儿童康复治疗管理系统软件在儿童脑性瘫痪作业治疗中的应用①.pdfVIP

- 252 - 中国康复理论与实践2013 年3 月第19 卷第3 期 Chin J Rehabil Theory Pract, Mar. 2013, Vol. 19, No.3 DOI : 10.3969/j.issn. 1006-9771.2013.03.013 ·临床研究· 儿童康复诊疗管理系统软件在儿童脑性瘫痪作业治疗中的应用① 葛政卿，刘合建，张雯，缪芸，陈文华 [摘要] 目的 评估儿童康复诊疗管理系统(ICR 2.0)软件在儿童脑性瘫痪作业治疗中的作用。方法 60 例脑瘫儿童分为A 、B 两组，每组30 例。A 组用ICR 2.0 软件辅助作业治疗师综合分析患儿及家长的现实性愿望、功能情况、家庭环境等因素，制定治疗 方案并优化后进行训练；B 组根据治疗师个人经验制定治疗方案并训练。治疗前后采用远城寺式婴幼儿发育检查表、精细运动功 能评估量表(FMFM)进行测评。结果 治疗前，两组患儿发育月龄和FMFM 评分无显著性差异 (P0.05) 。治疗3 个月后，两组患儿 发育月龄和FMFM 评分均较治疗前显著提高(P0.001) ，A 组优于B 组(P0.05) 。结论 运用ICR 2.0 软件辅助制定作业治疗方案可 提高脑瘫儿童的康复疗效。 [关键词] 脑性瘫痪；作业治疗；儿童康复诊疗管理系统软件；精细运动；康复 Application of Childrens Rehabilitation Management System in Occupational Therapy for Cerebral Palsy GE Zheng-qing, LIU He-jian, ZHANG Wen, et al. Department of Rehabilitation, The First Peoples Hospital, Shanghai Jiaotong University, Shanghai 200080, China Abstract: Objective To investigate the significance of the Childrens Rehabilitation Management System (ICR 2.0) for occupational therapy (OT) for cerebral palsy (CP). Methods 60 children with CP were divided into group A (n=30) and group B (n=30). The group A ac- cepted OT program assisted with ICR 2.0, and the group B accepted OT program drawn by therapists experientially. They were assessed with Enjoji infant development scale and Fine Motor Function Measure (FMFM) before and 3 months after treatment. Results There was no significant difference in development months and the fine motor between 2 groups before treatment (P0.05). Both the development and fine motor improved after treatment (P0.001), and improved more in the group A than in the group B (P0.05). Conclusion ICR 2.0 assist- ed OT program can further improve the recovery of children with CP. Key words: cerebral palsy; occupation therapy; C