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王桂芝,陈燕惠,曾仁和.新生儿缺氧缺血性脑病早期干预效果评估[J].中国康复医学杂志,2010,25(8):747~750
新生儿缺氧缺血性脑病早期干预效果评估    点此下载全文
王桂芝  陈燕惠  曾仁和
福建省莆田学院附属医院(福建医科大学教学医院)
儿科,351100
基金项目:莆田市科技局资助课题(2007D08)
DOI:
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全文下载次数: 2045
摘要:
      摘要 目的:探讨小儿神经发育学评估方法对新生儿缺氧缺血性脑病(HIE)早期神经行为异常评定的应用价值,并评价早期干预的疗效。 方法:中、重度HIE新生儿共71例,其中干预组44例,非干预组27例。采用家庭与门诊相结合的干预模式,根据神经发育学评估结果结合Vojta诱导疗法、Bobath法肢体功能训练法进行个别强化训练。两组儿童均接受常规育儿指导。采用Gesell婴幼儿发育检查量表评价神经发育情况。 结果:Gesell评分(DQ),在2、4月龄时两组比较均无显著性差异(P>0.05);在6、9月龄时干预组各能区DQ高于非干预组(P<0.01),18月龄时干预组与正常组在各能区DQ比较无显著性差异(P>0.05),均明显高于非干预组(P<0.01)。结论:中、重度HIE患儿有较高的不良预后发生率,早期个体化的综合干预可显著提高早期干预的疗效。
关键词:缺氧缺血性脑病  新生儿  神经行为  早期干预
An assessment of the effects of early intervention on newborns with hypoxic ischemic encephalopathy    Download Fulltext
Pediatric Department, Affiliated Hospital of Putian College, Teaching Hospital of Fujian Medical University, Putian, 351100
Fund Project:
Abstract:
      Abstract Objective: To study the value of neurodevelopment assessments in predicting the damages in neurological function of newborns with hypoxic ischemic encephalopathy(HIE) and the effects of early intervention. Method: Objects of the study included 71 newborns with middle and serious HIE, among whom 44 newborns were divided into the early intervention group, and 27 newborns were in the non-intervention group. The intervention pattern of the combination of family and clinic was applied. Vojta inducement training and Bobath limb function training were administered individually according to the assessment results of neurodevelopment. Regular routine parental guidances were given to both of the two groups. Gesell assessment law was used. Result: At the age of 2 months and 4 months, there was no statistical difference in development quotient(DQ) between 2 months and 4 months, there was no statistical difference in DQ between the two groups(P>0.05). At the age of 6 months and 9 months, the DQ of every attribute in the early intervention group was higher(P<0.01). At the age of 18 months, comparing with DQ in every attribute, there was no statistical difference between two groups (P>0.05); DQ in the early intervention group was obviously higher than that in non-intervention group(P<0.01). Conclusion: There is a higher incidence rate of poor prognosis in newborns with middle and serious HIE. The effects of early intervention can greatly improved by using early individualized comprehensive intervention.
Keywords:hypoxic ischemic encephalopathy  newborn  neurological behavior  early intervention
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