小脑电刺激促进缺氧缺血性脑病患儿运动和智能发育的临床观察  

Mental and motor development in infants with hypoxic-ischemic encephalopathy treated by electrical cerebellar stimulation

作　　者：余秀梅[1] 廖伟[1] 赵聪敏[1] 张进武[1] 蒲建红[1] 吴至凤[1] 

机构地区：[1]第三军医大学新桥医院儿科,重庆400037

出　　处：《重庆医学》2009年第22期2809-2810,共2页Chongqing medicine

摘　　要：目的观察小脑电刺激促进缺氧缺血性脑病(HIE)患儿运动和智能发育的作用。方法将65例HIE患儿随机分为治疗组35例,对照组30例。对照组采用神经发育疗法及家庭干预措施,治疗组在上述基础上加用小脑电刺激,所有病例在治疗前及治疗3个月后用Gesell发育量表及粗大运动功能测量(GMFM)对智能及运动功能发育商进行评估。结果对照组总有效率为83.3%,治疗组为97.1%,差异有统计学意义(P<0.01);治疗组在动作能、应物能及应人能三个区的发育商分别进步(9.25±1.89)、(7.9±2.01)、(7.41±1.45),优于对照组(7.15±1.54)、(6.12±1.47)、(6.13±1.54),均为P<0.05。结论实施小脑电刺激可促进缺氧缺血性脑病患儿运动和智能的发育。Objective To study the acceleration of motor function and intellectual development of hypoxic-ischemic encephalopathy（HIE） infants by electrical cerebellar stimulation. Methods Sixty-five HIE infants （aged 0-15 months） were randomly divided into two groups：35 cases in treatment group, 30 cases in control group. Neurodevelopmental therapy and family intervention were given in the control group,while electrical cerebellar stimulation was added in the treatment group. All of the cases were evaluated by the Gesell and Gross Motor Function Measure （GMFM） before the treatment and three months later. Results The motor function and development quotient results showed that the total effective rate was 97.1% in the treatment group,83.3% in the control group（P〈0.01）. Conclusion The electrical cerebellar stimulation can promote the mental and motor development of HIE infants, which is an effective method to treat HIE infants.

关 键 词：小脑电刺激 缺氧缺血性脑病 运动 智能发育 

分 类 号：R748[医药卫生—神经病学与精神病学] R245.97[医药卫生—临床医学]