康复训练结合家庭康复指导对痉挛型脑性瘫痪患儿的效果

目的探讨综合康复训练结合家庭康复指导对痉挛型脑瘫患儿的疗效。方法42 例痉挛型脑瘫患儿分为观察组(n=21)和对照组(n=21)。观察组由固定家长陪伴患儿治疗全过程，对患儿实施综合康复训练，康复医师指导家长进行家庭康复环境优化及家庭康复方法培训。对照组因经济及其他因素放弃康复或间断康复，未采取家庭康复环境优化措施。两组患儿分别在治疗前和治疗后6 个月采用粗大运动功能测试(GMFM-88)、脑瘫日常生活活动能力评价表进行评定。结果治疗后，观察组GMFM-88 总百分率及日常生活活动能力评分均较治疗前提高(P<0.05)，并优于对照组(P<0.05)。结论综合康复训练结合家庭康复指导可明显改善患儿的粗大运动功能，提高患儿日常生活活动能力。

Effect of Rehabilitation Training Combined with Home-based Direction on Spastic Cerebral Palsy

Objective To observe the effect of comprehensive rehabilitation combined with home-based direction on spastic cerebral palsy.Methods 42 children with spastic cerebral palsy were divided into treatment group (n=21) and control group (n=21). The treatment group accepted comprehensive rehabilitation and home adjusted. Their parents participated in the rehabilitation and received home-based direction.The control group resigned the rehabilitation for poverty or other reasons, without home adjusted. They were assessed with Gross Motor Function Measure (GMFM-88) and Activities of Daily Living of Cerebral Palsy before and 6 months after treatment. Results The scores of GMFM-88 and Activities of Daily Living of Cerebral Palsy improved in the treatment group after treatment (P<0.05), and improved more in the treatment group than in the control group (P<0.05). Conclusion Rehabilitation training combined with home-based direction could improve the gross motor function and activities of daily living in children with spastic cerebral palsy.