瘫, 康复, 生活自理能力评定

Abstract: ObjectiveTo investigate the effect of rehabilitative treatment on different groups of infants with cerebral palsy in different age, sickness extent and rehabilitative period.MethodsBy the prospective method, 90 patients from 3 to 36 months old were randomly divided into three groups including 3 to 12 months, 13 to 24 months and 25 to 36 months with 30 cases each. Every 10 cases in light, moderate and severe degrees were given rehabilitative care for 2 months and 3 months respectively. The personal ADL of every case was evaluated at the initial and the final state. The compared score was analyzed with T test.ResultsComparing the groups of different ages, there were prominent differences of treatment under the same sickness, among the light, moderate and severe degrees(P<0.01). The rehabilitative treatment effect of 3 months was better than that of 2 months. Furthermore the effect of the group of 3-12 months was better than that of 25-36 months.ConclusionsThe rehabilitative care is prominently effective in the light and moderate groups , the former is better and within 3 months is better than 2 months. The younger infant is, the better the rehabilitative treatment is.

Key words: infant with cerebral palsy, rehabilitation, activity of daily living