Vojta手法和Bobath手法对不同年龄段脑瘫患儿康复护理效果比较

目的 寻找适应不同年龄段痉挛性脑瘫(SCP)患儿的康复手法,提高患儿的生活质量。方法 按年龄段随机选择SCP患儿99例,分为A、B、C三组各33例,其年龄分别为0～6个月、7个月至1岁、13个月至4岁;每组又分为3小组(A1～A3组、B1～B3组、C1～C3组)。康复治疗时1组采用Vojta手法,2组采用Bobath手法,3组采用Vojta手法加Bobath手法。治疗效果用运动发育率(MDR)表示,采用方差分析和检验比较不同年龄段SCP患儿的康复效果。结果 A1组疗效明显高于A2组(P>0.05);,A1与A3组比较,疗效无明显差异;B1、B2、B3组疗效两两比较无明显差异(P>0.05);C3组疗效明显高于C1、C2组(P<0.01)。结论 SCP患儿应根据年龄选择康复手法。0～6个月患儿适用于Vojta手法,7个月至1岁患儿可选择Vojla或Bobath手法,亦可选用联合手法;1～4岁患儿应选用联合手法。

Effects of nursing recorvery of Vojta and Bobath method in children with SCP in different age

Objective To find a suitable nuring recovery to improve physical developments of children with spastic cerebra palsy (SCP) in different age groups. Methods 99 children with SCP were divided into three different age groups randomly:group A(0-6 months old),group B(7-12 months old),group C(13 months-4 years old). Each group with 33 subjects was randomly divided into 3 subgroups (A1-A3,B1-B3, C1-C3) on average and given different physical therapy respectively, including Vojta or Bobath method singlely or Vojta combined with Bobath method in sequence. MDR was used to indicate the level of physical development. Four months later, MDRs were compared among each 3 subgroups by analysis of variance and SNK-q test. Results The MDRs in group A1 were significant higher than those of group A2(P<0. 01) while had no significant difference with group A3. There was no significant difference among three subgroups (P>0. 05) in group B. There was significant rise of MDRs in group C3 compared with C1 and C2. Conclusion It is important to give different physical therapy to children with SCP according to age to improve physical developments.