早期康复干预模式改善脑损伤早产儿的智能、运动功能及预后的作用  

Effect of early rehabilitation intervention model on improving intelligence,motor function and prognosis in premature infants with brain injury

作　　者：李娟[1] 赵雪频[1] 陈伟飞[2] 胡文辉[1] 王丽珍[1] LI Juan;ZHAO Xuepin;CHEN Weifei;HU Wenhui;WANG Lizhen(Department of Pediatrics,Taizhou Hospital in Zhejiang Province,Linhai 317000,China;Department of PediatricSurgery,Taizhou Hospital in Zhejiang Province,Linhai 317000,China)

机构地区：[1]浙江省台州医院儿内科,浙江临海317000 [2]浙江省台州医院儿外科,浙江临海317000

出　　处：《中国现代医生》2018年第13期47-49,53,共4页China Modern Doctor

基　　金：浙江省医药卫生科技计划项目(2016KYB325)

摘　　要：目的探讨早期康复干预模式改善脑损伤早产儿的智能、运动功能及预后的作用。方法选取2012年6月~2015年10月我院儿科就诊脑损伤早产儿150例,将家长积极参与干预指导者共114例作为观察组;将家长不愿意参与早期干预指导者36例作为对照组。对照组患儿予以常规干预。观察组患儿在对照组基础上予以早期康复干预模式,两组患儿均干预24个月。观察并比较观察两组患儿干预12、24个月后智能和运动发育指数,并比较其神经伤残率。结果干预12、24个月后,观察组患儿的MDI和PDI指标明显优于对照组(P<0.05)。干预24个月,观察组神经伤残的发生率明显低于对照组(P<0.05)。结论早期康复干预模式对脑损伤早产儿的恢复有积极作用,可提高智能和运动发育水平,有利于开发患儿的潜能,减少神经伤残率,从而改善患儿的预后。Objective To investigate the effect of early rehabilitation intervention model on improving intelligence, motor function and prognosis in premature infants with brain injury. Methods 150 cases of premature infants with brain injury who were diagnosed in the department of pediatrics in our hospital from June 2012 to October 2015 were selected.A total of 114 cases whose parents actively participated in the intervention guidance were selected as the observation group. 36 cases whose parents were not willing to participate in the early intervention guide were selected as the control group. The control group was given routine intervention, and the observation group was given early rehabilitation intervention model on the basis of the control group. The two groups of children were given intervention for 24 months.The intelligence and motor development index 12 and 24 months after intervention were observed and compared between the two groups, and the rate of nerve disability was compared. Results After intervention for 12 and 24 months,MDI and PDI in the observation group were significantly better than those in the control group（P〈0.05）. After intervention for 24 months, the incidence rate of neurological disability in the observation group was significantly lower than that in the control group（P〈0.05）. Conclusion Early rehabilitation intervention model has a positive effect on the recovery of premature infants with brain injury, which can improve the level of intelligence and motor development, develop the potential of children, reduce the rate of nerve disability, and improve the prognosis of children.

关 键 词：早产儿 脑损伤 早期康复干预模式 智能 运动 预后 

分 类 号：R722.6[医药卫生—儿科]