论文部分内容阅读
目的探讨不同神经发育学评估方法在新生儿缺氧缺血性脑病新随访或者后遗症中的应用。方法选取贵阳市妇幼保健院2008年1月-2010年12月间100例新生儿缺氧缺血性脑病为研究对象,将其按照随机数字法分为研究组与对照组,均50例。采取Vojta姿势反射与52项神经运动检查以及Gesell发育检查量表进行评估,研究组依据神经发育评估的结果实施Vojta姿势反射和Bobath法肢体功能训练进行干预,对照组给予常规育儿指导,观察两组实施效果。结果研究组和对照组6个月龄、12个月龄Vojta姿势反射、52项神经运动异常比较具有明显的差异(P<0.05)。研究组和对照组6个月龄和12个月龄Gesell发育检查量中的5项DQ评分比较有明显的差异(P<0.05)。结论临床中应用Vojta姿势反射与52项神经运动检查以及Gesell发育检查量表在新生儿缺氧缺血性脑病随访中具有较好的应用效果。并通过尽早的干预,从而降低后遗症的发生。
Objective To explore the application of different neurodevelopmental evaluation methods in new follow-up or sequelae of neonatal hypoxic-ischemic encephalopathy. Methods 100 cases of neonatal hypoxic-ischemic encephalopathy in Guiyang Maternal and Child Health Hospital from January 2008 to December 2010 were selected as the research object, which were divided into study group and control group according to random number method. Vojta postural reflex and 52 neuromuscular examination and Gesell developmental examination scale were used to evaluate. VoGta postural reflex and Bobath limb functional training were conducted according to the results of neurodevelopmental evaluation. The control group was given routine parental guidance. The two groups were observed Implementation Effect. Results Vojta postural reflexes at 6 months and 12 months of age in study group and control group showed significant differences (P <0.05). There were significant differences (P <0.05) among the five DQ scores in Gesell developmental examinations in study group and control group at 6 months and 12 months. Conclusion The clinical application of Vojta posture reflex and 52 neuromuscular examination and Gesell developmental examination scale in neonatal hypoxic-ischemic encephalopathy follow-up has a good effect. And through early intervention, thereby reducing the incidence of sequelae.