Conductive education, Cerebral palsy,Gross motor function,Daily living ability, Kinesiothera
,"/> <span style="font-size:14px;line-height:2;">引导式教育结合运动疗法对脑性瘫痪</span><span style="font-size:14px;line-height:2;">患儿康复疗效的研究</span>
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发育医学电子杂志  2022, Vol. 10 Issue (2): 107-113    DOI: 10.3969/j.issn.2095-5340.2022.02.005
  生长发育   论著 |
引导式教育结合运动疗法对脑性瘫痪患儿康复疗效的研究
李利红 杨丽亚 韩凤 陈翠英 田宁宁 龚贝贝
1. 石家庄市人民医院 儿科及康复科,河北 石家庄 050000;2. 河北省儿童医院 儿童康复科,河北 石家庄 050000)
Study on the efficacy of utilizing conductive education combine with kinesiotherapy in children with cerebral palsy
Li Lihong,Yang Liya, Han Feng, et al
(1. Department of Pediatricsand Rehabilitation, Shijiazhuang People's Hospital, Hebei, Shijiazhuang 050000, China; 2. Department ofChildren's Rehabilitation, Children's Hospital of Hebei Province, Hebei, Shijiazhuang 050000, China)
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摘要 【摘要】 目的 研究引导式教育结合运动疗法对脑性瘫痪患儿运动功能和日常生活能力的康复疗效。方法 将2018 年1 月至2019 年1 月80 例在石家庄市人民医院首次就诊的1~8 岁脑性瘫痪患儿按照年龄分为两组,<3 岁为婴幼儿组(n=20),≥ 3 岁为儿童组(n=60),两组患儿再按随机数字表法各分为研究组及对照组,其中研究组应用引导式教育+ 运动疗法治疗,对照组单独应用运动疗法治疗。研究组与对照组分别比较治疗前后粗大运动功能量表88 项(gross motor function measure-88,GMFM-88)和儿童生活功能评估量表(pediatric evaluation of disability inventory,PEDI)自理能力部分评分。采用t 检验、χ2 检验及Fisher 精确检验进行统计学分析。 结果 婴幼儿中GMFM-88 及PEDI(自理能力部分)评分比较,研究组和对照组治疗前GMFM-88 评分比较差异无统计学意义(P>0.05),两组治疗3 个月后GMFM-88 评分研究组为(142±16)分,对照组为(138±14)分,均明显高于治疗前,且研究组优于对照组,差异有统计学意义(P<0.05)。两组治疗前PEDI(自理能力部分)评分比较差异无统计学意义(P>0.05),治疗3 个月后PEDI(自理能力部分)评分研究组为(31±8)分,对照组为(27±6)分,均明显高于治疗前,研究组优于对照组,差异有统计学意义(P<0.05)。儿童中GMFM-88 及PEDI(自理能力部分)评分比较,研究组和对照组治疗前GMFM-88 评分比较差异无统计学意义(P>0.05),治疗3 个月后GMFM-88 评分研究组为178±21)分,对照组(169±17)分,均明显高于治疗前,且研究组优于对照组,差异有统计学意义
(P<0.05);两组治疗前PEDI (自理能力部分)评分比较差异无统计学意义(P>0.05),治疗3 个月后 PEDI (自理能力部分)评分研究组为(41±8)分,对照组为(35±6)分,均明显高于治疗前,且研究组优于对照组,差异有统计学意义(P<0.05)。 结论 引导式教育结合运动疗法能提高脑性瘫痪患儿的运动功能和日常生活能力,疗效显著优于单用运动疗法,值得临床进一步推广应用。
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关键词:  引导式教育  脑性瘫痪  粗大运动功能  日常生活能力  运动疗法    
Abstract: 【Abstract】 Objective To observe the efficacy of conductive education combined with kinesiotherapy
on motor function and daily living ability of children with cerebral palsy. Method From January 2018
to January 2019, 80 children aged 1-8 years who were diagnosed cerebral palsy in Shijiazhuang People's
Hospital for the first time were divided into two groups: children younger than 3 years were infants group
(n=20), children older than 3 years or equal were children's group (n=60). Two groups were further divided into study group and control group according to the randomized digital table method. The study group appliedconductive education and kinesiotherapy, and the control group were treated with kinesiotherapy alone.The gross motor function measure-88 (GMFM-88) and the part of self-care ability of pediatric evaluationof disability inventory (PEDI) before and after treatment in two groups were compared respectively. t-test,χ2 test and Fisher exact test were used for statistical analysis. Result In infants, there were no differencebefore treatment in the scores of GMFM-88 between the two groups (P>0.05). The GMFM-88 score wassignificantly higher after 3 months of treatment than before treatment, the study group was (142±16) points,the control group was (138±14) points, and the score of study group was better than that of control group.The difference was statistically significant (P<0.05). There were no difference before treatment in the scoresof PEDI (self-care ability part) between the study group and control group (P>0.05). The PEDI (self-careability section) score was significantly higher after 3 months of treatment than before treatment, the studygroup was (31±8) points, the control group was (27±7) points, and the score of study group was better thanthat of control group, the difference was statistically significant (P<0.05). In children, there were no differencebefore treatment in the score of GMFM-88 between the two groups (P>0.05). The GMFM-88 scores weresignificantly higher after 3 months of treatment than before treatment, the study group was (178±21) points,the control group was (169±17) points, and the score of study group was better than that of control group.The difference was statistically significant (P<0.05). There were no difference before treatment in the scores ofPEDI (self-care ability part) between the two groups (P>0.05). The PEDI (self-care ability section) score wassignificantly higher after 3 months of treatment than before treatment, the study group was (41±8) points, thecontrol group was (35±6) points, and the score of study group was better than that of control group, thedifference was statistically significant (P<0.05). Conclusion The effect of conductive education combinewith kinesiotherapy is better than that of kinesiotherapy alone, so it is worth of popularizing and applying
further in clinic.
Key words:  Conductive education')" href="#">Conductive education    ')" href="#"> Cerebral palsy    ')" href="#">Gross motor function    ')" href="#">Daily living ability    Kinesiothera
收稿日期:  2021-02-24                     发布日期:  2022-03-31     
基金资助: 石家庄市科技技术研究与发展计划项目(171461963)
通讯作者:  李利红    E-mail:  22289820@qq.com
引用本文:    
李利红 杨丽亚 韩凤 陈翠英 田宁宁 龚贝贝. 引导式教育结合运动疗法对脑性瘫痪患儿康复疗效的研究[J]. 发育医学电子杂志, 2022, 10(2): 107-113.
Li Lihong, Yang Liya, Han Feng, et al. Study on the efficacy of utilizing conductive education combine with kinesiotherapy in children with cerebral palsy. Journal of Developmental Medicine(Electronic Version), 2022, 10(2): 107-113.
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http://www.fyyxzz.com/CN/10.3969/j.issn.2095-5340.2022.02.005  或          http://www.fyyxzz.com/CN/Y2022/V10/I2/107
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[2] 李欣欣 时庆红 栾玲玲 贾飞勇 李洪华.
任务导向性训练对痉挛型脑性瘫痪患儿上肢功能及功能独立性的效果研究
[J]. 发育医学电子杂志, 2020, 8(3): 257-261.
[3] 马秀伟. 儿童脑性瘫痪的治疗进展[J]. 发育医学电子杂志, 2016, 4(4): 252-256.
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