世界最新医学信息文摘（电子版）
世界最新醫學信息文摘（電子版）
세계최신의학신식문적（전자판）
World Latest Medicine Information
2013年
15期
55-56
,共2页
早期干预%围生儿%脑损伤%临床疗效
早期榦預%圍生兒%腦損傷%臨床療效
조기간예%위생인%뇌손상%림상료효
Early intervention%Perinatal Cerebral injury%The clinical curative effect
目的：观察早期干预和康复治疗对改善围生儿脑损伤智能发育的影响。方法将2011年4月至2012年6月在本院新生儿科住院的62例围生期脑损伤患儿随机分为治疗组和对照组，每组31例。治疗组患儿采用早期干预和康复治疗，对照组患儿采用常规育儿方法，对两组患儿进行定期随访，进行临床评估并采用Gesell量表检测发育商（DQ），以判断智能发育是否正常。结果治疗组治疗总有效率为87.1%，对照组治疗总有效率为77.4%，两组治疗结果比较，差异具有统计学意义（P<0.05）；12个月时，治疗组患儿的智能发育(DQ)指数为（98.9±5.71），对照组为（87.29±6.03），两组数据比较差异具有统计学意义（P<0.05）；治疗组后遗症发生率为6.5%，对照组后遗症发生率为16.1%，对照组后遗症发生率明显高于治疗组。结论早期干预和康复治疗可提高围生期脑损伤患儿的智力及运动能力，值得临床推广应用。
目的：觀察早期榦預和康複治療對改善圍生兒腦損傷智能髮育的影響。方法將2011年4月至2012年6月在本院新生兒科住院的62例圍生期腦損傷患兒隨機分為治療組和對照組，每組31例。治療組患兒採用早期榦預和康複治療，對照組患兒採用常規育兒方法，對兩組患兒進行定期隨訪，進行臨床評估併採用Gesell量錶檢測髮育商（DQ），以判斷智能髮育是否正常。結果治療組治療總有效率為87.1%，對照組治療總有效率為77.4%，兩組治療結果比較，差異具有統計學意義（P<0.05）；12箇月時，治療組患兒的智能髮育(DQ)指數為（98.9±5.71），對照組為（87.29±6.03），兩組數據比較差異具有統計學意義（P<0.05）；治療組後遺癥髮生率為6.5%，對照組後遺癥髮生率為16.1%，對照組後遺癥髮生率明顯高于治療組。結論早期榦預和康複治療可提高圍生期腦損傷患兒的智力及運動能力，值得臨床推廣應用。
목적：관찰조기간예화강복치료대개선위생인뇌손상지능발육적영향。방법장2011년4월지2012년6월재본원신생인과주원적62례위생기뇌손상환인수궤분위치료조화대조조，매조31례。치료조환인채용조기간예화강복치료，대조조환인채용상규육인방법，대량조환인진행정기수방，진행림상평고병채용Gesell량표검측발육상（DQ），이판단지능발육시부정상。결과치료조치료총유효솔위87.1%，대조조치료총유효솔위77.4%，량조치료결과비교，차이구유통계학의의（P<0.05）；12개월시，치료조환인적지능발육(DQ)지수위（98.9±5.71），대조조위（87.29±6.03），량조수거비교차이구유통계학의의（P<0.05）；치료조후유증발생솔위6.5%，대조조후유증발생솔위16.1%，대조조후유증발생솔명현고우치료조。결론조기간예화강복치료가제고위생기뇌손상환인적지력급운동능력，치득림상추엄응용。
Objective To observe the effect of early intervention and rehabilitation therapy to improve the perinatal brain injury intelligence development. Methods The 2011 April to 2012 June in our hospital neonatal, 62 cases of perinatal children with brain injury were randomly divided into treatment group and control group, Each group of 31 cases. The treatment group were treated by early intervention and rehabilitation therapy, The control group were treated by routine method, were followed up to two groups of children, Clinical evaluation and the Gesell scale detection of developmental quotient (DQ), To determine whether the normal development of intelligence. Results In treatment group, the total effective rate was 87.1%, the control group the total effective rate was 77.4%, Compared with two group of treatment results, The difference was statistically signiifcant (P<0.05);12 months in treatment group, intelligent development of children (DQ) index was (98.9 ± 5.71), control group (87.29 ± 6.03) the two set of data, with statistically signiifcant difference (P<0.05);the treatment group the sequelae rate was 6.5%, control group the sequelae rate was 16.1%, the control group was signiifcantly higher than that in the treatment group occurrence rate of sequelae. Conclusion Early intervention and rehabilitation treatment can improve the mental and motor ability in children with brain injury in perinatal period, is worthy of clinical application.
