摘要
目的探究引导式教育(conductive education,CE)在提高脑性瘫痪(cerebral palsy,CP)患儿粗大运动和认知功能的疗效。方法回顾性分析60例脑性瘫痪患儿临床资料,依据患儿治疗方式不同分为研究组和对照组,其中研究组29例患儿基于对照组传统康复训练疗法之上行CE训练法治疗,对照组患儿31例行传统康复训练治疗,利用粗大运动功能测试量表(Gross Motor Function Measure,GMFM-88)、事件相关电位P300、韦克斯勒学龄前儿童智力量表(The Wechsler Preschool and Primary Scale of Intelligence,WPPSI)、格塞尔婴幼儿发展量表(Gesell Developmental Schedules,Gesell)对患儿的粗大运动功能及认知功能进行评估测试并作出对比。结果研究组患儿的GMFM评分、P300指标(包括潜伏期、波幅)、WPPSI评分、Gesell评分改善情况显著优于对照组患儿,组间比较差异有统计学意义(P<0.05)。结论对于提高CP患儿粗大运动功能和认知功能,使用引导式教育能够更有效地促进其得到恢复。
Objective To explore and analyze the effect of conductive education(CE)in improving gross motor and cognitive functions of children with cerebral palsy(CP).Methods A retrospective analysis was performed on the clinical data of 60 children with CP admitted.According to the different treatment methods of the children,they were divided into a research group and a control group.Among them,29 children in the research group were treated with CE training method based on the traditional rehabilitation training therapy in the control group,while 31 children in the control group received traditional rehabilitation training.Gross Motor Function Measure(GMFM-88),event-related potential P300,and The Wechsler Preschool and Primary Scale of Intelligence(WPPSI)and Gesell Developmental Schedules were used to evaluate and compare the gross motor function and cognitive function of children.Results The improvement of GMFM score,P300 indexes(including incubation period and amplitude),WPPSI score and Gesell score of children in research group was much better than that of children in control group,and the difference between groups was statistically significant(P<0.05).Conclusion For improving the gross motor function and cognitive function of children with CP,the use of CE can more effectively promote their recovery.
作者
崔庆凤
杨李
郑世柱
CUI Qing-feng;YANG Li;ZHENG Shi-zhu(Department of Children′s Rehabilitation, the Affiliated Hospital of Western Anhui Medical Vocational College, Liuan 237000, China;Pediatric Neurological Rehabilitation Center, the First Affiliated Hospital of Anhui Medical University, Hefei 230000, China;The First Department of Rehabilitation Medicine, the Affiliated Hospital of Western Anhui Medical Vocational College, Liuan 237000, China)
出处
《河北医科大学学报》
CAS
2022年第3期307-310,共4页
Journal of Hebei Medical University
基金
安徽省重点研究与开发计划项目(202004a07020133)。
关键词
脑性瘫痪
认知
教育
cerebral palsy
cognition
education
