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目的:对中枢性协调障碍的高危因素及诊断进行综合分析,及早发现神经系统的损害,以便早期进行干预。方法:对2007年9月～2008年9月期间在十堰市妇幼保健院儿童保健(儿保)科进行常规体检的婴儿,进行专业的Vojta姿势反射、肌张力等检查,必要时行脑干诱发电位,智能、头颅CT或MRI检查。结果:诊断的中枢性协调障碍以极轻度和轻度为主,极轻度、轻度前4位高危因素大致相同,以宫内窘迫、脐带绕颈、感冒、黄疸为主要原因;高危因素与文献排位大有不同,<3个月以姿势异常和肌张力的异常为主,6个月以后以动作发育落后为主。结论:Vojta姿势检查是诊断中枢性协调障碍的金标准;要关注中枢性协调障碍的高危人群,也不能忽略无原因的高危人群;门诊工作的重点是超早期发现中枢性协调障碍的患儿,以便早诊断、早治疗。
OBJECTIVE: To comprehensively analyze the risk factors and diagnosis of central coordination disorders and detect the damage of the nervous system as early as possible for early intervention. Methods: During the period from September 2007 to September 2008, infants underwent routine physical examination in the Child Health Care (Child Care) Section of Shiyan MCH, and performed professional examinations such as Vojta posture reflex and muscle tension. If necessary, brainstem induction Potential, Smart, Head CT or MRI. Results: The central coordination disorders of diagnosis were mild and mild. The first 4 mild and moderate risk factors were the same. The main causes were intrauterine distress, cord around the neck, cold and jaundice. Risk factors Different from the literature rankings, <3 months mainly postures abnormalities and abnormal muscle tone, 6 months after the main movement to develop backward. Conclusion: Vojta postural examination is the gold standard for diagnosis of central coordination disorders. To pay attention to the high-risk groups with central coordination disorders, we should not neglect the high-risk population without reason. Outpatient work focuses on children with central coordination disorders found in ultra- In order to early diagnosis and early treatment.