论文部分内容阅读
目的:探索在我国目前的国情下,早期干预治疗新生儿缺氧缺血性脑损伤(HIBD)的模式。方法:选取140例中重度HIBD患儿,以出生顺序半随机分成早期干预组和对照组。对早期干预组采用不断评估-干预的程序由医生和家长共同完成训练计划至2岁,医生制定训练计划,培训家长并对每个患儿进行评估。家长负责运动、认知、语言和社会交往能力等具体训练计划的执行。采用生长发育指标、临床、CT资料和发育商(DQ)、智力指数(MI)评价治疗效果。结果:干预组患儿6月、12月、18月、24月龄时的DQ、MI值明显高于对照组(P<0.01)。干预组的临床和CT预后不良率明显低于对照组(P<0.01,P<0.05)。结论:采用医生和家长合作模式进行的早期干预治疗是可行的,能有效地防止和减轻HIBD患儿的后遗症,减少伤残,改善预后。
Objective: To explore the mode of early intervention to treat neonatal hypoxic-ischemic brain damage (HIBD) in our country under the current national conditions. Methods: A total of 140 children with moderate-severe HIBD were selected and randomly divided into early intervention group and control group according to birth order. Continued Assessment of Early Intervention - Interventions The program is completed by both the doctor and the parent to 2 years of age. The doctor develops a training plan, trains the parent, and evaluates each child. Parents are responsible for the implementation of specific training programs such as exercise, cognition, language and social interaction skills. The therapeutic effect was evaluated by using growth and development indexes, clinical data, CT data, developmental quotient (DQ) and intelligence index (MI). Results: The DQ and MI values in the intervention group at 6, 12, 18 and 24 months were significantly higher than those in the control group (P <0.01). The rate of clinical and CT prognosis in the intervention group was significantly lower than that in the control group (P <0.01, P <0.05). Conclusion: It is feasible to use early cooperation between doctors and parents to prevent and reduce the sequelae of children with HIBD, reduce disability and improve the prognosis.