早期干预对脑瘫高危因素儿精神运动发育的综合影响  

Effects of early intervention on high risk factors of cerebral palsy children with psychomotor development

作　　者：寄婧[1] 萧玉婷[1] 

机构地区：[1]甘肃省康复中心医院,甘肃兰州730000

出　　处：《中国医药科学》2012年第13期32-34,共3页China Medicine And Pharmacy

摘　　要：目的通过对脑瘫高危儿实施早期干预,探讨综合干预措施在改善高危脑瘫儿精神运动发育水平,降低脑瘫病残率发生中的作用。方法选择58例存在脑瘫高危因素,在笔者所在科室初诊但尚未确诊的脑瘫患儿作为干预组,筛选同期已确诊的60例脑瘫患儿作为对照组。两组患儿均施与Vojita及Bobath的神经促通治疗手法、常规药物、脑电循环等治疗,同时进行集体游戏和家长培训指导。两组患儿分别于治疗前、治疗后2、6、12个月后采用标准化婴幼儿智能发育量表分别评定其智能发育指数和运动发育指数。结果两组患儿智能发育指数和运动发育指数均有提高(P<0.05),干预组患儿智力发育指数及运动发育指数明显高于对照组(P<0.05),且随着治疗时间的延长其差异越明显,但MDI指数提高水平低于PDI指数提高水平。结论对脑瘫高危因素儿进行早期干预可以提高其智力及运动发育水平,尤其是运动发育指数,从而可以降低脑瘫发生率、减轻致残率提高人口素质。Objective Children at high-risk of cerebral palsy by early implementation of integrated interventions that early intervention can significantly improve the level of psychomotor development of children and reduce the incidence of morbidity. Methods 58 patients With risk factors for cerebral palsy diagnosed in our department has not been confirmed as the intervention group of children with cerebral palsy, screening the same period, 60 cases of cerebral palsy as the observation group. Two groups of patients were giving Vojita and Bobath treatment of neural facilitation techniques, conventional medicine, EEG cycle therapy treatment, while the group games, and parent training guidance. Two groups of patients were before treatment, after 2 months, 6 months, 12 months after the intellectual development of infants and young children using standardized scales were assessed of their intellectual development index and psychomotor development index. Results Two groups of children with intellectual development index and psychomotor development index were increased （P 〈 0.05）, intervention group children with mental development index and psychomotor development index was significandy higher （P 〈 0.05）o And with the treatment time of the extension of its more obvious significant difference, but the index increased levels of MDI below the level of PDI index increased. Conclusion Risk factors for cerebral palsy children early intervention can improve the level of their intellectual and motor development, especially development index, which can reduce the incidence of cerebral palsy and improve the quality of the population.

关 键 词：早期干预 脑瘫高危儿 精神运动发育 影响 

分 类 号：R722[医药卫生—儿科]