Objective To explore effect of guidance education on rehabilitation of children with cerebral palsy.Methods Eighty children with cerebral palsy were randomly divided into two groups.The control group was treated with routine rehabilitation therapy,while the experimental group was given guidance education.The cerebral functional area,independence,quality of life and satisfaction after intervention were compared.Results Compared with the control group,the cognitive function,speech function,motor function,social function and self-care action scores of the experimental group were significantly higher than that of the control group(P ＜0.01).The self-care ability,sphincter control,and the score of WeeFIM were significantly higher than that of the control group(P ＜0.01).The scores of daily activities,school activities,movement and balance,pain,fatigue,diet activity,language and communication and overall scores of PedsQLTM3.0 in the experimental group were significantly higher than that in the group (P ＜ 0.01).Conclusion Guidance education has significant efficacy for children with cerebral palsy,and can improve satisfaction of family members.

目的 探讨引导式教育在脑瘫儿童康复护理中的应用效果.方法 脑瘫儿童74例随机分为观察组和对照组,各37例.对照组患儿采用常规康复护理,观察组在对照组基础上结合引导式教育理念实施康复护理,对2组患儿的适应性发育商(DQ)及其临床康复效果进行评估.结果 末次随访时,观察组康复治疗有效率78.37％,显著高于对照组的51.35％(P＜0.05).观察组患儿在应人能、应物能、言语能、细动作、粗动作5个方面的DQ评分均明显高于对照组(P＜0.01).结论 在小儿脑瘫康复护理中应用引导式教育理念,可有效改善患儿生活质量.

目的:调查脑瘫患儿生活方式与家长相关护理知识掌握情况,探究两者之间的关系.方法:采用自制问卷调查方式,对150例确诊脑瘫的患儿及家长进行问卷调查,结果:掌握脑瘫患儿护理知识处于一般水平的家长占51.3%,较差水平的占8.7%,只有40%的家长护理知识水平较好,脑瘫患儿的生活方式86%处于一般和较差水平.家长相关护理知识掌握情况与患儿生活方式呈显著正相关.结论:脑瘫患儿家长如具备较好的与疾病护理相关的知识水平,就会采纳有利于患儿健康的生活方式.

目的：观察悬吊运动治疗脑瘫患儿运动功能障碍的治疗效果.方法：将72例有运动功能障碍的脑瘫患儿随机分为治疗组和对照组,治疗组38例,对照组34例,两组均进行PT、电疗、针灸等常规康复训练,治疗组同时进行悬吊运动（SET）治疗,治疗均为每日1次,每次60分钟,3个月后进行疗效评价,疗效评价以治疗前后的粗大运动的评分（GMFM）进行评定.结果：两组患儿经过3个月治疗后,GMFM评分与治疗前相比有所提高,差异均有统计学意义（P〈0.05）,且治疗组与对照组比较治疗效果有统计学意义（P〈0.05）.结论：常规康复训练配合悬吊运动治疗对脑瘫运动功能障碍的改善较常规的康复方法疗效明显.

在小儿脑瘫的发病率中,痉挛型脑瘫的发病率居各型脑瘫之首,占小儿脑瘫的60%～70%[1].由于痉挛导致肌张力异常增高,患儿肢体活动阻力增加,从而出现明显的异常姿势,严重影响患儿的运动功能.

目的:综述针灸在小儿脑瘫治疗中的现状。方法:从小儿脑瘫的主症及各种伴随症状的临床治疗中,总结目前针灸在小儿脑瘫治疗中的应用情况。结果和结论:针灸在治疗小儿脑瘫的主症及伴随症状方面均具有一定优势,但要完善以针灸为主要参与手段治疗脑瘫的体系,尚有一定的研究空间,应加强针灸与其它康复手段结合模式的探讨。

目的:观察介入小儿推拿治疗后对缺血缺氧性脑病后遗症的疗效。方法:采用传统小儿推拿手法及特定穴,配合下肢推拿、足部推拿及背部推拿对该病1例患儿进行治疗。结果:经治疗该患儿各项症状明显得到改善。结论:传统小儿推拿可作为一种重要的治疗手段参与缺血缺氧性脑病后遗症的治疗。