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目的研究综合康复干预对不同月龄的脑性瘫痪患儿的应用效果。方法 300例脑性瘫痪患儿,根据月龄不同分为1~3个月组99例、4~6个月组98例、7~9个月组103例。所有患儿均采取脑多肽、吡拉西坦进行药物治疗,并进行综合康复干预。观察三组不同月龄脑性瘫痪患儿神经行为发育测定(Gesell检查量表)诊断情况及粗大运动功能量表评价。结果干预后三组粗大运动功能量表评分及发育商较干预前均有所改善,且1~3个月组粗大运动功能量表评分为(27.79±3.28)分,发育商为(53.38±4.09)分,4~6个月组粗大运动功能量表评分为(24.87±2.76)分,发育商为(51.27±3.71)分,7~9个月组粗大运动功能量表评分为(22.98±3.56)分,发育商为(50.05±4.52)分,1~3月组改善效果最佳,4~6个月组次之,三组比较差异有统计学意义(P<0.05)。结论综合康复干预能够改善脑性瘫痪患儿病情,促进患儿正常化,月龄越小效果越好,对脑性瘫痪尽早诊断,及时实施干预措施,能够有效的控制、改善患儿病情,减轻患儿痛苦,减少家庭及社会负担,值得广泛使用于临床。
Objective To study the effect of comprehensive rehabilitation intervention on children with cerebral palsy of different age. Methods A total of 300 children with cerebral palsy were divided into three groups according to the age of one to three months: 99 cases, 98 cases in 4 to 6 months and 103 cases in 7 to 9 months. All children were taken brain peptides, piracetam for drug treatment, and comprehensive rehabilitation intervention. The neurobehavioral development (Gesell test scale) and the assessment of gross motor function scale in three groups of children with cerebral palsy at the same age were observed. Results After the intervention, the scores of the gross motor function scale and the developers in the three groups were all improved compared with those before the intervention. The scores of the gross motor function scale in the first to third months were (27.79 ± 3.28) points and the developmental quotient was (53.38 ± 4.09) ), The score of gross motor scale was (24.87 ± 2.76) in 4 to 6 months, (51.27 ± 3.71) in development, and the score of gross motor function was (22.98 ± 3.56) in 7 to 9 months ), And the score of development was (50.05 ± 4.52) points. The improvement effect was the best in 1 ~ 3 months group, followed by that in 4 ~ 6 months group. The difference between the three groups was statistically significant (P <0.05). Conclusion Comprehensive rehabilitation intervention can improve the condition of children with cerebral palsy, promote the normalization of children, the younger the younger, the better the effect. The early diagnosis of cerebral palsy and the timely implementation of interventions can effectively control and improve the condition of children and alleviate Child suffering, reduce family and social burden, it is worth widely used in clinical.