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不同时期早期干预对脑瘫高危儿预后的影响
引用本文:饶钒,余秀兰,余德兵,张红兵.不同时期早期干预对脑瘫高危儿预后的影响[J].中国康复,2007,22(4):243-244.
作者姓名:饶钒  余秀兰  余德兵  张红兵
作者单位:三峡中心医院儿童分院脑损伤干预中心,重庆,404000
摘    要:目的:研究不同时期早期干预对脑瘫高危儿预后的影响。方法:脑瘫高危儿246例,其中93例于≤3个月开始干预治疗为超早组,80例于3个月后开始干预为早期组,73例放弃治疗为对照组。超早组和早期组患儿均接受营养脑细胞的药物治疗,并配合抚触、婴儿科学健身法等训练〉2个月。结果:患儿1岁时随访,婴儿智能测试(CDCC)量表测定智力发育指数(MDI)和运动发育指数(PDI),与对照组比较,超早组和早期组MDI和PDI平均值均升高(P〈0.01,0.05),与早期组比较,超早组平均值更高(P〈0.05);1岁时脑瘫发生率比较,超早组与早期组均明显低于对照组(P〈0.01)。结论:早期干预能减少脑瘫高危儿的脑瘫发病率和障碍程度,最佳干预时期〈3个月。

关 键 词:早期干预  高危儿  脑性瘫痪  CDCC量表
文章编号:1001-2001(2007)04-0243-02
修稿时间:2007-04-16

Effect of Early Intervention in Different Periods on the Prognosis of the High Risk Infants with Cerebral Paralysis
RAO Fan, YU Xiu-lan , YU De-bing ,et al..Effect of Early Intervention in Different Periods on the Prognosis of the High Risk Infants with Cerebral Paralysis[J].Chinese Journal of Rehabilitation,2007,22(4):243-244.
Authors:RAO Fan  YU Xiu-lan  YU De-bing  
Institution:RAO Fan, YU Xiu-lan , YU De-bing , et al.
Abstract:Objective: To study the effect of early intervention in different periods on prognosis of the high risk infants with cerebral paralysis.Methods: Of 246 high risk infants with cerebral paralysis treated in the NICU of our hospital during Jun.2004 to Dec.2005,93 and 80 infants receiving interventional treatment within 3 months and after 3 months served as super-early intervention group and early intervention group respectively,and both groups were treated by more than 2 courses of intervention treatment (2 months).And the remaining 73 infants whose parents refused to treat served as control group.Results: The mean score of MDI and PDI in the intervention groups were remarkably different from those in the control group at the age of 1 year(P<0.01).The mean score in the super-early intervention group was higher(P<0.05).The incidence of cerebral paralysis was lower in the intervention groups than in the control group at the age of 1 year(P<0.01).Conclusion: Early intervention can effectively decrease the incidence of cerebral paralysis and it is of great significance to improve the quality of life of high risk infants.The best intervention period is within 3 months.
Keywords:early intervention  high risk infants  cerebral paralysis  CDCC scale
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