早期干预防治脑性瘫痪的应用研究

Application Research on Early Family Intervention in Prevention and Treatment of Cerebral Palsy

目的探讨早期干预在早产儿和缺氧缺血性脑病患儿发育中的作用。方法将136例早产儿和中、重度HIE患儿随机分为治疗组和对照组，分别于16周、28周、12个月时采用Gesell发育量表测试各能区发育商。结果治疗组早产儿和HIE患儿动作能、应物能、言语能、应人能明显增高，脑性瘫痪发生率显著降低，与对照组相比具有显著性差异（P〈0．01）。结论家庭早期干预可有效改善早产儿和HIE患儿的发育，防治脑性瘫痪的发生。

Objective To explore the e-ffect of family early intervention on development of infants with prematurity and hypoxic ischemic encephalopathy （HIE）. Methods 136 cases of premature infants, moderate and severe HIE infants were randomly divided into a treatment group and a control group. Every region of intelligence development was detected by Gesell Developmental Schedules at 16 weeks, 28 weeks and 12 months respectively. Results Motor behavior, adaptive behavior, language hehavior and personal social behavior increased obviously in the treatment group, while the incidence rate of cerebral palsy markedly decreased, showing a significant difference compared with the control group. Conclusion Early family intervention can efficiently improve the development of premature infants or infants with HIE, and prevent cerebral palsy from occurrence.