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1例与全面发育迟缓相关的缺氧缺血性脑病的小儿康复病例报告

A Case Report of Pediatric Rehabilitation for Hypoxic Ischemic Encephalopathy Associated With Global Developmental Delay.

作者信息

Ankar Prajyot, Sharath H V, Chavan Nitika

机构信息

Department of Pediatric Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

Department of Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education & Research, Wardha, IND.

出版信息

Cureus. 2024 Feb 25;16(2):e54851. doi: 10.7759/cureus.54851. eCollection 2024 Feb.

Abstract

Hypoxic ischemic encephalopathy (HIE) is a critical condition affecting neonates due to oxygen deprivation and insufficient flow of blood to the brain. It is associated with high neonatal mortality and the risk of developmental psychomotor disorders, including cerebral palsy. The global epidemiology of HIE reveals significant disparities, with more advanced healthcare systems reporting lower incidence rates. The aim of the study is to contribute to the understanding of effective rehabilitation strategies for children with HIE and global developmental delay (GDD), with the goal of improving outcomes and quality of life for these individuals. This case report focuses on an 11-month-old male child with a history of perinatal HIE, highlighting the developmental challenges and interventions undertaken. The child showed delayed gross and fine motor development, sensory awareness deficits, and postural coordination issues. A comprehensive physiotherapy intervention plan was implemented, resulting in significant improvements in post-treatment outcome measures. This case highlights the importance of early and holistic physiotherapy interventions in addressing HIE patients' developmental delays and improving their quality of life.

摘要

缺氧缺血性脑病(HIE)是一种因缺氧和脑血流量不足而影响新生儿的危急病症。它与新生儿高死亡率以及包括脑瘫在内的发育性精神运动障碍风险相关。HIE的全球流行病学显示出显著差异,医疗保健系统越先进,报告的发病率越低。本研究的目的是促进对HIE和全球发育迟缓(GDD)儿童有效康复策略的理解,目标是改善这些个体的治疗效果和生活质量。本病例报告聚焦于一名有围产期HIE病史的11个月大男童,突出了其发育挑战及所采取的干预措施。该儿童表现出粗大和精细运动发育迟缓、感觉意识缺陷以及姿势协调问题。实施了全面的物理治疗干预计划,治疗后结果指标有显著改善。本病例突出了早期和整体物理治疗干预在解决HIE患者发育迟缓及改善其生活质量方面的重要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2376/10964207/df5ec80c4018/cureus-0016-00000054851-i01.jpg

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