摘要
目的探讨早期康复干预对新生儿缺氧缺血性脑病患儿智力和运动功能的改善作用。方法 70例新生儿HIE患儿随机分为观察组与对照组。两组患儿予以吸氧、预防感染、降颅内压及抗惊厥、保持水电解质酸碱平衡等治疗。对照组与观察组患儿分别予以常规干预与早期康复干预,干预时间24个月。观察两组患儿干预12、24个月后智力、运动发育指数及发育商(DQ),并比较神经系统后遗症的发生率。结果干预12、24个月后,观察组患儿MDI、PDI和DQ各项水平均高于对照组(P<0.05)。干预24个月后,观察组神经系统后遗症的发生率低于对照组(χ2=4.18,P<0.05)。结论早期康复干预用于新生儿HIE的疗效较常规干预更佳,有利于提高患儿智力和运动发育水平,开发患儿其潜能,减少或预防神经系统后遗症发生。
Objective To explore the effect of early rehabilitation intervention on the improvement of intelligence and motor function in neonates with hypoxic ischemic encephalopathy. Methods 70 neonates with HIE were randomly divided into observation group and control group. Both groups of children were given oxygen uptake, prevention of infection, decreased intracranial pressure and anticonvulsant, and maintaining water and electrolyte acid-base balance of acid. The control group and the observation group were given routine intervention and early rehabilitation intervention, with the intervention time of 24 months. After 12 and 24 months of intervention,the intelligence, exercise development index and developmental quotient（DQ） were observed in both groups. The incidence rate of nervous system sequelae was compared between the two groups. Results After intervention for 12 and 24 months, the levels of MDI, PDI and DQ in the observation group were significantly higher than those in the control group（P〈O.05）. After intervention for 24 months, the incidence rate of nervous system sequelae in the observation group was lower than that in the control group（x2= 4.18, P〈0.05）. Conclusion The early rehabilitation intervention for HIE in neonates is more effective than routine intervention, which is beneficial to improving children＇s intelligence and motor development, develop their potentials and reduce or prevent the occurrence of nervous system sequelae.
出处
《中国现代医生》
2018年第1期56-58,61,共4页
China Modern Doctor
基金
浙江省医药卫生科技计划(2016KYC26)
关键词
新生儿
缺氧缺血性脑病
早期康复干预
智力
运动
预后
Neonates
Hypoxic ischemic encephalopathy
Early rehabilitation intervention
Intelligence
Motor
Prognosis
