早期康复训练治疗早产儿脑损伤的临床研究

目的探讨早期康复训练对早产儿脑损伤的治疗效果。方法脑损伤早产儿101例，分为干预组45例和对照组56例。对照组仅给予药物治疗，干预组在药物治疗同时进行早期康复训练。在患儿3、6、9、12月龄时进行发育评价。结果纠正胎龄40周时新生儿行为神经测定（NBNA）评分两组间无显著性差异（P＞0.05）；3月龄时两组智力指数（MI）和发育商（DQ）无显著性差异；9、12月龄时有非常显著性差异（P＜0.01）；两组后遗症发生率有显著性差异（P＜0.05）。结论早产儿脑损伤恢复期给予早期康复训练能促进其神经心理发育，降低后遗症发生。

Effect of Early Rehabilitation on Premature Infant with Brain Damage

ObjectiveTo explore the effects of early rehabilitation on premature infant with brain damage. Methods101 premature infants with brain damage in were divided into experimental group （n=45） and control group （n=56）. The experimental group received medicine and early rehabilitation. The control group received medicine only. Developmental evaluation were performed in 3, 6, 9, and 12 months old. ResultsThere were no significant differences of the Neonatal Behavioral Neurological Assessment (NBNA) scores between these two groups （P＞0.05）. Except infants of 3 months old, the developmental quotient (DQ) and mental index (MI) of 9, 12 months old infants of the experimental group were higher than that of the control group （P＜0.01）. The sequelae of the experimental group were less than that of the control group （P＜0.05）. ConclusionEarly rehabilitation can promote development of premature infant with brain damage and reduce the sequelae.