早期干预对改善脑损伤围生儿智能发育的效果  

Effect of Early Intervention for Improving Intellectual Development in Parity with Brain Damage

作　　者：李宏[1] 周媛[1] 覃小兰[1] 韦联彬[1] 

机构地区：[1]柳州铁路局中心医院儿科,广西柳州545007

出　　处：《实用儿科临床杂志》2006年第4期233-234,共2页Journal of Applied Clinical Pediatrics

基　　金：柳州铁路局科学技术委员会项目资助(医02-4)

摘　　要：目的探讨早期干预和康复治疗对围生儿脑损伤智能发育的疗效。方法将50例围生期脑损伤患儿随机分为干预组27例和对照组23例,干预组从新生儿期接受早期干预,对照组按常规育儿,两组从新生儿起观察至18个月,并使用Gesell发育量表测查精神运动发育商(DQ)。结果干预组6、12个月DQ显著高于对照组(6个月龄时P<0.05,12个月龄时P<0.01)。干预组后遗症发生率为3.7%(1/27),对照组后遗症发生率为26.08%(6/23),两组比较差异有显著意义(χ2=5.17 P<0.05)。结论对围生儿脑损伤予以正确的早期干预能有效地促进其智能发育,是改善预后、降低后遗症发生率的有效手段。Objective To approach the method for improving the ihtellectual development , of whom had suffered from parity＇s brain damage. Methods The patients were divided into 2 groups randomly（age range from 7 days to 18 months） who were observed and compared for 3 years. Group A was bundle of intervention which had been trader early intervention program since infant. Group B was brindle of comparing of which had not been under early intervention. Results Observed for 6 months and 12 months, the intellectual development of group A was prior to that of group B （age 6 months P〈0.05, age 12 months P〈0.01） ,and the incidence of sequelae in group A was significantly lower than that of group B （group A was 3.7% ,group B was 26.08% ）. Conclusion The sequelae of brain damage can be reduced by early intervention of parity＇s brain injury, and the intellectual development can be improved.

关 键 词：围生儿 脑损伤 早期干预 行为 

分 类 号：R714.7[医药卫生—妇产科学]