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目的:对小儿围生期脑损伤应用康复治疗的效果和影响因素进行总结和分析。方法:以2014年12月-2015年9月本院接诊的60例围生期脑损伤新生儿为研究对象并设为观察组,对其采取康复治疗结合药物治疗的方法,将同期使用运动疗法治疗的60例患儿设为对照组,对比两组治疗效果并在治疗结束后回顾性分析治疗效果水平以及可能存在的影响因素。结果:治疗结束后对照组总有效率为71.7 0%,而观察组总有效率达到86.70%,明显优于对照组(P<0.05),其余8例患儿经过较长时间的治疗相关症状无明显改善;经分析主要影响因素包括新生儿的孕周、患病月龄、新生儿智力情况以及有无遗留病变和早期疾病等。药物干预治疗主要利用营养神经药,包括神经节苷酯,脑蛋白,神经生长因子等。结论:小儿围生期脑损伤应用康复治疗的临床效果总体较好,可以明显改善患儿的智力发育水平,此外根据实际情况配合药物干预可以提高疗效,并控制相关症状。
Objective: To summarize and analyze the effect and influencing factors of rehabilitation treatment of perinatal brain injury in children. Methods: From December 2014 to September 2015, 60 newborn infants with perinatal brain injury admitted to our hospital were enrolled in this study and were enrolled in the observation group. Rehabilitation and medication were used to treat the newborns with perinatal brain injury. 60 patients treated with the therapy were set as the control group, and the therapeutic effect was compared between the two groups. After the treatment, the therapeutic effect and the possible influencing factors were retrospectively analyzed. Results: The total effective rate of the control group after the treatment was 71.7%, while the total effective rate of the observation group reached 86.70%, which was significantly better than that of the control group (P <0.05). The remaining 8 cases showed no symptoms Significant improvement; the analysis of the main influencing factors include the gestational age of newborns, age of illness, neonatal intelligence, as well as the existence of legacy disease and early disease. Medication interventions mainly use nutritional neuropharmacy, including ganglioside, brain protein, nerve growth factor and so on. Conclusion: The clinical effect of rehabilitation treatment on perinatal brain injury in children is generally good, which can obviously improve the level of mental development in children. In addition, according to the actual situation, with the intervention of drugs can improve the curative effect and control the related symptoms.