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目的观察超早期综合康复治疗对中枢性协调障碍患儿(CCD)的疗效。方法2003-01—2007-01对第三军医大学新桥医院儿科70例CCD患儿据其入院康复年龄分为超早期综合干预组(～6月龄),26例;超早期对照组(～6月龄),20例;早期综合干预组(7～12月龄),24例。超早期综合干预组及早期综合干预组采用运动疗法、作业疗法、神经细胞激活剂及家庭干预等综合康复措施治疗;超早期对照组:行家庭干预;所有病例用上海-Gesell发育量表对发育商进行评估。结果超早期综合干预组的总有效率为92.3%,与早期综合干预及超早期对照组比较差异有显著性(P<0.01);超早期综合干预组在动作、应物及应人3个能区的发育商进步分数分别为8.25、8.30、7.54,均明显高于超早期对照组及早期综合干预组(P<0.01)。结论对CCD患儿实施超早期综合康复治疗可有效促进其动作、应人、应物的发展,可能在减轻围生期脑损伤儿残疾障碍中起关键作用。
Objective To observe the effect of ultra early comprehensive rehabilitation on children with central coordination disorders (CCD). Methods From January 2003 to January 2007, 70 children with CCD in Pediatrics Hospital of Xinqiao Hospital of the Third Military Medical University were divided into two groups: early intervention group (~ 6 months old) and early intervention group (26 cases) 6 months), 20 cases; early comprehensive intervention group (7-12 months), 24 cases. Early comprehensive intervention group and early comprehensive intervention group were treated with comprehensive rehabilitation measures such as exercise therapy, operation therapy, nerve cell activator and family intervention; ultra-early control group: family intervention; all cases with Shanghai-Gesell Developmental Scale Business assessment. Results The total effective rate of the early comprehensive intervention group was 92.3%, which was significantly different from the early comprehensive intervention group and the ultra-early control group (P <0.01) The scores of developmental district business district were 8.25, 8.30 and 7.54, respectively, which were significantly higher than those in the ultra-early control group and the early comprehensive intervention group (P <0.01). Conclusions The implementation of ultra early comprehensive rehabilitation in children with CCD can effectively promote their actions. The development of human and clinical materials may play a key role in alleviating the impairment of children with perinatal brain injury.