Kurihara M, Nakae Y, Kohagisawa T, Kumagai K, Eto Y
Department of Pediatrics, the Kanagawa Rehabilitation Center, Atsugi, Kanagawa.
No To Hattatsu. 2001 Sep;33(5):392-9.
We investigated 22 children with sequelae of acute encephalopathy. The patients were divided into 4 groups; group I with almost complete recovery (2 cases), group II with mild mental deterioration (4 cases), group III with severe mental deterioration (8 cases) and group IV with severe mental deterioration and severe physical disabilities (8 cases). There was no difference between 4 groups with regard to the past history, and status at the onset. The period of rehabilitation in hospital was different, being 0.4 month in group I, 2.6 months in group II, 3.0 months in group III and 3.6 months in group IV. The rehabilitation approach consisted mainly of medical therapy and range of motion exercise in the early stage followed trainings for walking and cognition. Family support was essential during the entire course. Evaluation with the functional independence measure was very useful for the rehabilitation.
我们对22名患有急性脑病后遗症的儿童进行了调查。患者被分为4组：第一组几乎完全康复（2例），第二组有轻度智力衰退（4例），第三组有严重智力衰退（8例），第四组有严重智力衰退和严重身体残疾（8例）。四组在既往病史和发病时的状况方面没有差异。住院康复时间不同，第一组为0.4个月，第二组为2.6个月，第三组为3.0个月，第四组为3.6个月。康复方法主要包括早期的药物治疗和关节活动度练习，随后是步行和认知训练。在整个过程中，家庭支持至关重要。功能独立性测量评估对康复非常有用。
