早期干预对脑瘫高危儿运动发育预后的影响

目的 观察早期干预对脑瘫高危儿运动发育预后的影响, 探讨早期干预降低脑瘫发生率及提高运动发育程度的可能性。方法 对307例脑瘫高危儿进行随访。并对其中140例有脑损伤早期表现患儿进行干预。以Gesell测试的大运动及精细运动两个能区作为评价指标。结果 140例脑损伤早期表现患儿的大运动及精细运动在早期干预前后差异均有高度统计学意义(均P＜0.01)。随访结束后, 正常组儿童在大运动及精细运动方面均明显优于脑瘫组(P＜0.01)及对照组(P＜0.01);脑瘫组和对照组在精细运动方面的差异有统计学意义(P＜0.05), 在大运动方面的差异无统计学意义(P＞0.05)。结论 早期家庭干预对提高脑瘫高危儿运动发育水平起到十分重要的作用, 在一定程度上降低了脑瘫的严重程度, 尤其是在精细运动方面。

Influence of early intervention on motor development prognosis of infants at high risk of cerebral palsy.

Objective To observe the effect of early intervention on the motor development prognosis of infants at high risk of cerebral palsy, and to investigate whether early intervention could decrease the incidence of cerebral palsy and improve the degree of motor development. Methods A follow-up visits on 307 infants at high risk with cerebral palsy were finished, and 140 infants with brain injury were carried out about early intervention.The gross motor and fine motor of Gesell Scale of Infant Development were used to evaluation. Results Remarkable difference was found before and after follow-up in 140 infants with brain injury(all P＜0.01).After follow-up, normal group was much better than cerebral palsy group and control group(all P＜0.01) in gross motor and fine motor.There was difference between cerebral palsy group and control group in fine motor(P＜0.05), and no difference in gross motor(P＞0.05). Conclusion Early intervention plays an important role in improving the motor development of infants at high risk of cerebral palsy, and induces the degree of cerebral palsy, especially in fine motor.