中西医结合对脑瘫高危儿不同时期干预的预后分析

目的观察中西医结合对脑瘫高危儿不同时期干预的预后情况。方法将我院新生儿科住院新生儿NBNA评定总分≤35分者分为早期干预组及晚期干预组，早期干预组在新生儿期进行早期干预，晚期干预组在6个月后出现明显症状时给予干预治疗；比较两组高危因素、0—3个月出现早期症状、体征及1岁时后遗症方面之差异。结果中西医结合早期干预后，早期干预组1岁时无1例发生脑瘫，晚期干预组1岁时有3例诊断为脑瘫，癫痫1例，脑积水1例，白内障1例，双侧神经性耳聋1例。结论中西医结合对小儿脑瘫早期症状早期干预，可降低脑瘫发生率，减轻脑瘫程度。对高危儿进行早期干预开始时间越早越好。

Analysls the Prognosis of Combination of TCM with Western Medidne Treat the Different Period's High Risk Inrants of Cerebral Palsy

Objective： To investigate the prognosis of combination of TCM with Western medicine treat the different period＇ s high risk infants of cerebral. Methods： Selected the neonatus in our hospital, which neonatal behavioral neurological assessment scores was lower than 35, apportion to early intervention group and advanced stage treat group. The early intervention group had early intervented, the advanced stage treat group had been given treatment after 6th month when appearanced the cerebral palsy overt symptom, and then analysis the difference of the two groups on hign risk facter, the early symptom, physical sign or sequela. Results： After early intervention treat in combined treatment of traditional Chinese medicine and western medicine, the group of early intervention would have not cerebral palsy at all, had 3 cases of cerebral palsy, 1 epilepsia, 1 dropsy of brain, 1 caligo lentis and 1 ambi - nerve deafness. Conclusion： Combined treatment of traditional Chinese medicine and western medicine treat the early symtom of cerebral palsy can reduce the cerebral palsy＇ s rate, lighten the cerebral palsy level, the more early the better therapeutic efficacy to high risk infants.