第十一屆 300例嬰兒腦損傷綜合征干預效果分析

Effect Analysis of Early Intervention of 300 Infants with Brain Injury Syndrome 
彭桂蘭1、丁德琴1、黃彩虹1、朱金玲1、林燕娥1、張雲麗1
Gui-lan Peng, De-qin Ding, Cai-hong Huang, Jin-ling Zhu, Yan-er Lin, Yun-li Zhang. 
1廈門市婦幼保健院小兒神經康復科 (福建 廈門 361003)
Xiamen Maternity and Child Health Care Hospital Pediatric Neurology Rehabilitation Departerment

研究背景與目的：評價不同階段腦損傷綜合征進行干預的方法及療效。

方法：綜合治療組為干預組，腦活素治療為對照組。綜合治療包括早期採用Bobath及Vojta法治療、腦活素藥物和對症治療，觀察時間為<3月、4-6月，7月-1歲評定干預效果。


結果：不同年齡階段患兒之間臨床療效有顯著性差異（p<0.01)治療組與對照組之間干預9月後DQ有顯著性差異（p<0.01)。


結論：建立高危兒管理，進行高危兒篩查，腦損傷兒及時干預。早期干預〈6月，特別是3月內超早期干預的腦損傷綜合征患兒大部分可恢復正常，腦癱的發病率下降，合併症減少，發育商提高。 

關鍵字：腦損傷、嬰兒 、早期、干預 

[Abstract]  Background and Object  Evaluation of effect and method of early intervention in infant by the different stage with brain injury syndrome. Methods The combined therapy group was intervention group，the treatment by cerebroprotein hydrolysate was control group. The combined therapy group included Vojta ,Bobath，cerebroprotein  hydrolysate and symptomatic treatment. After observing less than 3 months，4-6 months，7months-1year,we evaluated the effect of the intervention. Result The clinical effect had significant difference in the different age stage with Pless than 0.01.Afer 9 months of intervention, the DQ of the combined therapy group was significantly different from the control group with Pless than 0.01.Conclusion To set up the management and the screening of the high risk infants, then we can interfere in children with brain injury in time. The time of early intervention less than 6 months, especially 3 months，most of infants with brain injury will recover. And also the attack rate of cerebral palsy and its complication will decrease ，and the score of DQ will increase.  Key words: brain injury infant early intervention  彭桂蘭：主任醫師   研究方向 ： 小兒神經系統疾病、小兒腦癱  聯繫方式：廈門市鎮海路10號  電話 13799779620