脑瘫儿童ADL分级社区康复管理对患儿疗效及生存质量的影响

目的 探讨脑瘫儿童日常生活活动能力(ADL)分级社区康复管理对患儿疗效及生存质量的影响.方法 选择2015年1月至2016年3月期间从我院出院后在社区康复的脑瘫患儿96例为研究对象,根据随机数字表法分为两组,每组48例,对照组予社区常规康复训练,观察组则根据ADL分级采取针对性的康复训练,疗程10周.比较干预前后两组患儿粗大运动功能测试量表(GMFM-66)及儿童生存质量普适性核心量表(PedsQL)评分的变化.结果 干预后,观察组与对照组患儿的GMFM-66评分分别为(50.23±13.31)分、(43.58±11.65)分,较治疗的(30.18±7.82)分、(29.07±8.04)分有明显上升,且观察组明显高于对照组,差异均有统计学意义(P<0.05);观察组患儿的PedsQL评分在生理、情感、社交及总分分别为(35.32±8.24)分、(68.78±16.45)分、(36.31±7.82)分、(48.18±10.38)分,对照组分别为(30.46±7.38)分、(60.37±14.63)分、(31.08±5.90)分、(43.48±9.87)分,均较干预前的(23.17±5.39)分、(57.64±14.17)分、(22.24±5.13)分、(38.27±8.57)分和(22.34±4.98)分、(56.28±12.47)分、(23.29±4.97)分、(37.29±8.96)分显著提高,且观察组均高于对照组,差异均有统计学意义(P<0.05).结论 脑瘫儿童ADL分级社区康复管理可以明显提高康复效果,改善患儿的生存质量.

Effect of community rehabilitation management based on ADL classification in children with cerebral palsy and its effect on quality of life.

Objective To explore the effect of ADL classification community rehabilitation management in children with cerebral palsy and its effect on quality of life. Methods Ninety-six children with cerebral palsy who were discharged from our hospital between January 2015 and March 2016 and received rehabilitation in community were ran-domly divided into two groups according to random number table method, with 48 cases in each group. The control group received routine community rehabilitation training, and the observation group applied targeted rehabilitation train-ing according to ADL classification, both for 10 weeks. The changes in Gross Motor Function Measure-66 (GMFM-66) and The Pediatric Quality of Life Inventory Measurement Models (PedsQL) score were compared between the two groups before and after intervention. Results After the intervention, GMFM-66 score in the observation group and the control group were respectively (50.23±13.31) and (43.58±11.65), as compared with (30.18±7.82), (29.07±8.04) before intervention, and the levels in the observation group were significantly higher than those in the control group (P<0.05). in the observation group. The PedsQL score in physiological, emotional, social and total item were (35.32±8.24), (68.78± 16.45), (36.31 ± 7.82), (48.18 ± 10.38) in the observation group and (30.46 ± 7.38), (60.37 ± 14.63), (31.08 ± 5.90), (43.48 ± 9.87) in the control group, which were significantly higher than (23.17±5.39), (57.64±14.17), (22.24±5.13), (38.27±8.57) and (22.34 ± 4.98), (56.28 ± 12.47), (23.29 ± 4.97), (37.29 ± 8.96) before intervention, and the scores in the observation group were significantly higher than those in the control group (P<0.05). Conclusion Community rehabilitation man-agement based on ADL classification in children with cerebral palsy can significantly improve the effect of rehabilitation and improve the quality of life.