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目的 了解早期干预对缺氧缺血性脑病 (HIE)患儿智能发育的影响。探求早期干预的最佳时间。方法 门诊确诊的未行早期干预的HIE患儿 36例为对照组 ,已行早期干预的 32例随访的HIE患儿为干预组 ,分别行婴幼儿智能发育测验 (CDCC)。结果 干预组智能发育指数 (MDI)在临界水平者 1例 ,精神运动发育指数(PDI)在临界水平者 2例 ,其余患儿MDI和PDI检测结果均在中等范围以上 ;对照组 36例患儿均为智能缺陷患儿。智能发育两者间比较 ,差异有显著性意义 (P <0 .0 1)。结论 早期干预能够促进HIE患儿智能发育。
Objective To understand the effect of early intervention on intelligence development in children with hypoxic-ischemic encephalopathy (HIE). Explore the best time for early intervention. Methods Totally 36 children with HIE without early intervention who were diagnosed as outpatients were selected as the control group. 32 children with HIE who were treated with early intervention were selected as the intervention group, and their Childhood Intelligent Developmental Test (CDCC) was performed. Results In the intervention group, there were 1 case with MDI at critical level and 2 cases with critical psychomotor development index (PDI) at the critical level. The results of MDI and PDI in the remaining children were above the middle range. In the control group, 36 children All children with mental retardation. There was a significant difference between the two groups in intelligence development (P <0.01). Conclusion Early intervention can promote the intelligent development of children with HIE.