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投稿时间:2020-05-14 网络发布日期:2021-01-20
投稿时间:2020-05-14 网络发布日期:2021-01-20
中文摘要: 目的 探讨网络化终端指导下的早期家庭康复及姿势管理对0~6个月脑瘫高危儿运动功能和日常生活活动能力(ADL)的影响。
方法 选择2018年8月至2019年8月脑瘫高危儿92例,将入选患儿随机分为对照组和治疗组,各42例。对照组进行康复科门诊机构治疗,每天治疗时间为2 h,每周5 d;治疗组机构治疗时间频率同对照组,同时根据平时治疗情况进行网络化终端指导丰富环境家庭康复,包括运动方案和视觉、听觉、触觉干预以及家庭姿势管理等。评估时间为初诊和3个月后,对患儿进行大运动功能测试量表(GMFM)评分和日常生活能力(ADL)量表评分,评价比较两组的疗效。
结果 治疗前,两组患儿GMFM和ADL评分对比差异无统计学意义(P均>0.05)。治疗3个月后,两组患儿抬头、翻身等粗大运动均有改善,GMFM评分较治疗前增高(P均<0.01),且治疗组高于对照组[(3.91±1.17)分 vs(3.39±0.82)分,t=5.35,P<0.01];两组患儿ADL评分较治疗前增高(P均<0.01),且治疗组高于对照组[(11.19±3.71)分 vs(7.78±2.91)分,t=18.74,P<0.01]。
结论 网络化终端指导下的早期丰富环境家庭康复有利于促进脑瘫高危儿的神经发育。
Abstract:Objective To explore the effect of early family rehabilitation and posture management under the guidance of network terminal on motor function and activities of daily living(ADL) in high-risk infants aged 0 to 6 months with cerebral palsy (CP).
Methods The enrolled CP children from August 2018 to August 2019 were randomly divided into control group and treatment group(42 cases each).The outpatient treatment of rehabilitation institutions was performed for 2 hours a day,5 days a week in control group.The network terminal guidance was used to enrich the environment of family rehabilitation,including sports program,visual,auditory,tactile intervention and family posture management based on the same regimen in control group according to the usual treatment situation in treatment group.At the first visit and 3 months after treatment,Gross Motor Function Test (GMFM) score and Activity of Daily Living (ADL) scale were used to evaluate and compare the efficacy between two groups.
Results Before treatment,there were no significant differences in GMFM and ADL scores between two groups (all P>0.05).After 3 months of treatment,gross movements such as head-up and body turning were improved,and scores of GMFM and ADL were higher than those before treatment in both groups (all P<0.01).In treatment group,GMFM [(3.91±1.17) vs (3.39±0.82)] and ADL[(11.19±3.71)vs(7.78±2.91)] were statistically higher than those in control group (all P<0.01).
Conclusion Under the guidance of network terminal,early enriched family rehabilitation environment is conducive to promote the neural development of CP high-risk infants.
keywords: Cerebral palsy High-risk infants Enriching environmental Motor function Ability of daily living
文章编号: 中图分类号: 文献标志码:B
基金项目:国家卫生计生委小儿脑瘫科学康复体系建设研究项目(2018-2019);上海市卫生计生系统重要薄弱学科建设项目(2015ZB0402);上海交通大学医工(理)交叉基金(ZH2018QNA32)
附件
Author Name | Affiliation |
DAI Yan-qiong,TANG Liang,CHEN Li,ZHOU Hui-yu,LU Chan-yan | Department of Rehabilitation,Children′s Hospital of Shanghai Jiaotong University,Shanghai 200062,China |
引用文本:
戴燕琼, 唐亮, 陈丽, 周慧玉, 路婵燕.网络化终端指导家庭康复在脑瘫高危儿早期神经发育中的作用[J].中国临床研究,2021,34(1):82-85.
戴燕琼, 唐亮, 陈丽, 周慧玉, 路婵燕.网络化终端指导家庭康复在脑瘫高危儿早期神经发育中的作用[J].中国临床研究,2021,34(1):82-85.