康复训导规范在缺氧缺血性脑损伤患儿中的应用  

Application of Rehabilitation Guiding Specification in Infants with Hypoxic-Ischemic Brain Damage

作　　者：周谦[1] 刘丽[1] 何亚薇[1] 傅师亭[1] 欧阳颖[2] 廖志[3] 温晓滨[1] 

机构地区：[1]成都市第二人民医院儿科,成都610017 [2]四川省人民医院儿科,成都610072 [3]四川省妇幼保健院新生儿科,成都610031

出　　处：《实用儿科临床杂志》2006年第23期1655-1656,共2页Journal of Applied Clinical Pediatrics

基　　金：成都市卫生局青年基金项目资助(200014);成都市科技进步二等奖(2005224-4)

摘　　要：目的评价早期运用小儿康复训导规范干预缺氧缺血性脑损伤(HIBD)的治疗效果。方法选取140例HIBD患儿,分成康复组和对照组,按自行设计的HIBD 0-2岁康复训导手册的训练方法,进行康复训练治疗2年。用生长发育指标、临床表现、CT形态学和发育商(DQ)、智力指数(MI),评价治疗效果。结果两组生后2年生长发育指标、临床表现、CT形态学、DQ、MI值,康复组生长指数、DQ、MI值明显高于对照组(P均<0.01),康复组94.3%患儿临床表现恢复正常,67.1%患儿CT表现恢复正常,康复组的预后不良率明显低于对照组(P<0.01)。结论康复能有效地防止和减轻HIBD患儿的后遗症和减少伤残,从而改善预后。Objective To explore the therapeutic effect of the earlier intervention of hypoxic- ischemie brain damage（HIBD）. Methods One hundred and forty cases with HIBD were half- randomly divided into the rehabilitation group and control group. According to the methods of rehabilitation guiding specification designed by us. Model of pediatrists and parents co- operation was used to carry out rehahilitation exercises for 2 years, Growth measures, clinical manifestation, CT and development quotient （DQ） and mental index （MI） were used to evaluate the effects of the treatment. Results All the measures value were significantly higher in the rehabilitation exercises group （all P 〈 0.01）. Furthermore, the incidence of urtfavorahh prognosis was significantly lower in the rehabilitation exercises group （P 〈 0.01）. Conclusion The rehabilitation exercises can significantly prevent and reduce the residual and incidence of disability of injury and improve patient prognosis.

关 键 词：缺氧缺血 脑 康复 规范 儿童 

分 类 号：R748[医药卫生—神经病学与精神病学]