维生素D辅助康复治疗对脑瘫伴语言功能障碍患儿的影响研究.docx

维生素D辅助康复治疗对脑瘫伴语言功能障碍患儿的影响研 究 1、温州医科大学附属台州医院儿科 浙江临海317000； 2、温州医科大学附属 育英儿童医院,浙江 温州325027 通讯作者：蔡晓红 【摘要】 目的：分析维生素D辅助康复治疗对脑瘫伴语言功能障碍患儿的临 床疗效。方法：选择2011年3月至2014年6月本院收治的脑瘫伴语言功能障碍 患儿共82例，随机分为单纯康复治疗组(单纯组)39例和维生素D辅助康复治 疗组(联合组)43例，治疗3个月后分析比较两组患者的语言发育能力、Gesell 儿童发育量表和Bayley婴幼儿发展量表评分及维生素D和血钙水平的差异性。 结果：两组患者治疗后的语言发育能力、Gesell儿童发育量表和Bayley婴幼儿发 展量表评分均比治疗前有改善，差异有统计学意义(P<0.05)；且联合组的语 言发育能力总有效率显著高于单纯组，差异有统计学意义(95.3%比74.4%, X2=2.486,P=0.032); Gesell儿童发育量表显示发育商数DQ评分显著高于单纯组, 差异有统计学意义[(70.4&plusmn;11.3)比(53.3&plusmn;10.5), t=3.127, P=0.026], 正常患儿的比例显著高于单纯组，差异有统计学意义(30.2%比20.5%, X2二3.016, P二0.029);联合组的维生素D和血钙水平比单纯组明显增高，差异均有统计学意 义(PV0.05)。结论：维生素D辅助康复治疗可能较为有效改善脑瘫伴语言功能 障碍患儿的语言功能及发育状况，有一定的临床应用价值。 【关键词】维生素D；康复；脑瘫；语言功能障碍；发育商数；发展指数 【屮图分类号】R975.6【文献标识码】A【文章编号】1001-5213(2016)08-0086-02 Abstract: Objective: To an a lyze effect of Vitamin D with rehabilitati on on cerebral palsy children with Ianguage dysfunction. Methods: A total of 82 consecutives from March 2011 to June 2014 arrived at our hospital diagnosed as Ianguage dysfunction in children with cerebral palsy were randomly individed into purely rehabilitation group (n 二 39) and Vitamin D assisted with rehabilitati on (combi ned group, n=43),the n to compare the differences of language development situation, Gesell Child Development Scale, Bayley Infant development scale and serum Vitamin D, calcium levels after three mon ths treatme nt. Results: The Ian guage developme nt situati on, Gesell Child Development Scale, Bayley Infant development scale after treatment in two groups were all better tha n before(P< 0.05),a nd the whole effective rate of language development situation in combined group were sign讦icantly better than purely rehabilitation group(95.3% 比 74.4%, X2二2.486, P=0.032);the developmental quotient DQ score in Gesell Child Development Scale in combined group were significantly higher[(70.4&plusmn;11.3)比(53.3&plusmn;10.5), t=3.127, P=0.026],the normal children rate were significantly more (30.2% 比 20.5%, X2二3.016, P=0.029) ;the