超早期康复干预对高危儿神经行为影响观察  

Impact of Super Early Rehabilitation Intervention on Neurobehavioral of High - Risk Infants

作　　者：栗刚[1] 武行华[1] 李旅萍[1] 

机构地区：[1]惠州市第三人民医院康复科,广东惠州516000

出　　处：《中国伤残医学》2015年第13期18-21,共4页Chinese Journal of Trauma and Disability Medicine

摘　　要：目的：探讨标准抚触法联合综合颅神经刺激行超早期康复干预对高危儿神经行为的影响。方法：将2012年9月～2014年2月惠州市第三人民医院NICU收治的年龄低于15天的高危儿286例按简单随机化方法分为观察组（n=143）和对照组（n=143）。对照组采取标准抚触法进行超早期康复干预，观察组在对照组的基础上同期进行综合颅神经刺激。比较2组干预前（To）、婴儿28天（T1）、8周（T2）和12周（T3）的NBNA评分和Gesell发育量表得分及患儿母亲对干预效果的满意度。结果：2组ToNBNA评分和适应性、大运动、精细动作、语言、个人一社交5个能区的Gesetl发育量表得分比较差异均无统计学意义（P〉0．05）。与rr0比较，观察组T2、T3和对照组T3的NBNA评分均提高；与对照组比较，观察组B的NBNA评分亦提高，差异有统计学意义（P〈0．05）。与T0比较，观察组T2、L和对照组L的各能区Gesell发育量表得分均提高；与对照组比较，观察组L的各能区Gesell发育量表得分亦提高（P〈0．05）。观察组患儿母亲对干预效果非常满意的患者比例和总体满意度分别为30．77％和87．41％，均高于对照组的20．98％和71．33％（P〈0．05）。结论：采用标准抚触法和综合颅神经刺激进行高危儿行超早期康复干预，可有效改善高危儿的神经行为发育，提高患儿母亲对干预效果的满意度，值得临床推广使用。Objective： To explore the impact of super early rehabilitation intervention on neurobehavioral of high - risk infants. Methods： 286 high - risk infants younger than 15 d in NICU department of the third people＇s hospital of Huizhou from September, 2012 to Feb-mary, 2014 were divided into observation group （ n = 143 ） and control group （n = 143 ） by simple randomization method. Control group adopted standard touch method for the early rehabilitation intervention, while observation group adopted comprehensive cranial nerve stim- ulation on the basis of the control group at the same time. Before intervention （TO）, 28d （T1）, 8 weeks （T2） and 12 weeks （13） NB- NA scores and Gesell developmental scale scores of two groups and satisfaction of children mother on the intervention effect of 2 groups were compared. Results： TO NBNA score and adaptability, large movement, fine motor, language, personal social and other Gesell developmental scale score of two groups had no statistical significant differences （ p 〉 0.05 ）. Compared with TO, T2 and T3 NBNA scores of observation group and control group were improved; compared with control group, T3 NBNA scores of observation group was also in- creased, and the difference was statistically significant （ p 〈 0.05）. Compared with TO, T2 and T3 each area Gesell developmental scale scores of observation group and control group were improved; Compared with control group, I3 each area Gesell developmental scale scores of observation group were also increased （ p 〈 0.05 ）. Rate of mothers Vary satisfied with intervention effect and total satisfied rate of observation group were 30.77 % and 87.41% respectively, which were higher than the 20.98 % and 71.33 % of the control group （ p 〈 0. 05 ）. Conclusion： Standard touch method of and comprehensive cranial nerve stimulation applied on high - risk infants in super early re- habilitation intervention can effectively improve the neurobehavioral development of high - risk infants, improv

关 键 词：超早期 康复干预 抚触 综合颅神经刺激 高危儿 神经行为 

分 类 号：R722[医药卫生—儿科]