早期干预对早产儿不安运动阶段全身运动质量的影响  

Effect of Early Intervention on General Movements in Preterm Infants during Fidgety Movement

作　　者：马良[1] 孟令丹[2] 王宝宏[3] 赵国英[3] 王娜娜[1] 曹爱华[4] 

机构地区：[1]山东济滨州医学院附属医院儿童保健康复科,山东滨州市256603 [2]山东济滨州医学院附属医院内分泌科,山东滨州市256603 [3]山东济滨州医学院附属医院儿科,山东滨州市256603 [4]山东大学齐鲁医院儿童保健科,山东济南市250012

出　　处：《中国康复理论与实践》2014年第12期1147-1149,共3页Chinese Journal of Rehabilitation Theory and Practice

基　　金：滨州市科技发展计划项目(No.20112C0926);济南市科技明星计划(No.20120140);滨州医学院科技计划项目(No.BY2013KJ31)

摘　　要：目的探讨早期干预对早产儿不安运动阶段全身运动(GMs)质量的影响。方法 315例不安运动阶段早产儿分为早期干预组(n=160)和对照组(n=155)。早期干预组在婴儿入住新生儿科后,采用对婴儿直接干预和指导家长相结合的方法进行干预,对照组正常喂养。干预前后比较两组患儿各类GMs分布。结果干预前,两组间扭动阶段GMs分布无显著性差异(χ2=0.641,P=0.726)。干预后,早期干预组正常不安运动数明显多于对照组(χ2=8.710,P=0.003),而不安运动缺乏数少于对照组(χ2=5.685,P=0.017)。结论早期干预可提高正常不安运动的发生率。Objective To investigate the effect of early intervention on general movements（GM） in preterm infants during fidgety movement. Methods 315 preterm infants during fidgety movement period were divided into intervention group（n=160） and control group（n=155）. The intervention group accepted very early intervention program consisted of hospital intervention and family intervention, and the control group accepted routine treatment and nursing. The incidences of different kinds of GMs were compared. Results There is no statistical difference（χ2=0.641, P=0.726） in writhing movement before intervention, and the fidgety movement presented more in the intervention group than in the control group（χ2=8.710, P=0.003）, while the absence of fidgety movement was significantly fewer（χ2=5.685, P=0.017） after intervention. Conclusion Very early intervention can reduce the incidence of absence of fidgety movement and improve fidgety movement.

关 键 词：早产儿 早期干预 不安运动 全身运动 

分 类 号：R722.6[医药卫生—儿科]