早期康复治疗对脑性瘫痪高危儿转归的病例对照研究  

Case-control study on the effect of early intervention on high-risk infants of cerebral palsy

作　　者：陈小聪[1] 高春荣[1] 

机构地区：[1]西安市儿童医院保健康复科,陕西西安710002

出　　处：《中国儿童保健杂志》2010年第8期694-697,共4页Chinese Journal of Child Health Care

摘　　要：【目的】探讨早期康复治疗对脑瘫高危儿转归的疗效影响。【方法】通过病例对照研究,将218例年龄1~8个月的脑瘫高危儿分成两组,其中118例进行早期康复治疗为康复组,100例因各种原因不能参加康复治疗患儿为常规育儿组。研究开始两组在性别、神经系统查体、Gesell发育测评方面差异无统计学意义（P〉0.05）。其中康复组要保证住院接受综合康复治疗10~15 d,对主要监护人进行康复技术培训后继续家庭康复,并定期随访接受康复指导。观察6个月时两组再次进行Gesell发育测评,1岁时确诊或排除脑性瘫痪,并进行脑瘫分度测评。【结果】观察6个月后康复组与常规组患儿Gesell发育测评组间比较差异有统计学意义（P〈0.01）;满1岁时康复组118例中发生脑瘫9例,发生率7.6%,常规组100例中发生脑瘫32例,发生率32%,脑瘫的发生率组间比较差异有统计学意义（P〈0.01）。【结论】早期康复治疗可促进脑瘫高危儿全面发育,降低脑瘫发生率,减轻脑瘫的程度。【Objective】 To explore the influence of early intervention on high-risk infants of cerebral palsy. 【Methods】 Case-control study was employed,218 high-risk infants of cerebral palsy,ranging from 1 month to 8 months,they were analyzed and devided into early intervention group（n=118）and control group（n=100）.The Gesell Scale of Infant Development was used for evaluation.No significant statistical difference existed between two groups on the sex,the development quotien（DQ） and neurologic examination（P0.05）.Early intervention cases must be treated for 10~15 days with comprehensive rehabilitation.Their parents were trained with essential rehabilitation technique.Family rehabilitation was continued for these infants and the regular follow-up was employed.After 6 months,the DQ was adopted to assess the rehabilitation effect,as well as the incidence and degree of cerebral palsy when they were one year old. 【Results】 After 6 months,the scores of five large intelligent areas of the early intervention group were higher than those of the control group（P0.01）.The intervention group（n=118） had 9 children with cerebral palsy at the age of 1 year old,with incidence rate of 7.6%.By contrast,the control group（n=100） had 32 cases of cerebral palsy,with incidence rate of 32%.The cerebral palsy incidence rate of intervention group was higher than that of the control group（P0.01）. 【Conclusion】 Early intervention treatment can promote the comprehensive development for high-risk infants,decrease the incidence and degree of cerebral palsy.

关 键 词：早期康复 脑性瘫痪 高危儿 

分 类 号：R722[医药卫生—儿科]