摘要
目的脑性瘫痪的康复治疗是一个长期而持续的过程,目前中国儿童康复医疗机构数量少,同时很多家庭负担不起昂贵的治疗费用。为了能提高这些患儿的疗效,探讨不同年龄组及家长参与康复训练对痉挛性双瘫患儿下肢肌张力改善的影响。方法痉挛性双瘫患儿89例。根据年龄分为≤3岁组和>3岁组;并根据家长参与情况分为参与组和不参与或不规则参与组。全部患儿均采用运动疗法为主的综合康复治疗。观察治疗后肌张力缓解的情况。结果≤3岁组总有效率95%,>3岁组总有效率72%,两组相比差异有非常显著性意义(χ2=30.26,P<0.01)。家长参与组总有效率为89%,家长不参与或不规则参与组总有效率为46%,两组相比差异有非常显著性意义(χ2=85.44,P<0.01)。结论不同年龄组疗效有显著性差异。家长有规律的参与康复训练有助于肌张力的缓解,提高脑瘫患儿的康复效果。
Aim To investigate the effect of rehabilitation training with the par ti cipant of family on muscular tension of lower limb.Methods Eighty-nine children with spastic diplegia, 36 normal and 53 mental retardation, were respectively d ivided into ≤3 year-old group and >3 year-old group according to the age; and participating group and nonparticipating group according to the participation o f their parents. Exercise therapy, the chief rehabilitation method, was conducte d to observe muscular tension for all the patients. Results The total effective rate:were 95%and 72%in the ≤3 year-old group and >3 year-old group respecti vely, with a significant difference between the two age groups(χ2=30.26,P< 0. 01). Meanwhile, the total effective rates of the participating group and nonpar ticipating group were 89%and 46.15%respectively, which showed a significant di fference between the two groups (χ2=85.44,P< 0.01). Conclusion The effects are obviously different between the different age groups. The regular participation of parents in training can administer to the remission of muscular tension and improve the effect of rehabilitation of the children with cerebral palsy.
出处
《中国临床康复》
CSCD
2003年第18期2563-2564,共2页
Chinese Journal of Clinical Rehabilitation
