早期综合干预对脑瘫高危儿神经心理发育的影响

目的探讨早期综合干预对脑瘫高危儿神经心理发育的影响。方法研究对象选取我院收治的160例小儿脑瘫高危儿,分为干预组(125例)和对照组(35例)。干预组给予运动疗法(PT)、作业疗法(OT)、言语疗法(ST)以及药物疗法相结合的综合治疗,全部脑瘫高危儿在干预前和1岁时进行智测,并对所得数据进行统计学处理。结果 1)干预组在1岁时发育商为102.49±9.60,明显高于对照组87.09±10.02,差异具有显著性(P<0.05),并且干预组高危儿治疗后发育商明显高于治疗前的92.13±9.34,具有统计学差异(P<0.05);2)干预组脑瘫发病率1.60%,低于对照组20.00%,且病情程度较轻,有显著性差异(P<0.01);干预组神经运动检查结果显示异常神经征象仅2例未消失,而对照组仍有12例未消失;3)神经心理发育等级评价表明干预组84.0%正常,11.2%聪明,仅2.40%偏低,较对照组有明显改善(P<0.05)。结论早期干预可改善脑瘫高危儿的神经心理发育情况,有效预防脑瘫发生,并减轻残障程度。

The developmental effects of early medical intervention in neuropsychological development of children with high risk of cerebral palsy

Objective To investigate the effect of early medical intervention in neuropsychological development of children with high risk of cerebral palsy(CP).Methods 160 children with high risk of cerebral palsy were divided into intervention group(125 cases) and control group(35 cases).Intervention group were carried out physical therapy(PT),occupational therapy(OT),speech therapy(ST),drug therapy and other comprehensive treatment.All children with high risk of CP were carried out the intelligence test with the scale for neuropsychological development of children aged 0-1 years and the data were analyzed statistically.Results The developmental quotient(DQ) at the age of 1 year of experimental group was much higher than that of control group(P<0.05).Also the DQ of intervention group after treatment was significantly higher than that before treatment(P<0.05).The CP incidence of early intervention group was much lower than that of control group,and also lesser than control group.In the neuromotor examination,only 2 cases still had abnormal neurological signs after treatment in early intervention group,but 12 cases in control group.In the evaluation of neuropsychological development,intervention group also showed extremely improvement in neuropsychological development.Conclusion Early medical intervention can effectively prevent the occurrence of CP,protect children with high risk of CP and reduce disability.