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目的:探讨早期干预治疗对高危儿神经运动发育的重要意义。方法:收集NBNA评分异常(数值<37分)的160例高危儿的一般资料,并根据实际有无进行早期干预治疗分为干预组和对照组,各80例;分别在患儿4、8、12、18月龄时进行Gesell评估随访,采用SPSS 20.0统计软件中的t或χ~2检验对两组患儿相关结果进行统计分析。结果:两组性别构成比、高危因素构成比、NBNA评分差异均无统计学意义;两组家庭环境构成比、Gesell评估随访评分差异有统计学意义;干预组3~5月后神经运动发育赶上正常同龄儿,对照组有持续较长时间的神经运动发育落后,在对照组中有2例后期诊断为脑性瘫痪(cerebral palsy,CP,以下简称脑瘫)。结论:早期干预治疗对促进高危儿神经运动发育及预防其发展成为脑痪有重要意义,应在临床推广。
Objective: To investigate the significance of early intervention in the development of high-risk children’s motor. Methods: The general data of 160 high-risk children with NBNA score abnormality (<37 points) were collected and divided into intervention group and control group according to the actual or not. 80 cases were divided into 4 groups At the age of 12 and 18 months, Gesell evaluation was followed up, and the results of two groups of children were statistically analyzed by t or χ ~ 2 test using SPSS 20.0 statistical software. Results: There was no significant difference in gender composition ratio, risk factor ratio, NBNA score between the two groups. There was significant difference between the two groups in family environment composition and Gesell evaluation follow-up score. In the intervention group, neuromotor development On the same age group, the control group had laggard neurological development for a long time, and in the control group, 2 cases were diagnosed as cerebral palsy (CP). Conclusions: Early intervention therapy is of great importance to promote the development of high-risk children’s neuro-motor and prevention of its development into cerebral palsy and should be promoted clinically.