【摘要】 目的观察婴幼儿神经发育疗法(NDT)在脑性瘫痪(CP)患儿运动功能康复中的疗效。方法选择2012年7月至2014年6月,于四川大学华西第二医院采用NDT进行康复治疗的43例CP患儿为研究对象。采用回顾性分析的方法,对其进行NDT疗效分析。所有患儿每周至医院接受NDT 3～6次,同时辅以家庭康复训练。采取《Peabody运动发育量表》(PDMS),在治疗前、治疗3个月时及治疗6个月时,分别对患儿姿势能力(ST)、移动能力(LO)进行评分,统计学分析评分结果的改善情况。结果 CP患儿在接受NDT后,姿势控制能力和固定能力均取得明显进步,与治疗前比较,差异具有统计学意义(P<0. 05)。不同年龄阶段的CP患儿进步速度有一定的差异,一岁以内的CP患儿进步明显,差异有统计学意义(P<0. 05),1～2岁CP患儿姿势控制能力和移动能力在治疗3个月时进步明显,差异有统计学意义(P<0. 05),在治疗6个月时有进步,但差异无统计学意义(P>0. 05)。2岁以上的CP患儿在治疗3个月,6个月时治疗分数有进步,但不具有统计学意义(P>0. 05)。不同类型CP患儿的进步有明显的差异,单瘫和偏瘫患儿较四肢瘫和双瘫患儿进步明显,差异有统计学意义(P<0. 05)。结论 NDT对不同年龄CP患儿的运动功能的疗效不同,特别是对早期CP患儿的疗效最佳。NDT对不同瘫痪部位CP患儿的姿势能力与移动能力均有促进作用,但改善程度各异。采用NDT早期介入CP患儿的康复治疗,可以更好促进其运动功能的发展。更多还原

【Abstract】 Objective To observe the effect of Neurodevelopment Treatment( NDT) on motor function in children with cerebral palsy.Methods Analysis of functional changes in 43 children with cerebral palsy following the NDT technology was retrospectively studied from July 2012 to June 2014 in West China Second Hospital.These children received NDT rehabilitation treatment with 3-6 times per week,along withfamily intervention as an adjunctive method.Their stationary ability( ST) and locomotor ability( LO) were assessed and compared using Peabody Developmental Motor Scales 2scale( PDMS) before the NDT,three months,and six months after the NDT,respectively.Results Children accept NDT treatment,they all have better control of their bodies and make obvious progress in body stability,which means a lot in statistics( P<0. 05).The improvement of children with cerebral palsy varies a lot according to their ages.The children with cerebral palsy under 1 year old make apparent progress and the difference has statistic significance.( P<0. 05),The children with cerebral palsy between 1 to 2 years old make obvious progress in body control and body movements after they have been cured for 3 months,and this has statistic significance.( P < 0. 05),They make progress after being cured for 6 months,but it doesn’t have any statistic significance.( P>0. 05).The children with cerebral palsy over 2 years old make progress when cured for 3 months and 6 months.However,it doesn’t have any statistic significance.( P>0. 05).Compared with spastic quadriplegia and spastic diplegia children,spastic hemiplegia children have more obvious improvement,which is with its statistic significance.( P<0. 05).Conclusion NDT shows different positive effects on CP children with variable ages.Obvious improvements are seen especially for those early agebabies.Although NDT can improve the functional outcome for different types of CP,the extent of improvement are associated with the type of CP. The earlier NDT treatment is appliedfor children with CP,the better motor functions can be developed.更多还原