早期综合干预防治新生儿缺氧缺血性脑病后遗症的效果观察  

OBSERVATION OF THE EFFECT OF THE FOREPART SYNTHESIS TREATMENT ON THE PREVENTION AND CURE OF THE SEQUELA OF ANOXIC ISCHEMIC ENCEPHALOPATHY

作　　者：廖红群[1] 邱伟[2] 温春英[1] 刘跃梅[1] 

机构地区：[1]江西省赣南医学院第一附属医院儿科,赣州341000 [2]江西省赣南医学院预防医学教研室

出　　处：《现代预防医学》2009年第1期180-181,183,共3页Modern Preventive Medicine

摘　　要：[目的]探讨早期综合干预方法对新生儿缺氧缺血性脑病(HIE)患儿运动发育的影响,最大限度地改善患儿的预后。[方法]将HIE患儿58例按家长意愿分为治疗组和对照组,对治疗组从生后7d开始接受早期综合干预,包括感知觉刺激训练、高压氧治疗及早期家庭康复等方法;对照组不接受早期综合干预。两组均接受常规的HIE治疗,并在28d和3个月进行运动发育检测。[结果]治疗组在28d的新生儿行为评分(NBNA)及3个月儿童粗大运动功能测量(GMFM)评分均比对照组要高,差异均有统计学意义(P﹤0.001)。[结论]对HIE患儿进行适宜的早期干预,能显著减少脑瘫等后遗症的发生。[Objective] To discuss the impact of the forepart synthesis treatment to HIE on ill childrens＇ locomotion develop so as to greatly improve the prognosis of HIE： [Methods] 58 HIE children were divided into the treatment group and the control group according their parents＇ will, the experiment group accepted the forepart synthesis treatment including appereeive stimulation training, high pressure oxygen therapy and forepart family healing from the seventh day after born. The control group wash＇ t treated with forepart synthesis. Both of the two groups accepted the general therapy of HIE and were tested locomotion develop in the 28th day and the third month：[ Results] The treat group had the higher score for NBNA on the 28th day and for GMFM in the third month than die control group, The differences had statistic significance （P 〈 0.001）. [Conclusion] The proper forepart synthesis treatment can reduce the sequela such as brain paralysis of HIE.

关 键 词：新生儿缺氧缺血性脑病 感知觉刺激训练 家庭康复 高压氧 

分 类 号：R722[医药卫生—儿科]