脑瘫高危儿不同时期早期康复治疗的疗效观察

Observation on the Curative Effect of Early Rehabilitation Treatment in Different Periods of High Risk Infants with Cerebral Palsy

目的探讨不同时期开始早期康复治疗对脑瘫高危儿预后的影响。方法根据开始康复治疗时期不同分为两组,即1~6个月开始康复治疗的患儿为1~6月组,6~10个月开始康复治疗的患儿为6~10月组,两组均行运动训练、推拿、理疗、药物等综合康复治疗,治疗前、治疗3个月时应用gesell量表对两组患儿进行评价。结果治疗3个月时,1~6月组gesell量表4个能区分值均高于治疗前(P<0.05),且同一时期的各能区分值均高于6~10月组(P<0.05)。结论脑瘫高危儿在早期尤其是≤6个月行早期康复治疗疗效显著,可降低脑瘫的发生率。

Objective To explore the influence of early rehabilitation treatment in different periods on the prognosis of high-risk infants with cerebral palsy.Methods According to the different periods of rehabilitation treatment,they were divided into two groups,namely,the children who started rehabilitation treatment in 1~6 months were in 1~6 months group,and the children who started rehabilitation treatment in 6~10 months were in 6~10 months group.Both groups received comprehensive rehabilitation treatment such as exercise training,massage,physiotherapy and drugs.The children in both groups were evaluated by gesell scale before treatment and 3 months after treatment.Results After 3 months of treatment,the four distinguishable values of gesell scale in 1~6 months group were higher than those before treatment (P<0.05),and the distinguishable values in the same period were higher than those in 6~10 months group (P<0.05).Conclusion Early rehabilitation treatment for high-risk infants with cerebral palsy is effective in early stage,especially in ≤6 months,which can reduce the incidence of cerebral palsy.