家庭康复训练应用于缺氧缺血性脑病患儿对心理运动、智力发育及脑功能的影响

Influence of family rehabilitation training on psychomotor, intellectural development and brain function in children with hypoxic ischemic encephalopathy

目的探究家庭康复训练应用于缺氧缺血性脑病患儿对心理运动、智力发育及脑功能的影响。方法选取我院收治的行常规护理的缺氧缺血性脑病患儿58例作为对照组，另选取我院收治的行家庭康复训练的缺氧缺血性脑病患儿58例作为观察组。对比2组护理前后心理运动、智力发育及脑功能变化。结果观察组护理1、3、6、9个月后心理运动发育指数均高于对照组，差异有统计学意义（P〈0．01）；观察组护理9个月后适应性、大运动、精细动作、语言、社会交往发育商均高于对照组，差异有统计学意义（P〈0．01）；观察组护理9个月后OL波高于对照组，SMR波及α／SMR均低于对照组，差异有统计学意义（P〈0．01）。结论家庭康复训练应用于缺氧缺血性脑病患儿可有效提高其心理运动、智力发育，改善脑功能，值得临床推广。

Objective To explore the effects of home rehabilitation training on psychomotor, intellectual develop- ment and brain function in children with hypoxic - ischemic encephalopathy. Methods A total of 58 children with hypoxic- ischemic encephalopathy were selected as a control group and received routine care. Furthermore, another 58 children with hypoxic - ischemic encephalopathy were set as an observation groups and received rehabilitation training. The two groups were compared for the changes of psychomotor, intellectual development and brain function before and after nursing. Results The observation group showed remarkable increases in psychomotor indexes compared with the control group after 1, 3, 6 and 9 months （ P 〈 0. 01 ）. Significant differences were found between the developmental quotients of adaptation, major movements, fine movements, languages, and social interactions between the two groups after 9 months of nursing （P 〈 0. 01 ）. Markedly higher alpha waves and lower SMR - splitting α/SMR were detected in the observation group, compared with the control group after 9 months of nursing, （P 〈 0.01 ）. Conclusions Home rehabilitation training in children with hypoxic - isehemic encephalopathy can effectively improve their psychological and intellectual development and improve their brain function, which is worthy of clinical promotion.