脑瘫高危儿不同时期干预的预后临床对比

目的探讨不同时间开始干预脑性瘫痪高危儿对预后的影响。方法根据干预时间的不同,将95例临床诊断为脑瘫高危儿分为早期干预组（48例）及晚期干预组（47例）;早期干预组在新生儿期即接受系统干预,晚期干预组在6个月以后进行干预,并在6、9、12、18月龄时进行运动发育和智力测定。结果早期干预组平均智力发育指数（MDI）高于晚期干预组（P〈0.05）,早期干预组平均运动发育指数（PDI）高于晚期干预组,差异具有显著性（P〈0.01）。早期干预组脑瘫、智能低下发生例数明显低于晚期干预组。结论对脑瘫高危儿尽早干预可改善其智力及运动发育,帮助他们早日康复,减少伤残。

Clinical comparison of prognosis at high risk of cerebral palsy with intervention at different time

Objective To explore the effect of intervention at different time on prognosis of high-risk infants with cerebral palsy.Methods 95 high-risk infants were divided into the early intervention group（48 cases）and the lately intervention group（47 cases）.The physical and mental development of the children were inspected at ages of 6th,9th,12th and 18th months.Results The average scores of mental development index（MDI）in the early intervention group were significantily higher than those of the lately intervention group（P〈0.05）.The average scores of physical development index（PDI）in the early intervention group were significantily higher than those of the lately intervention group（P〈0.01）.The incidence of cerebral palsy and mental retardation in the lately intervention group was significantly higher than those of the early intervention group.Conclusion Early intervention can improve their mental and physical of high-risk infants and help them recover sooner.The Early intervention can reduce the incidence of cerebral palsy and mental retardation.