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目的针对0~12个月有脑损伤的高危儿进行随访,对粗大、精细运动发育落后、有异常姿势模式的患儿进行早期干预,减少脑瘫发生率。方法 71例发育落后患儿,分成干预组(49例)和未干预组(22例)。干预组行早期干预,未干预组行家庭康复指导。观察两组的临床疗效。结果两组患儿早期干预后的原始分、相当年龄、百分位情况对比差异具有统计学意义(P<0.05);干预组44例患儿康复治疗发育水平已接近同龄正常儿,另外5例诊断脑性瘫痪,还在康复治疗中;未干预组6例诊断脑性瘫痪,2例智力低下,8例仍存在发育落后,4例接近正常同龄儿,2例失去联系。结论对脑损伤小儿不同月龄的Peabody测评及早期干预效果显著,有效率较高,值得推广。
Objective To follow-up high-risk children with brain injury from 0 to 12 months and make early intervention in children with coarse and fine motor development and abnormal posture to reduce the incidence of cerebral palsy. Methods 71 cases of children with developmental lag were divided into intervention group (49 cases) and non-intervention group (22 cases). Intervention group early intervention, intervention group without family rehabilitation guidance. The clinical efficacy of the two groups was observed. Results There were significant differences in the original score, the relative age and the percentile between two groups of children after intervention (P <0.05), while the recovery level of 44 children in the intervention group was close to the normal age of children and the other 5 patients Diagnosis of cerebral palsy, still in rehabilitation; 6 cases without intervention group diagnosis of cerebral palsy, 2 cases of mental retardation, there are still 8 cases of developmental lag, 4 cases close to normal peers, 2 lost contact. Conclusion The results of Peabody evaluation and early intervention in different age children with brain injury are significant, effective and worth promoting.