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目的:探讨提高中枢性协调障碍治愈率,降低脑瘫发生率的方法。方法:对126例中枢性协调障碍患儿按治疗效果分为基本治愈、好转、无效3组,回顾性调查分析中枢性协调障碍治疗效果与开始治疗年龄的关系,治疗效果与病情严重程度的关系,治疗效果与高危因素的关系。结果:开始治疗年龄越小,治疗效果越好,最好在原发病病情稳定后即开始康复治疗。原发病病情越轻,治疗方法越简单、治疗所需的时间越短、治疗效果越好。结论:提高住院分娩率,控制原发疾病病情是降低脑损伤的基础。规范和健全散居儿童的定期健康检查制度,提高中枢性协调障碍的早期检出率是降低脑瘫发生率的有效方法。家长对引起中枢性协调障碍原发疾病远期危害的严重程度认识不足和经济困难是耽误早期治疗、坚持治疗的主要原因。原发病病情越重,治疗方法越复杂、治疗时间越长、治疗效果越差。
Objective: To explore ways to improve the cure rate of central coordination disorders and reduce the incidence of cerebral palsy. Methods: 126 cases of children with central coordination disorders were divided into three groups according to the therapeutic effect: basic cure, improvement and ineffectiveness. The relationship between the therapeutic effect of central coordination disorder and the initial treatment age was retrospectively analyzed. The relationship between the therapeutic effect and the severity of the disease , The relationship between treatment effect and risk factors. Results: The younger the treatment is, the better the treatment is, and it is better to start the rehabilitation treatment once the primary disease is stable. The lesser the primary disease, the more simple the treatment, the shorter the time required for treatment, the better the treatment effect. Conclusion: Increasing hospital delivery rate and controlling primary disease are the basis of reducing brain injury. To standardize and improve the regular health check-up system for scattered children and to improve the early detection rate of central coordination disorders is an effective way to reduce the incidence of cerebral palsy. Parents on the central coordination disorders caused by the severity of the long-term primary health problems, lack of knowledge and economic difficulties are delays in early treatment, adhere to the main reason for treatment. The more serious the primary disease, the more complicated the treatment, the longer the treatment, the worse the treatment effect.