《中国康复理论与实践》

《中国康复理论与实践》 ›› 2010, Vol. 16 ›› Issue (7): 628-630.

• 论文 • 上一篇    下一篇

游戏式训练对脑瘫儿童家庭环境及疗效的影响

吴兆芳，姜赤秋，姜琨，杨为，章必信   

  1. 湖北省中山医院儿童康复中心，湖北武汉市 430033。
  • 收稿日期:2010-04-20 修回日期:1900-01-01 出版日期:2010-07-25 发布日期:2010-07-25

Effects of Playful Training on Home Environment and Development in Children with Cerebral Palsy

WU Zhao-fang, JIAN Chi-qiu, JIANG Kun, et al.   

  1. Children's Rehabilitation Center of Hubei Zhongshan Hospital, Wuhan 430033, Hubei, China
  • Received:2010-04-20 Revised:1900-01-01 Published:2010-07-25 Online:2010-07-25

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摘要： 目的探讨游戏式训练对脑瘫儿童家庭环境及疗效的影响。方法将确诊脑瘫患儿89例分为观察组45例和对照组44例，两组患儿均接受医院内正规强化康复，观察组患儿以游戏的方式进行训练。治疗前及治疗6个月后采用家庭环境评定量表（HOME）及贝利婴幼儿发育量表（BSID）进行评定。结果观察组治疗后HOME评分明显高于治疗前及对照组（P<0.01），两组治疗前后BSID的精神运动发育指数（PDI）均明显改善(P<0.01),治疗后观察组优于对照组（P<0.05），观察组治疗后BSID的智力发育指数（MDI）明显高于治疗前及对照组（P<0.01）。结论游戏式训练能更好地促进脑瘫儿童家庭环境质量的改善和康复疗效的提高。

关键词: 游戏式训练, 脑性瘫痪, 家庭环境, 发育

Abstract: ObjectiveTo investigate the effects of playful training on home environment and development in children with cerebral palsy. Methods89 children with cerebral palsy were divided into observation group (45 cases) and control group (44 cases). All children were treated with normal strengthen rehabilitation in hospital. The observation group received the training playfully. They were assessed with the Home Observation for Measurement of the Environment (HOME) and Bayley Scale of Infant Development (BSID) before and 6 months after treatment. ResultsAfter treatment, The HOME scores in observation group was significantly better than those before treatment and in control group （P<0.01）. The Psychomotor Dvelpment Index (PDI) of BISD was improved in both groups （P<0.01） with significant different between them（P<0.05）. The Mental Development Index (MDI) of BISD in observation group was significantly better than those before training and in control group （P<0.01）. ConclusionPlayful training can improve the development and home environment in children with cerebral palsy.

Key words: playful training, cerebral palsy, home environment, development