脑瘫高危儿早期综合康复治疗的临床疗效

刘木金 刘倩 何展文 刘祖霖 李宇 潘海涛 罗向阳

[关键词] 脑瘫高危儿;早期;综合康复;临床疗效

[中图分类号] R742.3          [文献标识码] B          [文章编号] 1673-9701（2021）25-0066-04

Clinical effect analysis of early comprehensive rehabilitation treatment for children at high risk of cerebral palsy

LIU Mujin   LIU Qian   HE Zhanwen   LIU Zulin   LI Yu   PAN Haitao   LUO Xiangyang

Department of Pediatric Neurology，Sun Yat-sen Memorial Hospital of Zhongshan University，Guangzhou   510120，China

[Abstract] Objective To explore the clinical effect of early comprehensive rehabilitation treatment on children at high risk of cerebral palsy. Methods A total of 50 children with high risk who were admitted to the Department of Pediatric Neurology in our hospital from January 2018 to January 2020 were selected and divided into the control group （n=26） and the rehabilitation group （n=24） according to the random number table method.The control group was treated with routine rehabilitation treatment in the hospital，including exercise therapy，neurotrophic drugs，common acupuncture，rehabilitation guidance，education， etc. On the basis of the control group，the rehabilitation group was treated with early comprehensive rehabilitation treatment，including language，movement，personal social interaction and cognitive ability of the four aspects of family therapy.The development quotients（DQ） of the two groups were evaluated by Gesell before and after intervention，and the clinical efficacy of the two groups was compared. Results The scores of fine motor，general motor，speech，response and response DQ in the rehabilitation group were significantly higher than those in the control group，with statistically significant differences（P<0.05）. Conclusion Compared with conventional rehabilitation， early comprehensive rehabilitation treatment can significantly improve the intelligence level of children at high risk of cerebral palsy，promote the development of the nervous system，and reduce the incidence of sequelae of cerebral palsy in children.It has a significant curative effect and is worthy of extensive clinical promotion and application.

[Key words] Children at high risk of cerebral palsy; Early; Comprehensive rehabilitation; Clinical effect

腦瘫高危儿是指在胎儿期与新生儿期因早产、高危妊娠、窒息、感染等危险因素影响到大脑发育的婴儿[1]。近年来随着二胎政策的开放，围产医学技术的进步和新生儿救治水平的提升，临床高龄产妇越来越多，危重新生儿存活率明显升高，但围产期并发症，尤其是脑性瘫痪（脑瘫）发病率同时呈现上升趋势[2]。其中脑瘫高危儿的发病率也在不断攀升，严重影响我国的人口素质及居民生活质量[3-4]。既往研究表明，常规康复治疗能促进脑瘫患儿的运动能力、智力水平，但关于常规康复结合规范化家庭康复的综合康复治疗的临床疗效分析报道甚少[5-7]。本研究拟对脑瘫患儿进行综合康复治疗，分析其对脑瘫高危儿的精细运动、大运动、言语、应人、应人DQ中的改善效果，现报道如下。