《中国康复理论与实践》

《中国康复理论与实践》

• 临床研究 • 上一篇    下一篇

小组式作业疗法对脑性瘫痪患儿认知功能的影响①

庄妍，庞伟，孙颖，汤敬华   

  1. 佳木斯大学附属第三医院，佳木斯大学康复医学院，佳木斯大学儿童神经康复实验室，黑龙江佳木斯市154000。
  • 出版日期:2016-04-25 发布日期:2016-06-01

Effects of Occupational Therapy in Group on Cognitive Function of Children with Cerebral Palsy

ZHUANG Yan, PANG Wei, SUN Ying , TANG Jing-hua   

  1. The Third Affiliated Hospital of Jiamusi University, Rehabilitation College of Jiamusi University, Children Neural Rehabilitation Laboratory of Jiamusi University, Jiamusi, Heilongjiang 154000 China
  • Published:2016-04-25 Online:2016-06-01

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摘要： 目的探讨小组式作业疗法对痉挛型脑瘫儿童认知功能的影响，并观察事件相关电位P300 对其认知功能变化的评估结果。方法2015 年3~9 月，将40 例痉挛型脑瘫患儿分为对照组(n=20)和观察组(n=20)。对照组只接受常规康复训练，观察组在此基础上采用小组式作业疗法，两组均治疗3 个月。治疗前后采用韦氏幼儿智力量表评定及P300 检测。结果两组治疗后P300 的潜伏期较治疗前显著缩短(t>7.778, P<0.001)，P300 波幅较治疗前显著增大(t>5.808, P<0.001)，观察组均优于治疗组(t>0.461, P<0.05)。两组治疗后韦氏幼儿智力量表评分较治疗前显著提高(t>5.944, P<0.001)，观察组明显高于对照组(t=-3.472, P=0.001)。结论小组式作业疗法与常规康复训练相结合可以更有效地提高痉挛型脑瘫患儿的认知功能。事件相关电位P300 可作为认知功能变化的评估工具应用于临床检测。

关键词: 脑性瘫痪, 小组式作业疗法, 认知功能, 事件相关电位

Abstract: Objective To explore the effect of Occupational Therapy in Group on cognitive function of children with March to cerebral palsy, and to observe the evaluation results of P300 of event-related potentials on cognitive function. Methods 40 children with spastic cerebral palsy from March to September, 2015, were divided into control group (n=20) and observation group (n=20). Both groups received routine rehabilitation training, and the observation group received Occupational Therapy in Group additionally, for 3 months. They were assessed with Wechsler Preschool and Primary Scale of Intelligence (WPPSI) and P300 of event-related potentials before and after treatment. Results The latency of P300 shortened after treatment (t>7.778, P<0.001), and the amplitude of P300 was larger after treatment (t>5.808, P< 0.001) in both groups, especially in the observation group (t>0.461, P<0.05). The score of WPPSI increased after treatment in both groups (t>5.944, P<0.001), and was higher in the observation group than in the control group (t=-3.472, P=0.001). Conclusion Occupational Therapy in Group could further improve the cognitive function of children with spastic cerebral palsy. P300 can be used as an assessment tool for cognitive function.

Key words: cerebral palsy, occupational therapy in group, cognitive function, event-related potentials