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基于ICF-CY脑性瘫痪“3+1”全人康复模式临床应用
钱旭光,金炳旭,赵勇
0
(广州中医药大学附属南海妇产儿童医院,广东 佛山 528200)
摘要:
目的:探讨ICF-CY框架下脑瘫“3+1”全人康复模式临床应用效果。方法:选取2020年3月至2021年1月治疗的44例脑瘫患儿,按就诊先后顺序分为对照组和观察组各22例。对照组给予常规康复康复干预方法,观察组依据ICF-CY评定结果,从身体功能、活动和参与、环境因素三方面制定个体化的“3+1”全人康复治疗。两组均连续干预10周,应用脑瘫ICF-CY核心分类组合简明通用版评价康复效果。结果:治疗后对照组和观察组身体功能ICF限定值与治疗前比较均有降低(P<0.05),观察组活动和参与ICF限定值与治疗前比较亦有降低(P<0.05);两项ICF限定值观察组均优于对照组(P<0.05);观察组和对照组阻碍因素与活动和参与ICF限定值呈正相关关系(P<0.05)。结论:ICF-CY架构下的脑瘫“3+1”全人康复模式能显著改善患儿的身体功能、活动和参与能力,环境因素是影响康复疗效的主要因素之一。
关键词:  脑性瘫痪;ICF-CY;临床疗效
DOI:10.19787/j.issn.1008-1879.2022.01.006
投稿时间:2021-05-07修订日期:2021-05-07
基金项目:广东省医学科研基金(C2019091)
Clinical Application of “3+1” Whole Person Rehabilitation Model for Cerebral Palsy Based on ICF-CY
QIAN Xu-guang,JIN Bing-xu,ZHAO Yong
(Nanhai Maternity and Gynecology and Children's Hospital affiliated to Guangzhou University of TCM, Foshan Guagndong 528200)
Abstract:
Objective: To explore the clinical application effect of “3+1” whole person rehabilitation model for cerebral palsy based on ICF-CY. Methods: 44 children with cerebral palsy treated from March 2020 to January 2021 were selected and divided into control group and observation group according to the order of treatment, with 22 cases in each group. The control group was given routine rehabilitation intervention, and the observation group was given individualized “3+1” whole person rehabilitation treatment from three aspects of physical function, activity and participation, and environmental factors according to ICF-CY evaluation results. Both groups were intervened continuously for 10 weeks, and the rehabilitation effect was evaluated by ICF-CY core classification of cerebral palsy. Results: After treatment, the ICF limits of physical function in the control group and the observation group were lower than those before treatment (P<0.05), and the ICF limits of activity and participation in the observation group were also lower than those before treatment(P<0.05); the two ICF limits of the observation group were better than those of the control group(P<0.05); in the observation group and the control group, the obstacles were positively correlated with the limit value of ICF(P<0.05). Conclusion: The “3+1”whole person rehabilitation model based on ICF-CY can significantly improve the physical function, activity and participation ability of children with cerebral palsy, and environmental factors are one of the main factors affecting the rehabilitation effect.
Key words:  cerebral palsy; rehabilitation; ICF-CY; Clinical effect

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