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目的:研究高危儿监测在早期发现婴儿脑损伤的作用以及神经发育疗法治疗脑损伤的效果。方法:采用高危家庭监测和高危儿筛查进行高危儿监测,目的是早期发现脑损伤患儿。对婴儿脑损伤进行早期诊断和早期综合康复治疗。以临床疗效和M法进行疗效评估。结果:高危儿监测对早期发现婴儿脑损伤有意义,共15.5%的脑损伤患儿是由家长发现而就诊的,78.5%患儿由门诊筛查发现而被诊断。高危因素中以产前高危因素为主,前5位主要高危因素依次是早产、孕期先兆流产、高胆红素血症、缺氧缺血性脑病,产时窒息。2岁以内脑损伤的诊断以中枢协调障碍(85.7%)和发育落后(8.2%)为主。治疗以神经发育疗法为主的综合疗法,20天1个疗程。316例2岁以下脑损伤患儿治疗效果:显效47.7%,好转48.7%,无效4.2%,总有效率为95.8%。1岁以下患儿疗效显著优于1岁后的脑损伤患儿,疗程长、疗效好。结论:高危儿监测(包括高危儿家庭监测、高危儿筛查)能够早期发现脑损伤可疑儿,为脑损伤早期诊断和早期治疗创造了条件,适合在医疗保健机构以及基层医疗单位应用。CCD和发育落后作为婴儿脑损伤早期诊断名称是可行的。治疗以神经发育疗法为主,治疗得早,临床效果好。
OBJECTIVE: To investigate the role of high-risk infants in early detection of brain injury in infants and the effect of neurodevelopmental therapy on brain injury. Methods: High-risk infants were monitored by high-risk family monitoring and high-risk screening in order to detect early brain damage in children. Early diagnosis of infant brain damage and early comprehensive rehabilitation. Clinical efficacy and M method for efficacy evaluation. Results: The monitoring of high risk infants was significant for early detection of brain injury in infants. A total of 15.5% of the children with brain injury were detected by the parents and 78.5% were diagnosed by outpatient screening. The risk factors of prenatal risk-based, the top 5 main risk factors were premature birth, premature pregnancy induced abortion, hyperbilirubinemia, hypoxic ischemic encephalopathy, asphyxia during labor. The diagnosis of brain injury within 2 years of age is dominated by central coordination disorders (85.7%) and underdevelopment (8.2%). Treatment of neurodevelopmental therapy-based comprehensive therapy, 20 days a course of treatment. 316 cases of children under 2 years of age brain injury treatment effect: markedly effective 47.7%, improved 48.7%, 4.2% ineffective, the total effective rate was 95.8%. Children under 1 year of efficacy was significantly better than 1 year old children with brain damage, long course, good effect. CONCLUSIONS: The surveillance of high-risk infants (including high-risk infants and young children and screening of high-risk infants) can detect suspicious children with brain injury early and create conditions for early diagnosis and early treatment of brain injury. It is suitable for application in healthcare institutions and primary care units. CCD and developmental lag as the early diagnosis of brain injury in infants name is feasible. Treatment of neurodevelopmental therapy, early treatment, clinical effect is good.