超早期综合康复治疗中枢性协调障碍患儿的临床回顾性研究

The clinical study of very early rehabilitation therapy for infants with central coordination disturbance

目的观察超早期综合康复治疗对中枢性协调障碍患儿(CCD)的疗效。方法2003-01—2007-01对第三军医大学新桥医院儿科70例CCD患儿据其入院康复年龄分为超早期综合干预组(～6月龄),26例;超早期对照组(～6月龄),20例;早期综合干预组(7～12月龄),24例。超早期综合干预组及早期综合干预组采用运动疗法、作业疗法、神经细胞激活剂及家庭干预等综合康复措施治疗;超早期对照组:行家庭干预;所有病例用上海-Gesell发育量表对发育商进行评估。结果超早期综合干预组的总有效率为92.3%,与早期综合干预及超早期对照组比较差异有显著性(P<0.01);超早期综合干预组在动作、应物及应人3个能区的发育商进步分数分别为8.25、8.30、7.54,均明显高于超早期对照组及早期综合干预组(P<0.01)。结论对CCD患儿实施超早期综合康复治疗可有效促进其动作、应人、应物的发展,可能在减轻围生期脑损伤儿残疾障碍中起关键作用。

Objective To observe the effect of very early rehabilitation therapy on infants with central coordination disturbance （ CCD ）. Methods A total of 70 infants with central coordination disturbance were divided into very early intervention group（ - 6 months） ,early rehabilitation group （7 - 12 months） and very early comparison group（ - 6 months）. Very early intervention group and early rehabilitation group were treated with medication,kinetotherapy,occupational therapy, and family interference. The effect of infant was assessed by Gesell development test. Results The total efficient rate of very early intervention group was 92.3% ,which was significantly higher than early intervention group（ P 〈 0. 01 ）. The difference scores of three functional area（ social area,adaptive area,motor area） after intervention in very early rehabilitation group were significantly high compared with very early intervention group and early rehabilitation group （ P 〈 0. 01 ）. Conclusion Very early rehabilitation therapy might play a role in alleviating handicap of infants with CCD.