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@#Objective To investigate the effects of playful training on home environment and development in children with cerebral palsy. Methods89 children with cerebral palsy were divided into observation group (45 cases) and control group (44 cases). All children were treated with normal strengthen rehabilitation in hospital. The observation group received the training playfully. They were assessed with the Home Observation for Measurement of the Environment (HOME) and Bayley Scale of Infant Development (BSID) before and 6 months after treatment. ResultsAfter treatment, The HOME scores in observation group was significantly better than those before treatment and in control group （P<0.01）. The Psychomotor Dvelpment Index (PDI) of BISD was improved in both groups （P<0.01） with significant different between them（P<0.05）. The Mental Development Index (MDI) of BISD in observation group was significantly better than those before training and in control group （P<0.01）. ConclusionPlayful training can improve the development and home environment in children with cerebral palsy.
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@# Objective To investigate the relationship between the neonatal period hyperbilirubinemia and dyskinetic cerebral palsy.Methods The data of 36 dyskinetic cerebral palsy children with early neonatal period significant jaundice were analyzed retrospectively. The information of children was obtained through a questionnaire that included the case, severing clinical characteristics and treatment.Results 12 cases (33.33%) were born with hemolytice disease of newborn; 8 cases (22.2%) were born with early onset infection; 5 cases (13.9%) were born with cephalohematome; others were unknown etiologies. 6 cases had serum total bilirubin (TSB) value more than 600 μmol/L (the highest value was 792 μmol/L); 12 cases had TSB value ranged from 513 μmol/L to 600 μmol/L; 14 cases had TSB value ranged from 425 μmol/L to 512 μmol/L; 2 cases had TSB value lower than 425 μmol/L (the lowest value was 396 μmol/L). 2 cases had no TSB data. The time of jaundice significantly turned severer was 156±12.56 hours after birth. The time of jaundice continued was 23±5.62 days after birth. 34 cases had been diagnosed and treated. But the first treatment time of all were later 150 hours after birth.Conclusion As the main risk factor of dyskinetic cerebral palsy, severe hyperbilirubinemia need be valued. How to ease bilirubin quickly in the early stage is much important.
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@# ObjectiveTo investigate the time, causes and modes of the cerebral palsy children abandoned treatment. MethodsThe information of 50 cerebral palsy children who abandoned treatment were analysed retrospectively. Results and ConclusionCerebral palsy children abandoned their treatment in 3～9 months after treatment mostly. The main causes included their parents had little cognition and confidence to the treatment, or were in financial problem. 10 cases were without any treatment, 18 cases tried unofficial treatment, 19 cases accepted consolatory treatment, and 3 cases fell back on superstition.
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@#ObjectiveTo compare the early rehabilitation of child with brain impair syndrome and cerebral palsy executed in hospital and in family.Methods180 children of 0～2 years old with brain impair syndrome and cerebral palsy were divided into group A and group B randomly. The children of 0～6 months old were in group A1 and group B1, while that of 6 months～2 years old were in group A2 and group B2, correspondingly. Children in group A accepted early formal strengthen rehabilitation training in hospital, and that in group B accept family rehabilitation through guidance. Development quotient (DQ) were assess with Japan Yuanchengsi infant analysis growth scale half a year after.ResultsThe DQ of group A showed higher than that of group B(P<0.01), and DQ of group A1 was higher than DQ of group A2(P<0.05).ConclusionEarly rehabilitation training in hospital is more effective on early cerebral palsy.