早期干预对新生儿脑损伤神经心理发育的影响  

Effect of early intervention on physical psychomotor development of infants with brain injury

作　　者：杜开先[1] 贾天明[1] 栾斌[1] 蔡春玲[1] 

机构地区：[1]郑州大学第三附属医院儿内科,郑州450052

出　　处：《中国实用神经疾病杂志》2007年第5期5-7,共3页Chinese Journal of Practical Nervous Diseases

摘　　要：目的探讨早期干预对脑损伤患儿存活后神经心理发育的影响。方法将124例脑损伤患儿分为有系统干预的甲组96例和未干预乙组28例,2组基本情况比较无显著性差异;另设正常足月儿30例丙组为对照组。均进行体格发育及神经系统检查;0～6岁小儿神经心理发育量表测定。早期干预即予丰富环境、语言、视、听、触觉刺激、药物治疗及物理治疗等综合疗法。结果体格发育:乙组低于甲、丙组(P<0.01),甲与丙组无显著性差异;发育商:丙组高于甲、乙组各5分及27分;甲组高于乙组22分(P<0.01)。结论早期干预可提高脑损伤患儿神经心理发育,降低脑瘫、智障发生率。Objective To study the effect of early intervention on physical psychomotor development of infant brain in jury . Methods 124 infants brain injury were divided into two groups., class Ⅰ （intervention group,96 cases）and class Ⅱ （non-intervention group,28 cases）. A control group （class Ⅲ ） of 30 normal infants were adopted. The infants of early intervention group were habilitation applied on the newborns in the intervention group. Nervous systenic examination and intelligence development were regularly studied by special doctor through the psychomotor Deveopmental Diagnostic Scale of children aged 0～6 years. Usual physical examination and education were applied on the non-intervention group and the control group. Results Physical development and Development Quotient （DQ） ：there were no significant differences between the class Ⅰ and Ⅲ （P〉0.05） ;but the class Ⅱ was lower than the class Ⅰ and Ⅲ （P〈0.01）. Conclusion The application of early intervention methods could improve the prognosis of brain injury infants. It was possible that the brain injury infants may reach the normal level of the same age group. The early intervention might reduce the incidence of the cerebral palsy and disability.

关 键 词：早期干预 新生儿 脑损伤 神经心理 脑瘫 

分 类 号：R722[医药卫生—儿科]