早期康复对早产儿神经发育的作用研究  

Analysis of the effect of early rehabilitation on preterm infant neurodevelopment

作　　者：何芳[1] 李南平[1] 辜蕊洁[1] 张恒[1] 马秀伟[1] 封志纯[1] 

机构地区：[1]北京军区总医院附属八一儿童医院神经发育科,北京100700

出　　处：《发育医学电子杂志》2014年第1期13-15,共3页Journal of Developmental Medicine (Electronic Version)

摘　　要：目的研究早期康复对具有高危因素的早产儿神经发育的作用。方法对2004年至2012年在本院健康门诊就诊的2374例早产儿进行回顾性研究,剔除1027例仅随访一次的早产儿,将符合要求的654例早产儿按有无早期干预分为两组,早产儿神经发育情况通过Gesell发育评估确定。组间比较运用两样本t检验方法,P<0.05代表具有统计学意义。结果早期康复组较对照组在适应性、大运动、精细运动、语言及个人社交5个方面比较差异均有显著性(P<0.01),早期康复组优于对照组。结论早期康复对早产儿的神经发育具有促进作用,可以降低脑瘫的发生率。Objective To determine the effect of early rehabilitation on adverse neurodevelopmental outcomes in preterm infants with certain risk factors.Method This was a retrospective study. 2374 preterm infants were chosen from our hospital's follow up system in 2004-2012,1027 of whom were eliminated because they only followed up once.The remaining 654 premature infants were divided into two groups according to whether accepting early intervention.The outcome of neurodevelopment was confirmed by Gesell scores. The effect of early rehabilitation on the neurodevelopmental outcome of preterm infants with certain risk factors was determined by two independent sample t-tests. AP< 0.05 was considered statistically significant. Result The DQ value of the early rehabilitation group was significantly higher than the non-early rehabilitation group for all five aspects of the Gesell score including Adaptive,Gross motor,Fine motor,Language and Personal social (P < 0.01).Conclusion A positive effect of early rehabilitation was identified, which suggests an approach for improving neurodevelopmental outcomes,even reduce the incidence of cerebral palsy of preterm infants with these risk factors.

关 键 词：早期康复 早产儿 神经发育 

分 类 号：R722.6[医药卫生—儿科]