摘要
目的观察超早期综合康复治疗对中枢性协调障碍患儿(central coordination disturbance,CCD)的疗效。方法2003年1月至2007年1月第三军医大学新桥医院儿科对70例CCD患儿据其入院康复年龄分为超早期综合干预组(0-<6月),26例;超早期对照组(0-<6月),20例;早期综合干预组(7-<12月),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有显著差异(P<0.01);超早期综合干预组在动作能、应物能及应人能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,可能在减轻围产期脑损伤儿残疾障碍中起关键作用。
Objective To observe the effect of very early combined rehabilitation therapy on infants with central coordination disturbance （CCD）. Methods 70 infants in our hospital from Jan 2003 to Jan 2007 with central coordination disturbance were di- vided into very early combined intervention group （0-6 months,n=26）, early rehabilitation group （7-12 months, n=24） and very early control group （0-6 months,n= 20）. Very early combined intervention group and early rehabilitation group were treated with medication, kinetotherapy, occupational therapy, and family interference; very early control group was only treated with family interference. The therapeutic effect was assessed with Gesell developmental scale. Results The total effective rate of very early combined intervention group was 92.3 ~, significant higher than that of early intervention group and very early control group （P〈0. 01）. The difference in scores of three functional areas （social area, adaptive area and motor area） after intervention in very early combined rehabilitation group （8.25, 8.30 and 7.54 respectively） were significant higher compared with those of early intervention group and very early control group （P〈0. 01）. Conclusion ment of gross motor, social capacity and adaptive capacity, Key words： central coordination disturbance; very early Very early combined rehabilitation therapy might improve the develop- and contribute to alleviating handicap of infants with CCD. intervention; rehabilitation
关键词
中枢性协调障碍
超早期干预
康复
central coordination disturbance
very early intervention
rehabilitation
