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早期干预降低高危儿脑瘫发生率的临床研究

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目的 探讨对脑瘫高危儿进行早期干预降低脑性瘫痪发生率的临床效果.方法 将2006-07 -2010-12在我院产科出生或在新生儿科就诊的180例具有脑瘫高危因素的患儿随机分为研究组(早期干预)和对照组(未早期干预)各90例.两组患儿均给予常规治疗及育儿指导,研究组患儿在3个月内开始接受早期的综合性康复训练.结果 1岁时研究组脑性瘫痪发生率为3.33%,对照组为12.22%.两组比较差异具有统计学意义(P<0.05).早期干预组儿童3月龄、6月龄及1岁时的智力发育指数和运动发育指数均明显优于非干预组,两组间差异比较有统计学意义(P<0.05).结论 早期给予康复干预是预防或减少高危患儿脑瘫发生的有效手段,同时可提高高危儿的生活质量.
Study of early intervention for lowering incidence of cerebral palsy in high-risk infants
Objective To investigate the Clinical results of early intervention for lowering the incidence of cerebral palsy in high-risk infants. Methods 180 cases of high-risk infants were divided into study group (early intervention group, 90 cases) and control group (nointervention group,90 cases). The study group was given not only conventional parental guidance, but also the early comprehensive rehabilitation training. The control group received only conventional parental guidance. Results The incidence of cerebral palsy at the age of 1 year old, study group was 3. 33 %, control wasl2. 22 %. The two groups had a significant difference (P<0. 05). The intelligence development index and sports development index of early intervention group are significantly better than the nointervention group at 3 month, 6 month and one year. Conclusion Early intervention can prevent or reduce the incidence of cerebral palsy in high-risk infants. Meanwhile, early intervention can improve the quality of life.

Cerebral Palsyepidemiology

赵雅风、宁秀琴、朱松梅

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河南省三门峡市中心医院儿童神经康复科 472000

脑性瘫痪/流行病学

2012

中国误诊学杂志
中华预防医学会 漯河市中心医院 重庆第九人民医院

中国误诊学杂志

影响因子:0.406
ISSN:1009-6647
年,卷(期):2012.12(17)
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