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目的:对高危儿筛查以及婴儿脑损伤的早期医学干预效果进行分析和研究。方法:选取我院2015年1月-2016年4月收治的168例高危新生儿,所有高危儿均接受新生儿徒手检查评定,若评分在35分及以下,则认为脑损伤;使用随机数表法将脑损伤患儿分为观察组和对照组,给予对照组患儿早期医学干预,给予对照组患儿接受常规干预,比较两组患儿干预效果。结果:徒手检查共筛查出脑损伤患儿124例,占总人数的73.81%;观察组脑损伤患儿干预后的徒手检查评分以及徒手检查评分在35分以上、Gesell评分在85分以上的患儿数均显著优于对照组患儿(P>0.05),HIE发生率为3.23%,低于对照组患儿的37.10%,组间比较差异具有统计学意义(P<0.05)。结论:徒手检查法、脑电图和脑干听觉诱发电位电位是检测高危儿脑损伤的有效途径,早期的医学干预是促进脑损伤患儿早日康复的重要手段。
OBJECTIVE: To analyze and study the effect of early medical intervention on screening of high-risk infants and infant brain injury. Methods: A total of 168 high-risk newborns admitted to our hospital from January 2015 to April 2016 were enrolled in this study. All high-risk infants were assessed by hand, and if the score was 35 or below, brain injury was considered. Using random number table Children with brain injury were divided into observation group and control group. The control group received early medical intervention, and the control group received routine intervention. The intervention effect was compared between the two groups. Results: A total of 124 children with brain injury were screened by hand, accounting for 73.81% of the total number of children with brain injury. The scores of hand-free examination and free hand examination in children with brain injury in the observation group were over 35 and those with Gesell score above 85 The number of children was significantly better than that of the control group (P> 0.05). The incidence of HIE was 3.23%, which was lower than 37.10% of the control group. There was significant difference between the two groups (P <0.05). Conclusion: Freehand examination, EEG and brainstem auditory evoked potentials are effective ways to detect brain injury in high-risk children. Early medical intervention is an important means to promote early recovery of children with brain injury.