翻译头针对围期脑损伤患儿神经发育的影响.docVIP

头针对围产期脑损伤患儿神经发育的影响 广州中医药大学附属南海妇产儿童医院 刘振寰 广州中医药大学研究生院 李业荣 卢咏琳 海南省三亚市中医院儿科 陈杰奎 摘要：目的：应用智七针疗法对脑损伤综合征患儿进行早期干预，与对照组进行对比，观察本疗法对脑损伤综合征患儿神经发育的影响。方法：纳入脑损伤综合征患者64例，随机分为对照组、干预组，对照组采用常规早期干预方案，干预组采用常规早期康复治疗联合智七针方案进行治疗。比较两组患儿贝利婴幼儿发展量表（BSID）、盖塞尔发育量表（Gesell）、粗大运动功能评估（GMFM）评估结果及经颅多普勒彩超（TCD）、头颅影像学检查异常情况。结果：1.干预组婴幼儿发展量表所测得MDI分值达正常化水平比例高于对照组，差异具有统计学意义（p0.05）。而测得 PDI分值达正常化水平比例两组差异无统计学意义（p0.05）。2.干预组社会适应DQ均数高于对照组，两组间差异具有显著性差异（p0.01），大动作DQ、语言DQ、个人社交DQ总体均数高于对照组，两组间差异具有统计学意义（p0.05）；精细动作DQ总体均数差异无统计学意义（p0.05）。3.干预组GMFM总分得分均数高于对照组，两组间差异具有统计学意义（p0.05）。4. TCD恢复情况，干预组优于对照组，差异具统计学意义（p0.05）。5.开始经治疗后6个月时，两组患儿头颅CT/MRI检查存在额顶叶脑外间隙增宽情况都有不同程度恢复正常，干预组优于对照组，差异具统计学意义（p0.05）。结论：对围产期脑损伤引起的脑损伤综合征患儿采用“智七针”治疗，能促进患儿智力、大运动、语言、社交发育水平；能改善患儿大脑血液供应；促进患儿额顶叶大脑发育。 关键词：脑损伤综合征；早期干预； Clinical Research on intelligence seven needle therapy treated infants with brain damage syndrome Zhen-huan LIU Affiliated Nanhai Maternity ChildrensHospital of Guangzhou University of Chinese Medicine,Foshan,528200 Guangzhou University of Chinese Medicine, Guangzhou,510405,China.) 请补充其他作者及单位？ Abstract：objective：Employ intelligence seven needle treatment for infants with perinatal brain damage syndrome as early intervention, com pared with the control group, observe the influence of the infants of neural development after this therapy. Methods：A randomized controlled trial was conducted. 64 infants with BDS were selected, randomly divided into two groups, experimental group and control group. Both the groups received the routine early intervention for get well, moreover, the experimental group received the treatment of intelligence seven needle adding. Before and after the treatment designed, the Bayley Scales，Gesell Developmental ScalesThe Gross Motor Function Measure(GMFM) Transcranial do ppler color do pplar ultrasound(TCD) and Head imaging examination were tested for contrast. Results：1. After the treatment, group of experimental has a significant superiority in improving the score reach normalization in Mental Development Index(MDI)