围产期窒息儿发育障碍康复治疗的探讨

Research of Rehabilitation to Brain Dysfunction of Perinatal Asphyxiated Children.

【目的】 探讨围产期窒息儿发育障碍康复治疗的方法和疗效。 【方法】 综合性的康复治疗方法。包括住院期弱激光光量子充氧自血疗法和非住院期的连续性家庭康复功能训练 ,每两个月为一疗程 ,每疗程后评估效果。 【结果】 综合性康复治疗 1疗程者 15例 ,稍好 9例 ,无效 6例 ;治疗 2～ 3个疗程者 7例 ,好转 4例 ,稍好 3例 ;治疗 5个疗程 1例 ,患儿基本康复 ,经Ridit检验显示 ,综合性康复治疗≥ 2个疗程 ,R值为 0 .774,疗效良好的概率大于治疗一个疗程者 (P <0 .0 1)。 【结论】 围产期窒息儿发育障碍进行综合性康复治疗有效 ,其疗效与治疗年龄、疗程和发育障碍的程度有关。

To research the method and therapeutic of rehabilitation for brain dysfunction of perinatal asphyxiated children. Multiple rehabilitation included successive function training in family and ultraviolet blood irradiation and oxygenation therapy (UBIOT) in hospital, every treatment course two months, then evaluated therapeutic effect. The curative effect of 15 cases taking 1 course of treatment resulted that 9 cases were slight effective, 6 cases were ineffective; 7 cases taking 2～3 courses of treatment resulted that 4 cases were effective, 3 cases were slight effective, 1 cases taking 5 courses of treatment turn health. Taking multiple rehabilitation ≥2 courses of treatment, the R value of Ridit test was 0.774, probability of good effective was more than one treatment course ( P <0.01). [Conclusion] It showed that multiple rehabilitation of brain dysfunction of perinatal asphyxiated children obtained good curative effect,the therapeutic effect was closely related to the course and age of treatment and the degree of brain dysfunction.