关键词: 脑性瘫痪, 分级诊疗, 三级康复治疗, 儿童

Abstract: Objective
To explore the effect of threelevel rehabilitation program on motor function and treatment cost in children with cerebral palsy.
Methods
From October 2017 to October 2018，140 children with cerebral palsy were treated in Shenyang Children's Hospital, and they were divided into observation group and control group according to random number table method, 70 in each group. The control group was given routine rehabilitation treatment. The observation group was treated with threelevel rehabilitation program according to GMFcs grading, and the clinical efficacy and health economic indicators were evaluated and compared.
Results
There was no significant difference in gross motor score between the two groups before treatment(P>0.05).After treatment, the scores of the two groups were higher,and the scores of the observation group were higher than those of the control group(P<0.05). The direct medical expenses, direct nonmedical expenses and indirect expenses of the observation group were lower than those of the control group, and the difference had statistical significance(P<0.05).
Conclusion
The construction of a standardized threelevel rehabilitation mode for children with cerebral palsy can make full use of rehabilitation resources, maximize costeffectiveness and reduce the economic burden in the patients.

Key words: Cerebral palsy, Graded diagnosis and treatment, Three-level rehabilitation therapy, Children