外部性脑积水患儿运动发育迟缓早期干预治疗的GMFM评价

目的 研究小儿脑瘫运动评估量表（GMFM）对外部性脑积水（EH）患儿运动发育迟缓粗大运动功能及早期干预的疗效评价。方法 30例头颅CT诊断为EH的运动发育迟缓儿,4-6个月19例,9个月11例。采取中西医神经康复和早期干预治疗方案干预治疗3个月及使用神经营养剂。治疗前后粗大运动功能采用GMFM评价。结果 4-6个月组治疗前后在卧位和翻身、坐位结合平衡反射方面具有显著疗效。9个月组治疗前后在卧位和翻身、坐结合平衡反射、四点位及跪爬方面具有显著疗效。两组总评分在治疗前后差异亦有显著性。结论 GMFM不仅能反映EH运动发育迟缓的客观指标,而且能够评估早期干预治疗运动功能的改善。

GMFM evaluations on early interfering treatment to hypoevolutism in motor development pediatric patients with external hydiocephalus(EH)

Objective To evaluate early interfering treatment to hypoevolutism in motor development pediatric patients with external hydiocephalus （EH） . Methods There were 30 EH pediatric patients diagnosed by CT scan , among them , 9 were 4 - 6 months old , 11 were - 9 mouth old . The integrated Chinese - western medical treatment and early stage interfering treatment together with neurotrophy were applied to treat for 3 months . The gross motor function measure（GMFM） was used to evaluate the gross motor function before and after the treatment . Resutis Pediatric patients in group of 4 - 6 months old improved significantly in balance reflection between recumbent position and rolling , sitting positions . While in - 9M group , they improved significandy in balance reflection between connection of recumbent position and rolling . sitting positions, four o＇ clock position and creeping with knees . There was significant difference between the two group in scoring . Conclusions GMFM is not only an index to reflect the hypoevolutism in motor development , but could be used to evaluate the improvement of motor function after early interfering treatment.