早期家庭康复训练对早产儿智能发育的影响  

Effects of early family recovery training on the intellectual development of premature infants

作　　者：张泓[1] 李京[1] 吴红媛[1] 戚小兵[1] 

机构地区：[1]珠海市妇幼保健院儿保科,广东省珠海市519000

出　　处：《中国临床康复》2004年第36期8296-8297,共2页Chinese Journal of Clinical Rehabilitation

基　　金：珠海市科技局资助项目2002-1-57珠科(2002)37号~~

摘　　要：目的:探讨早期家庭康复训练方法,改善早产儿预后。方法:433例婴儿按家长意愿及胎龄分为康复组157例、对照组138例和正常对照组138例。康复组正常对照组为早产儿,此二组均在母亲产后住院时发给致家长信,要求家长在满月时来院听课并接受康复训练指导。按时回院听课并坚持康复训练至1岁者列为康复组,未参与者为对照组,中途退出者剔除。康复组自婴儿满月后即由医生及康复训练师教会抚养者早期家庭康复训练方法,并在家庭进行训练。同期分娩的正常足月新生儿为正常对照组,本组婴儿家长未给予康复训练指导。三组均在1岁内定期回院由指定医生进行神经运动检查,1周岁进行中国婴幼儿智能发育测验。结果:康复组纠正年龄1周岁精神发育指数(mentaldevelopmentindex,MDI)为95.46±13.42,运动发育指数(psychomotordevelopmentindex,PDI)为91.76±13.58,与早产儿对照组(86.18±14.02,85.65±15.21)相比,差异有极显著性意义(P<0.01),康复组MDI与正常对照组(98.20±10.87)差异无显著性意义(P>0.05),但PDI仍明显低于正常对照组(97.31±13.31)(P<0.01);而早产儿对照组MDI、PDI与正常对照组,差异有极显著性意义(P<0.01),并有17例(12.3%)智力低下(MDI<70),而康复组仅有5例(3.2%),差异有显著性意义(χ2=8.87,P<0.01)。AIM:To investigate the methods of early family recovery so as to improve the prognosis of premature infants.<METHODS:According to the opinions of parents and gestational age,433 infants were divided into recovery group with 157 cases,control group with 138 cases and normal control group with 138 cases.Subjects in recovery group and normal control group were premature infants.All premature infants' parents were informed by mail to go back to the hospital to receive the lessons and directions on recovery trainings.Those whose parents received the trainings in the hospital and who were given the recovery trainings to one year old were assigned to recovery group,others was assigned to control group,and the existence was excluded.At the one month old of the infants,parents in recovery group were given directions of early recovery trainings by doctors and recovery trainers and these infants got trainings at home.All the infants with similar age were assigned to normal control group,and they received no recovery trainings mentioned above.All infants in three groups were given psychomotor development check and infant development test of Child Development Center of China (CDCC) at one year old. <RESULTS:At redress one year old, normal average scores of mental development index(MDI) and psychomotor development index(PDI) in recovery group were (95.46± 13.42) and(91.76± 13.58),respectively, which was higher than those[(86.18± 14.02) and (85.65± 15.21)] in control group(P< 0.01).MDI scores in recover group were not significantly different from that(98.20± 10.87) of normal control group(P >0.05); but PDI was lower than that(97.31± 13.31) of normal control group(P< 0.01).The scores of MDI and PDI of premature infants in control group were significantly different compared with those of normal control group(P< 0.01),and 17 cases(12.3% ,MDI< 70) were mentally retarded, but only 5 cases(3.2% ) in recovery group, the difference between them was significant(χ 2=8.87, P < 0.01).<CONCLUSION:These results show that ea

关 键 词：婴儿 早产 康复 智力 

分 类 号：R722.6[医药卫生—儿科]