高青凤

【摘要】 目的：探讨家庭康复护理对小儿脑瘫的康复影响。方法：选取2016年1月-2018年2月笔者所在医院收治的120例小儿脑瘫患儿作为研究对象，通过随机分组，将脑瘫高危儿分为康复机构干预组（对照组）和家庭干预组（观察组），分别给予在康复机构内干预和家庭康复护理干预，6个月后进行Gesell发育量表评分，比较两组干预的效果。结果：观察组患儿的临床效果明显高于对照组患儿，差异有统计学意义（P<0.05）;对照组患儿适应行为、大运动行为、精细运动行为、语言行为及个人-社交行为等康复评分明显低于观察组患儿，差异有统计学意义（P<0.05）。结论：家庭康复护理干预在小儿脑瘫患儿中具有较好的应用效果，有助于提高患儿肢体功能水平，具有经济优惠的优势，能够减轻家庭负担。

【关键词】 小儿脑瘫; 家庭康复训练; 临床疗效

doi：10.14033/j.cnki.cfmr.2019.09.031 文献标识码 B 文章编号 1674-6805（2019）09-00-02

Effect of Family Rehabilitation Nursing on Rehabilitation of Cerebral Palsy in Children/GAO Qingfeng.//Chinese and Foreign Medical Research，2019，17（9）：-69

【Abstract】 Objective：To explore the effect of family rehabilitation nursing on rehabilitation of cerebral palsy in children.Method：120 children with cerebral palsy were admitted to our hospital from January 2016 to February 2018 were selected as observation objects.The children at high risk of cerebral palsy were divided into rehabilitation intervention group（control group） and family intervention group（observation group） by random grouping.They were given intervention in rehabilitation institutions and family rehabilitation nursing intervention respectively.After 6 months，the Gesell development scale was used to compare the effect of intervention between the two groups.Result：The clinical efficacy of the observation group was significantly higher than the control group，the difference was statistically significant（P<0.05）.And the rehabilitation scores of adaptive behavior，large motor behavior，fine motor behavior，language behavior and individual-social behavior were significantly lower than those of the observation group，and the differences were statistically significant（P<0.05）.Conclusion：Family rehabilitation nursing intervention in children with cerebral palsy has a good application effect，helps to improve the level of children's limb function，and has economic advantages，can reduce the burden on the family.

【Key words】 Children with cerebral palsy; Family rehabilitation training; Clinical efficacy

First-authors address：Shenzhen Hospital of University of Chinese Academy of Sciences，Shenzhen 518107，China

小兒脑性瘫痪也被称为小儿脑瘫，是指出生一个月后由于脑部发育不成熟而非脑损伤造成的各种运动障碍，是一种常见的中枢神经系统疾病[1]。病变位置主要在脑部，常伴随智力障碍、癫痫、行为异常、语言障碍等症状[2]。目前尚无特效治疗方法，因此康复训练在小儿脑瘫患儿中的疗效有待探究[3]。近年来，随着康复理念的普及，患儿家属已经意识到康复的重要性和必要性[4]。由于患儿的病情千差万别，对治疗的敏感度也相差较大，因此就需要家庭的护理支持，才能保证有效的治疗效果[5]。本文主要针对小儿脑瘫患儿的家庭康复训练方法及效果展开研究，报道如下。

1 资料与方法

1.1 一般资料