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目的探讨早期康复训练对早产儿发育的影响。方法选取70例早产儿,男孩37例,女孩33例,随机分成实验组和对照组各35例,两组患儿性别、分娩方式、围产期情况、父母年龄、文化程度、职业经济状况以及居住环境相似,实验组胎龄(34.70±2.26)周,出生体重(2.38±0.60)kg,Apgar评分(4.60±0.80),对照组胎龄(35.65±1.96)周,出生体重(2.68±0.82)kg,Apgar评分(4.86±0.46),两组差异无统计学意义;实验组35例早产儿通过视觉、触觉、听觉和前庭功能训练措施,进行早期干预,对照组常规儿科治疗护理,对两组新生儿分别于1、2、3、6、12月龄时进行生长激素(growth hormone,GH)和胰岛素样生长因子-1(insulin-like growth factor,IGF-1)检测。结果实验组GH在治疗后明显升高,3、6月时增长最快,6月达高峰,12月时结果与6月对比差异无统计学意义;IGF-1在实验组治疗后明显升高,6、12月时增加最快,12月时达高峰;对照组也在2、3、6月时出现增高,6月达高峰,但增长幅度明显小于实验组相应月份增长值。结论早期康复训练有利于早产儿发育。
Objective To explore the effect of early rehabilitation training on the development of premature children. Methods Seventy premature infants, 37 boys and 33 girls, were randomly divided into experimental group and control group (n = 35). The gender, delivery mode, perinatal status, parents’ age, educational level, occupational economic status, (2.70 ± 2.26) weeks, birth weight (2.38 ± 0.60) kg, Apgar score (4.60 ± 0.80), gestational age (35.65 ± 1.96) weeks and birth weight (2.68 ± 0.82) in the experimental group, kg, and Apgar score (4.86 ± 0.46) respectively. There was no significant difference between the two groups. In the experimental group, 35 premature infants were treated by visual, tactile, auditory and vestibular functional training interventions and the control group received routine pediatric treatment. Neonates were tested for growth hormone (GH) and insulin-like growth factor (IGF-1) at 1, 2, 3, 6 and 12 months of age respectively. Results The GH in the experimental group was significantly increased after treatment, the fastest increase in 3 and 6 months, the peak in June, the difference between December and December was not statistically significant; IGF-1 was significantly increased in the experimental group after treatment , The fastest increase in June and December and the peak in December; the control group also increased in February, March and June and peaked in June, but the growth rate was significantly less than the corresponding monthly growth of the experimental group. Conclusion Early rehabilitation training is beneficial to the development of premature children.