摘要
目的探讨早期综合康复治疗对围产期脑损伤预后的影响。方法84例围产期脑损伤高危儿随机分为两组,对照组42例静脉给予营养神经细胞治疗,治疗组在对照组基础上做被动体操,视、听、触觉刺激,进行Vojta、Bobath联合康复疗法。疗程结束后通过临床评估和Gesell发育量表进行评定。结果治疗组总显效率92.86%,对照组总显效率为73.81%(P<0.05)。1岁时Gesell评定结果,治疗组在大运动能区(t=2.746,P<0.01)、精细运动能区(t=5.560,P<0.01)、语言能区(t=2.746,P<0.01)、个人社交能区(t=2.267,P<0.05)、社会适应能区(t=2.301,P<0.05)发育商均高于对照组。结论围产期脑损伤高危儿早期进行综合康复治疗可促进和改善患儿运动、语言、社交、适应能力的全面发展。
Objective To evaluate the effects of early rehabilitation on development of infants with cerebral injury in pefinatal pe riod. Methods 84 high risk infants with cerebral injury in pefinatal period were divided into two groups. Infants in the control group were treated with conventional medicament and those in intervention group received physical, visual, aural and haptic stimuli combined with Vojta and Bobath approach in addition. Clinical data and Geseil Development Schedules of 1 year old were used to evaluate the effect. Results The incidence of improvement was 92.86% in the intervention group and 73.81% in the control group（P〈0.05）. The development quotient of Gesell Development Schedules were obviously higher in the intervention group than in the con trol group in all the functional areas （P〈0.05）. Conclusion The early rehabilitation can improve the cerebral development in high risk infants with cerebral injury in pefinatal period.
出处
《中国康复理论与实践》
CSCD
2008年第1期65-66,共2页
Chinese Journal of Rehabilitation Theory and Practice
关键词
围产期
脑损伤
早期干预
发育
GESELL发育量表
pefinatal period
cerebral injury
early rehabiiitation
deveiopment
Gesell Development Schedules
作者简介
吴春燕（1972-），女，黑龙江尚志市人，硕士研究生，副主任医师，主要从事小儿神经疾病、早期干预以及康复方面的研究。
