Abstract: 【Objective】 To investigate quality of life in children with cerebral palsy(CP) which were treated with comprehensive rehabilitation. 【Method】 70 children with cerebral palsy aged 2 to 6 years were selected, and measured by PedsQL4.0 before and after comprehensive rehabilitation of 6 months. 【Results】 There were 70 participants with cerebral palsy of mean age(35.3±11.3)months, in all 48 were boy and 22 were girl. For education, in all the 70 cases, 7 children had been in kindergarten. The enrollment rate was 10%. Before comprehensive rehabilitation, the scores of physical functioning were (25.40±21.84), emotional functioning were (64.00±20.16)and social functioning were (29.14±21.97). The total scores of PedsQL were (37.16±16.45). After comprehensive rehabilitation, the scores of physical functioning were (31.38±24.98), emotional functioning were (64.00±20.16)and social functioning were (34.50±21.32). The total scores of PedsQL were (42.22±17.06). Mean scores of physical functioning, emotional functioning, social functioning and total scores of PedsQL that measured after comprehensive inhabilitation were higher than that were measured before comprehensive inhabilitation, the differences were significant by paired t-test(P<0.01). For the factors affecting quality of life, the results of multivariate analysis of variance showed that family monthly income more than 3 000 yuan and the primary education of parents had a positive effect. And the effect of Gross Motor Classification System(GMFCS) on quality of life had no statistical significance (P=0.797). 【Conclusions】 Comprehensive rehabilitation can improve the quality of life of children with cerebral palsy. The analysis for influence factor suggest that we should invest more manpower and financial resources to improve quality of life of children with cerebral palsy.

Key words: comprehensive rehabilitation, cerebral palsy, quality of life, influence factor

摘要： 【目的】 探讨综合康复治疗后脑瘫患儿生存质量变化及影响生存质量改变的因素。 【方法】 本研究以2007—2009年在本院就诊的70例2～6岁的脑瘫患儿为研究对象,采用儿童生存质量测定量表(the pediatric quality of life inventory measurement models, PedsQL)4.0作为患儿生存质量的测定工具,综合康复治疗半年后评价患儿生存质量的改变及影响生存质量改变的因素。 【结果】 70例脑瘫患儿中男48例,女22例,平均月龄为(35.3±11.3)月; 7例上幼儿园,入学率仅为10％;其治疗前后得分分别为:生理功能25.40±21.84、31.38±24.98;情感功能64.00±20.16、67.28±18.62;社交功能29.14±21.97、34.50±21.32;PedsQL总分为37.16±16.45、42.22±17.06。经配对设计的t检验,综合康复治疗前后患儿在生理功能、社交功能和PedsQL总分方面的差异具有统计学意义(P<0.01);影响生存质量改变的多因素方差分析表明,家庭月收入在3 000元以上及教育程度为小学的父母对患儿生存质量改变起正向作用。而粗大运动功能分级系统(Gross Motor Classification System, GMFCS)对生存质量的改变不具有统计学意义(P=0.797)。 【结论】 综合康复治疗能提高脑瘫患儿的生存质量,影响因素分析提示要投入更多的人力和财力来提高脑瘫儿的生存质量。

关键词: 综合康复治疗, 脑瘫, 生存质量, 影响因素