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对脑性瘫痪(Cerebral palsy,CP)病儿早期进行康复治疗,虽然理论上成立,但事实并非如此。Denhoff,E提出不仅对CP,而且对包括脑功能障碍综合征或发育障碍、迟缓在内的病儿均应进行康复治疗。其原因在于:①婴儿早期诊断脑性瘫痪比较困难;②有必要进行整体的、全面的康复治疗。因此,根据既往史、发育迟缓、异常姿势等,而开始进行早期康复治疗十分必要。本文简述CP的早期诊断及康复治疗。CP的危险因素及早期诊断随着新生儿、早产儿医学的进步,低出生体重儿的存活率有了明显提高。即使是极低出生体重儿(出生体重<1000g),其存活率也达到了90%。有报告极低出生体重儿,除学习困难等问题外,有5~
Early rehabilitation of cerebral palsy (CP) children, although theoretically established, is not the case. Denhoff, E proposed rehabilitation not only for CP, but also for children, including brain dysfunction syndrome or impaired development and retardation. The reason is: ① early diagnosis of cerebral palsy in infants more difficult; ② there is a need for holistic and comprehensive rehabilitation. Therefore, based on the past history, stunting, abnormal posture, etc., and the beginning of early rehabilitation is necessary. This article briefly describes the early diagnosis and rehabilitation of CP. Risk factors and early diagnosis of CP With the newborn, premature children’s medical progress, the survival rate of children with low birth weight has been significantly improved. Even very low birth weight children (birth weight <1000g), its survival rate has reached 90%. There are reports of very low birth weight children, in addition to learning problems and other issues, there are 5 ~