《中国康复理论与实践》

《中国康复理论与实践》 ›› 2008, Vol. 14 ›› Issue (01): 65-66.

• 临床研究 • 上一篇    下一篇

早期干预在围产期脑损伤神经行为发育中的价值

吴春燕1a; 彭晓晖1b; 刘晓阳1a; 黄慧桃1a; 任尚伸1a; 李晶1a   

  1. 1.黑龙江省大庆油田总医院,a.儿科;b.普外科,黑龙江大庆市 163001
  • 收稿日期:2007-04-04 出版日期:2008-01-01 发布日期:2008-01-01

Effect of Early Rehabilitation on Development of Infants with Cerebral Injury in Pefinatal Period

WU Chun-yan,PENG Xiao-hui,LIU Xiao-yang, et al   

  1. Department of Pediatrics, Daqing Oil Field General Hospital, Daqing 163001, Heilongjiang, China
  • Received:2007-04-04 Published:2008-01-01 Online:2008-01-01

PDF (PC)

被引次数

36

摘要： 目的探讨早期综合康复治疗对围产期脑损伤预后的影响。方法84例围产期脑损伤高危儿随机分为两组,对照组42例静脉给予营养神经细胞治疗,治疗组在对照组基础上做被动体操,视、听、触觉刺激,进行Vojta、Bobath联合康复疗法。疗程结束后通过临床评估和Gesell发育量表进行评定。结果治疗组总显效率92.86%,对照组总显效率为73.81%(P<0.05)。1岁时Gesell评定结果,治疗组在大运动能区(t=2.746,P<0.01)、精细运动能区(t=5.560,P<0.01)、语言能区(t=2.746,P<0.01)、个人社交能区(t=2.267,P<0.05)、社会适应能区(t=2.301,P<0.05)发育商均高于对照组。结论围产期脑损伤高危儿早期进行综合康复治疗可促进和改善患儿运动、语言、社交、适应能力的全面发展。

关键词: 围产期, 脑损伤, 早期干预, 发育, Gesell发育量表

Abstract: Objective To evaluate the effects of early rehabilitation on development of infants with cerebral injury in pefinatal period.Methods 84 high risk infants with cerebral injury in pefinatal period were divided into two groups.Infants in the control group were treated with conventional medicament and those in intervention group received physical,visual,aural and haptic stimuli combined with Vojta and Bobath approach in addition.Clinical data and Gesell Development Schedules of 1 year old were used to evaluate the effect.Results The incidence of improvement was 92.86% in the intervention group and 73.81% in the control group(P<0.05).The development quotient of Gesell Development Schedules were obviously higher in the intervention group than in the control group in all the functional areas(P<0.05).Conclusion The early rehabilitation can improve the cerebral development in high risk infants with cerebral injury in pefinatal period.

Key words: pefinatal period, cerebral injury, early rehabilitation, development, Gesell Development Schedules