摘要
目的探讨早期干预降低高危儿脑性瘫痪的效果。方法从湖北民族学院附属医院儿科2008年9月到2011年1月就诊的高危儿中选入170例,据就诊时间顺序分为实验组及对照组,分别进行早期干预和晚期干预。干预措施包括运用婴儿游泳及抚触、引导式教育、智力训练、肢体功能训练、高压氧、针灸理疗、脑细胞活性药物等综合治疗方法并制定个体化方案。使用粗大运动功能分级系统(GMFCS)、手功能分级系统(MACS)、婴幼儿发育量表(Gesell)、发育商(DQ)等评价两组患儿1岁时的发育状况,并根据脑性瘫痪的诊断标准确诊患儿是否存在脑性瘫痪。结果实验组1岁时GMFCS和MACS评分分级、Gesell发育诊断量表评分、DQ与对照组比较,其差异有显著性(P<0.05);实验组1岁时确诊脑性瘫痪的患儿3例(3.53%),对照组1岁时确诊脑性瘫痪的患儿9例(10.59%),其差异有显著性(P<0.05)。结论早期干预明显改善了患儿脑功能的发育,并降低了高危儿脑性瘫痪的发生率。
Objective To evaluate the effects of early intervention on CP of the high-risk infants.Methods The high-risk 170 cases treated in department of paediatrics of affiliated hospital of Hubei University for Nationalities from September,2008 to January,2011 were divided into two groups according to the treatment time in the hospital.The experimental group and control group were dealt with the early intervention and the later period intervention respectively.GMFCS and the MACS evaluation system,Gesell growth diagnosis meter and DQ were adopted to appraise the developing condition in two groups,and neural paralysis diagnosis standard was applied to diagnose whether the infants have the neural paralysis.Results Compared with those of the control group,the GMFCS grading graduation result,MACS grading graduation result,Gesell growth diagnosis meter grading result,DQ for the 1year old in experimental group had significant difference.The1 year old in experimental group diagnosed CP amounted to 3 cases（3.53%）,while that in control group amounted to be 9 cases（10.59%）,which had significant difference（P0.05）.Conclusion The early intervention improved function growth of the baby brain obviously and reduced the incidence rate of high-risk cerebral palsy.
出处
《湖北民族学院学报（医学版）》
2011年第4期20-23,共4页
Journal of Hubei Minzu University(Medical Edition)
基金
湖北民族学院附属医院课题(Fy-201105)
关键词
高危儿
早期干预
脑性瘫痪
high-risk infant
early intervention
cerebral palsy
