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目的:探讨中西医结合对小儿脑瘫早期症状的早期干预效果。方法:将NBNA评定总分≤35分的新生儿,分为干预组及对照组,干预组进行中西医结合治疗,观察两组高危因素、0~3个月出现早期症状、体征及后遗症方面有无明显差异,并随机收集无高危因素组为健康组,观察3组运动发育、姿势反射建立时间的差别。结果:中西医结合早期干预后,干预组1岁时无一例发生脑瘫,对照组1岁时有3例诊断为脑瘫,癫痫1例,脑积水1例,白内障1例,双侧神经性耳聋1例。结论:中西医结合对小儿脑瘫早期症状早期干预,可降低脑瘫发生率,减轻脑瘫程度。对高危儿进行早期干预开始时间越早越好。
Objective: To investigate the early intervention effect of integrated traditional Chinese and western medicine on early symptoms of cerebral palsy in children. Methods: Neonates with NBNA score less than or equal to 35 points were divided into intervention group and control group. The intervention group was treated with integrated traditional Chinese and western medicine. The risk factors of two groups were observed. The early symptoms, signs and sequelae of 0-3 months were observed No significant difference, and random group without risk factors for the health group to observe the 3 groups of sports development, postural reflex set-up time differences. Results: After the intervention of TCM and WM, no cerebral palsy occurred in the intervention group at 1 year old. In the control group, 3 cases were diagnosed as cerebral palsy, 1 case of epilepsy, 1 case of hydrocephalus, 1 case of cataract, bilateral neurological deafness 1 case. Conclusion: The early intervention of traditional Chinese and western medicine on early symptoms of cerebral palsy can reduce the incidence of cerebral palsy and reduce the degree of cerebral palsy. Early intervention in high-risk children starts earlier and better.