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目的:探讨婴儿外部性脑积水对运动发育的影响及预后。方法:对经头颅CT检查证实为外部性脑积水的76例患儿进行贝利婴幼儿运动量表测定,并将存在运动发育障碍的患儿随机分成治疗组和对照组。治疗组给予综合康复治疗,对照组给予对症治疗。全部患儿随访至生后18个月,再次测定。结果:76例患儿中存在发育障碍46例(60.5%);治疗组患儿精细运动发育指数(PDI)两次评定分别为(77.4±10.3),(91.6±11.9);对照组分别为(78.6±11.5),(84.9±10.9),两组治疗前比较无差异,治疗后比较差异有统计学意义(P<0.05)。对照组有5例发展为脑性瘫痪。结论:外部性脑积水可造成婴幼儿运动发育障碍,早期积极干预可改善其预后。
Objective: To investigate the impact of infant external hydrocephalus on sports development and prognosis. Methods: A total of 76 children with external hydrocephalus who had been confirmed by skull CT scan were enrolled in the Bailey infant sports scale. The children with dyskinesia were randomly divided into treatment group and control group. The treatment group was given comprehensive rehabilitation and the control group was given symptomatic treatment. All children were followed up to 18 months after birth, again measured. Results: There were 46 cases (60.5%) of dysplasia in 76 children. The PDI score in the treatment group was (77.4 ± 10.3) and (91.6 ± 11.9) respectively, and the control group were ( 78.6 ± 11.5), (84.9 ± 10.9). There was no difference between the two groups before treatment, and the difference was statistically significant after treatment (P <0.05). Five patients in the control group developed cerebral palsy. Conclusion: External hydrocephalus can cause stunting in infants and young children. Early positive intervention can improve its prognosis.