| “医教结合”的家庭康复对重度脑瘫患儿运动功能的疗效初探 |
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| 引用本文： | 张树新,;杜青,;周璇,;邓巍巍,;陈楠,;宋琰萍,;于虹,;朱慧,;张洪鑫,;包惠萍.“医教结合”的家庭康复对重度脑瘫患儿运动功能的疗效初探[J].实用医院临床杂志,2014(5):12-15. |
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| 作者姓名： | 张树新 ;杜青 ;周璇 ;邓巍巍 ;陈楠 ;宋琰萍 ;于虹 ;朱慧 ;张洪鑫 ;包惠萍 |
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| 作者单位： | [1]上海交通大学医学院附属新华医院康复医学科,上海200092; [2]上海交通大学医学院附属新华医院崇明分院康复医学科,上海202150; [3]上海市小儿外科临床医学中心,上海200092; [4]上海市崇明县教师进修学校,上海202150; [5]上海市崇明县培林学校,上海202150 |
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| 基金项目： | 上海市2012年度残疾人康复科研鼓励项目资助 |
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| 摘 要： | 目的：初步探讨采用“医教结合”的家庭康复模式对重度脑瘫患儿运动功能促进的有效性。方法重度脑瘫患儿3名（男2例，女1例），由专业康复机构医师和治疗师定期进行康复评估和治疗方案制订，并对家长（照料者）和特殊教育学校教师进行指导与培训，开展家庭康复治疗。治疗前、后6个月采用粗大运动功能测试量表（ gross motor function measure ， GMFM）、精细运动功能测试量表（ fine motor function measure scale ，FMFM）对患儿的粗大和精细运动功能进行评估。结果治疗6个月后，GMFM66项总分、GMFM88项坐位、爬与跪两项和FMFM能力分均高于治疗前，差异具有统计学意义（均P＜0.05）。结论“医教结合”的家庭康复模式可以发挥医学康复和特殊教育的共同促进作用，充分利用家庭康复资源，从而有效改善脑瘫患儿运动功能。
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| 关 键 词： | 医教结合 脑瘫 家庭康复 |
A primary study on curative effect of a family rehabilitation model by combination of medi-cine with education for children with severe cerebral palsy |
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| Institution: | ZHANG Shu-xin , DU Qing , ZHOUXuan,DENG Wei-wei , CHEN Nan ,SONG Dan-ping, YU Hong ,ZHU Hui,ZHANG Hong-xin ,BAO Hui- pings (1. Rehabilitation Department, Affiliated Xinhua Hospital, Shanghai Jiaotong University School of Medicine, Shanghai 200092, China ;2. Rehabilitation Department, Chongming branch ,Affiliated Xinhua Hospi- tal, Shanghai Jiaotong University School of Medicine, Shanghai 202150, China ; 3. Shanghai Pediatric Surgery Clinical Center,Shanghai 200092, China ;4. Shanghai Chongming Teacher Further Education College ,Shang- hai 202150, China ; 5. Shanghai Chongming Peilin School, Shanghai 202150, China ) |
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| Abstract: | Objective To preliminarily investigate the effectiveness of a family rehabilitation treatment model of combining medicine with education in promotion of motor function in children with severe cerebral palsy .Methods A treatment plan for 3 chil-dren （2 males and one female ） with severe cerebral palsy was made by physiatrician ,physical therapist and special education teacher after periodic assessment .Their parents and special education teachers received guidance and training to perform a family education .All of the children were assessed with Gross Motor Function Measure （ GMFM） and Fine Motor Function Measure （ FMFM） before and af-ter 6 months treatment.Results The total scores of GMFM-66,FMFM and each dimension score of GMFM-88 were improved in all children after 6 months treatment when compared to treatment before .Conclusion The combining medicine with education model can effectively improve the recovery of gross and fine motor function in children with cerebral palsy . |
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| Keywords: | Combination of medicine with education Cerebral palsy Family rehabilitation |
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