摘要
目的探讨家庭式早期综合干预对具有脑瘫高危因素患儿神经发育的影响。方法将2010～2012年398例胎龄32～41周、具有脑瘫高危因素患儿纳入研究，给予家庭式早期干预和病房式康复训练，随访干预治疗至1岁。在常规儿保时进行神经行为评定，并分别于3、6,9、12月龄作Gesell发育量表评估，12月龄作运动发育PDMS量表评估粗大运动发育商（GMQ）和精细运动发育商（FMQ）。结果245例完成研究，有8例诊断为脑瘫，25例诊断为精神运动发肓迟缓，其余正常。结论家庭式早期综合干预是预防或减少脑瘫高危因素患儿脑瘫发生和精神运动发肓迟缓的有效手段，明显提高了高危儿的存活质量。
Objective To investigate the effect of family-style early intervention on neurodevelopment and mental development in infants with high risk factors for cerebral palsy. Methods Three hundred ninety-eight infants who were 32 -41 weeks gestational age with high risk factors for cerebral palsy during 2010 to 2012 were included in this study. Family-style early intervention and ward re- habilitation training were administered to those children. Follow-up and intervention continued to 1 year old. Neurobehavioral assess- ments were performed during the regular child health care and children were assessed by using Gesell Developmental Scale at 3,6,9, and 12 months of age, respectively. Gross motor development quotient（GMQ） and fine motor development quotient（ FMQ ）were assessed by using PDMS Scale at 12 months of age. Results Two hundred and forty-five cases completed the investigation. Of them, eight cases were diagnosed as cerebral palsy and 25 cases were diagnosed as psychomotor retardation. The rest cases were normal. Conclusion Family-style early intervention is an effective method to prevent or reduce the development of cerebral palsy and mental retardation in children with high risk factors. It can also improve the survival quality of newborns with high risk factors.
出处
《实用医院临床杂志》
2014年第6期128-130,共3页
Practical Journal of Clinical Medicine
关键词
家庭式早期综合干预
脑瘫高危因素
康复训练
脑瘫
Family-style early intervention
Risk factors
Rehabilitation training
Cerebral palsy
