1～12岁脑瘫伴癫痫患儿综合康复治疗现状及相关因素分析
Analysis of Comprehensive Rehabilitation Treatment and Related Factors in 1-12-Year-Old Children with Cerebral Palsy and Epilepsy
施慧玲 1温壮飞 2刘颖1
作者信息
- 1. 571100 海口,海口市妇幼保健院儿保科
- 2. 571100 海口,海口市妇幼保健院儿童康复科
- 折叠
摘要
目的 分析1～12 岁脑瘫伴癫痫患儿综合康复治疗现况及其相关因素.方法 选取 2017 年 1 月—2021 年12 月220 例1～12 岁脑瘫伴癫痫患儿进行一般资料、病例资料及综合康复治疗效果采集,通过多因素Logistic回归分析探讨综合康复治疗效果的影响因素,绘制森林图,构建预测综合康复效果的风险预警模型,受试者工作特征曲线分析风险预警模型的预测价值.结果 最终纳入 218 例脑瘫伴癫痫患儿,经综合康复治疗后显效 94 例(43.12%)、有效102 例(46.79%)、无效22 例(10.09%).放弃治疗、惊厥持续时间、头颅影像阳性、短式亲职压力量表评分是脑瘫伴癫痫患儿综合康复效果的危险因素(P＜0.01),而了解疾病、家属疾病认知度评分、领悟社会支持量表评分、康复治疗依从性评分是保护因素(P＜0.01).风险预警模型预测脑瘫伴癫痫患儿综合康复效果的曲线下面积为0.931(95%CI:0.888,0.961),敏感度为86.36%,特异度为86.22%.家庭负担沉重、对疾病预后产生怀疑是脑瘫伴癫痫患儿家属选择放弃治疗的主要原因,分别占55.17%(16/29)、24.14%(7/29).结论 对脑瘫伴癫痫患儿综合康复效果的影响因素进行分析,及时构建预测模型进行高危人群识别,并尽早采取针对性干预措施至关重要.
Abstract
Objective To analyze the status of comprehensive rehabilitation treatment and related factors in children aged 1-12 years with cerebral palsy and epilepsy.Methods From January 2017 to December 2021,220 children with cere-bral palsy and epilepsy aged 1 to 12 years old were selected to collect general data,case data and comprehensive rehabilitation treatment effect.The influencing factors of comprehensive rehabilitation treatment effect were analyzed by multivariate Logistic regression analysis,and forest map was drawn to build a risk warning model for predicting comprehensive rehabilitation effect.The predictive value of the risk warning model was analyzed by receiver operating characteristic(ROC)curve.Results Ulti-mately,218 children with cerebral palsy and epilepsy were included in the study.Comprehensive rehabilitation treatment was significantlyeffectivein94 cases(43.12%),effective in102 cases(46.79%),and ineffective in22 cases(10.09%).Treatment abandonment,duration of convulsion,positive head image and short-form parental stress scale score were risk fac-tors for comprehensive rehabilitation effect of children with cerebral palsy and epilepsy(P＜0.01),while understanding the disease,family disease recognition score,understanding social support scale score and rehabilitation treatment compliance score were protective factors(P＜0.01).The area under the ROC curve of the risk warning model for predicting the compre-hensive rehabilitation effect in children with cerebral palsy and epilepsy was 0.931(95%CI:0.888,0.961),sensitivity was 86.36%,and specificity was 86.22%.Heavy family burden and doubt about the prognosis of the disease were the main rea-sons for families of children with cerebral palsy with epilepsy to give up treatment,accounting for 55.17%(16/29)and 24.14%(7/29)respectively.Conclusion It is very important to analyze the factors influencing the comprehensive rehabili-tation effect of children with cerebral palsy and epilepsy,build a predictive model in time to identify high-risk groups,and take targeted intervention measures as soon as possible.
关键词
脑瘫/癫痫/儿童/综合康复/社会支持/危险因素/受试者工作特征曲线/停止治疗Key words
Cerebral palsy/Epilepsy/Child/Comprehensive rehabilitation/Social support/Risk factors/Receiver operating characteristic curve/Withholding treatment引用本文复制引用
出版年
2023
国家科技期刊平台
NSTL
万方数据