及早干预对脑瘫高危儿可行性与重要性

及早干预对脑瘫高危儿可行性与重要性 及早干预对脑瘫高危儿的可行性与重要性 摘 要： 目的 观察不同时机干预对脑瘫高危儿的预后影响。方法 选取 2024 年至 2024 年在本院开展系统化干预的脑瘫高危儿 134 例,资料进行回顾性对比讨论,根据不同月龄分为观察组和对比组,每组 67 例。观察组(早期干预组)为 3 个月龄内于本院开展系统化干预的脑瘫高危儿,对比组(后期干预组)为小儿 6 个月龄后于本院开始系统化干预的脑瘫高危儿,并根据性别、出生体质量、胎龄、生后窒息进行条件匹配。观察小儿出生 18 个月脑瘫发生率,并行婴幼儿智力行为发育指数(MDI)和精神运动发育指数(PDI)评估。选用 x2 检验、t 检验进行组间比较及相关性检验。结果 观察组出生后 18 个月脑瘫发生率明显低于对比组(P<);贝利量表智力行为发育指数(MDI)和精神运动发育指数(PDI)高于对比组(P<)。结论 对脑瘫高危儿应尽早开展干预以促进小儿认知运动发育,提高早产儿的远期生存质量,有效降低脑瘫发生率,值得临床推广应用。 关键词： 早期干预; 脑瘫高危儿; 不同时机; Abstract ： Objective To study the influence of different treatment opportunities in the clinical prognosis for high-risk children with cerebral palsy. Methods Select clinical data of 134 high-risk children with cerebral palsy who underwent systematic intervention in our hospital from 2024 to2024 for retrospective controlled study, 67 children underwent the early systematic interventions upon 3 months of delivery were selected as observation group, 67 children underwent the later systematic interventions upon 6 months of delivery were selected as control group. The general data like children” s gender, birth weight, gestational age and neonatal asphyxia was recorded. The incidence rate of cerebral palsy after 18 months of delivery as well as mental development index(MDI) and psychomotor development index(PDI) was counted. x2 test, t test and correlation test was performed. Results After 18 months of delivery, the incidence rate of cerebral palsy in t...