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目的探讨超早期综合康复治疗对早产儿脑损伤的近期疗效。方法选取收治的脑损伤早产儿69例,随机将患儿均分超早期干预组、早期干预组和常规干预组各23例。超早期干预组在纠正胎龄40周、早期干预组在纠正月龄2个月时接受综合康复治疗;常规干预组在新生儿期至3月龄执行抚触、被动操和多感官刺激。在纠正年龄3、6月龄时使用Infanib评估患儿早期运动发育,患儿6、12、18个月时采用智能发育测试(CDCC)表测定智力发育指数(MDI)及精神运动发育指数(PDI)。结果超早期干预、早期干预组患儿3、6月龄Infanib评估正常比例高于常规干预组(P<0.05)。超早期干预组、早期干预组患儿6、12、18个月,MDI、PDI评分高于常规干预组(P<0.05);与早期干预组比较,超早期干预组MDI、PDI提高更明显,差异有统计学意义(P<0.05)。结论超早期综合康复治疗早产儿脑损伤的近期疗效显著,有利于促进患儿精神、运动、心理的发育。
Objective To investigate the short-term curative effect of ultra-early comprehensive rehabilitation on premature infants with brain injury. Methods Sixty-nine premature infants with brain injury were randomly divided into three groups: early intervention group, early intervention group and conventional intervention group. In the early intervention group, gestational age was corrected at 40 weeks, and the early intervention group received comprehensive rehabilitation at 2 months of correction. The conventional intervention group performed touch, passive and multisensory stimulation during the neonatal period to 3 months of age. Infanib was used to assess the early motor development of infants at 3 and 6 months of age. At 6, 12 and 18 months, the mental development index (MDI) and psychomotor developmental index (PDI) were measured by CDC ). Results In the early intervention group, the normal proportion of Infanib in the early intervention group at 3 and 6 months was higher than that in the conventional intervention group (P <0.05). In the early intervention group, the scores of MDI and PDI in the early intervention group were higher than those in the conventional intervention group at 6, 12 and 18 months (P <0.05). Compared with the early intervention group, the MDI and PDI increased significantly in the early intervention group, The difference was statistically significant (P <0.05). Conclusion Early comprehensive rehabilitation of premature infants with brain injury in the short term significant effect, is conducive to promoting children’s mental, physical, mental development.