Abstract
目的 探讨超早期干预对高危新生儿脑瘫及智能发育障碍的影响.方法 将163例高危新生儿分为两组,干预组83例,除常规治疗外,施行早期环境干预和康复功能训练,出院后依据0～3岁小儿智能发育规律及教育大纲,随访干预治疗至2岁;对照组(常规育儿)80例,只接受常规治疗及常规育儿指导和评估.结果 干预组神经行为评分第30天明显高于对照组(P＜0.001);两组在3、6、12、18、24个月的发育商(DQ),干预组明显高于对照组(P＜0.001);两组高危新生儿发育落后及后遗症发生率,干预组明显低于对照组(P＜0.05).结论 早期环境干预、系统的康复功能训练,以及足够的治疗疗程和随访可降低高危新生儿脑瘫和智能低下的发生率,提高高危新生儿的存活质量。
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