Objective To investigate the influence of the systematic intervention management for neural developmental and the incidence of cerebral palsy of high-risk infants with brain damage. Methods A total of 198 full-term brain injury high-risk infants in the First Affiliated Hospital of Bengbu Medical College neonatal intensive care unit (NICU) were selected and divided into intervention group (n=103) and control group (n=95) according to the parents intend.Two groups were given conventional treatment and care.On this basis,systematic early intervention was given in intervention group according to the hospital-family management mode.Differences of the incidence of abnormal muscle tone and abnormal primitive reflex were compared in two groups of high-risk infants at 3,6,12,18 months.Besides,differences of developmental quotient (DQ) and the incidence of cerebral palsy were compared in two groups of high-risk infants at 6,12,18 months. Results The incidences of abnormal primitive reflex and abnormal muscle tone of 3-months-old infants in two groups had no obvious differences (P>0.05).In terms of 6,12,18-months-old,they were obviously lower in the intervention group than those in the control group.Also,the incidence of cerebral palsy was significantly lower than the control group,difference was statistically significant(P<0.05 or <0.01).In the case of infants at 6,12,18 months,MDI and PDI score in intervention group were obviously higher than those in control group(P<0.01 or <0.001). Conclusion Systematic intervention management helps promote neural development,improve the level of mental development,and reduce the incidence of cerebral palsy of brain injury high-risk infants.
Key words
brain injury /
infant /
cerebral palsy /
early intervention management
{{custom_sec.title}}
{{custom_sec.title}}
{{custom_sec.content}}
References
[1] O′Shea TM,Allred EN,Kuban KC,et al.Intraventricular hemorrhage and developmental outcomes at 24 months of age in extremely preterm infants [J].J Child Neurol,2012,27(1):22-29.
[2] 蔡荣兰.高危新生儿医院--家庭早期干预管理模式探讨[J].护理管理杂志,2012,12(4):281-283.
[3] 鲍秀兰.0~3岁儿童最佳的人生开端[M].北京:中国妇女出版社,2013:117-118;344-357.
[4] 任世光,崔红,李娜,等.婴儿脑瘫早期诊断神经运动检查15项[J].中国儿童保健杂志,2012,20(12):1152-1155.
[5] 李晓捷,唐久来,马丙祥,等.脑性瘫痪的定义、诊断标准及临床分型[J].实用儿科临床杂志,2014,29 (19):1520.
[6] 吴淑明,郭淑艳.新生儿行为神经测定在足月窒息儿预后评估中的临床意义[J].中国妇幼保健,2014,29(35):5816-5818.
[7] 刘龙池,贺刚利.210例小儿脑损伤综合征的康复治疗与临床观察[J].中外医疗,2012,19(1):65-66.
[8] Baroncelli L,Braschi C,Maffei L.Visual depth perception in normal and deprived rats:effects of environmental enrichmen[J].Neuro-Science,2013,236:313-319.
[9] Orton J,Spittle A,Doyle L,et al.Do early intervention programmes improve cognitive and motor outcomes for preterm infants after discharge?A systematic review[J].Dev Med Child Neurol,2009,51(11):851-859.
[10] 陈光福,张蕴芳,陈美清,等.早产儿脑损伤早期干预模式与临床路径研究[J].中国当代儿科杂志,2014,16(1):35-39.
[11] 方海霞.高压氧结合康复训练对早期脑瘫89例疗效观察[J].中国煤炭工业医学杂志,2012,15(2):270-271.
[12] 秦丽霞,刘雪静,苏丽.小儿脑性瘫痪治疗误区及干预[J].吉林医学,2010,31(29):5108.
[13] 杜菲,张红运.家长系统康复培训对脑瘫患儿康复的影响研究[J].实用心脑肺血管杂志,2011,19(1):21-22.