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目的对比1岁以内不同时期头部控制不良的小儿进行早期干预康复训练的效果,探讨头部控制对小儿运动发育的重要性,寻找进行头部控制训练的最佳时机。方法对参与儿童保健的小儿进行52项神经行为筛查,将头部控制不良,需要进行头部控制训练的小儿分为3～6个月组和6～12个月组,两组均采用统一头部控制训练手法,训练前及头部控制能力改善后运用Gesell发育商检查,根据大运动DQ值进行监测对比。结果训练前运动落后的两组头控制不良小儿DQ值比较差异无统计学意义(P>0.05),训练后同样的疗程3～6个月组小儿头部控制训练效果明显优于6～12个月组小儿训练效果(P<0.001)。结论头部控制能力对小儿以后的运动发育起重要的作用,对于头部控制不良的小儿应及早发现,及时进行干预,可以有效的改善预后。
Objective To compare the effect of early intervention rehabilitation training on children with poorly controlled head in different age groups of less than 1 year old and to explore the importance of head control on the development of children and to find the best timing for head control training. Methods Fifty-two neurobehavioral tests were performed on children who participated in child health care. Children with poor head control and head control training were divided into 3 to 6 months group and 6 to 12 months group. Both groups adopted unification Head control training practices, pre-training and head control improvements Gesell development using the inspection, according to large exercise DQ value monitoring comparison. Results There was no significant difference in DQ between the two groups with poor control before training (P> 0.05). The training effect of head control training in children with 3 ~ 6 months after training was significantly better than that of 6 ~ 12 Monthly training in pediatric training (P <0.001). Conclusions The ability of head control plays an important role in motor development in children. It is suggested that children with poorly controlled head should be detected early and timely intervention can effectively improve the prognosis.