脑性瘫痪高危儿的分级筛查与干预

Grading screening and intervention on infants with high risk of cerebral palsy

经过10余年的脑性瘫痪(脑瘫)高危儿的临床实践和结合相关文献的复习,选取脑瘫高危儿的高危因素、运动系统检查、全身运动检测、神经行为学评估及头颅磁共振检查5项指标,建立脑瘫高危儿的分级筛查标准,并提出相应的康复干预建议。通过及时有效的专业分级筛查与干预,既可减轻患儿的发育障碍或脑瘫发生的功能障碍程度,避免发生漏诊漏治,减轻患儿的功能伤害;也可通过精准的筛查和针对性的干预,避免过度医疗,减轻患儿的治疗痛苦和家庭负担。

Based on more than 10-year clinical practice of treating infants with high risk of cerebral palsy and review of papers,the grading screening criteria were developed,which consisted of 5 indexes including high risk factors,motor management,general movements,Hammersmith infant neurological examination and head magnetic resonance imaging.Besides,corresponding rehabilitation interventions were suggested.Timely and effective professional grading screening and intervention can alleviate the development disorder or dysfunction caused by cerebral palsy,avoid missed diagnosis and treatment,and reduce the functional injury to infants.Moreover,accurate screening and targeted intervention can prevent excessive medical treatment,relieve the treatment pain of infants and lighten their family burden.