早期多感知觉刺激结合促进神经发育疗法对高危儿体格和智能发育的影响  

Effects of early multisensory perceptual stimulation combined with neurodevelopmental promotion therapy on physical and intellectual development of high-risk infants

作　　者：王晓纯[1] WANG Xiaochun(Department of Neonatal Intensive Care Unit,the First Affiliated Hospital of University of Science and Technology of China,Hefei 230001,China)

机构地区：[1]中国科学技术大学附属第一医院儿科新生儿重症监护室,合肥230001

出　　处：《中国研究型医院》2021年第5期62-65,共4页Chinese Research Hospitals

摘　　要：目的探讨早期多感知觉刺激结合促进神经发育疗法在高危儿治疗中的应用效果。方法选取2018年1月至2020年10月收治的106例高危儿进行前瞻性分析,以随机数字表法分为对照组和观察组,每组53例。对照组采用早期促进神经发育疗法,观察组在对照组处理基础上给予早期多感知觉刺激疗法。采用t检验比较2组治疗前、治疗6个月后头围、体质量、身长以及格赛尔发育(Gesell)量表评分的变化情况;采用χ^(2)检验比较2组治疗前、治疗6个月后的不良预后发生率。结果治疗前,观察组与对照组的头围、体质量、身长比较,差异无统计学意义(P值均> 0.05),治疗6个月后,观察组的头围、体质量、身长以及Gesell量表评分明显优于对照组,差异有统计学意义(P值均<0.05)。治疗6个月后观察组不良预后发生率为5.66%,明显低于对照组的18.87%,差异有统计学意义(χ^(2)=4.296;P <0.05)。结论早期多感知觉刺激结合促进神经发育疗法可有效促进高危儿体格与智能发育,不良预后较少,值得推广。Objective To explore the effect of early multisensory perceptual stimulation combined with neurodevelopmental promotion therapy in the treatment of high-risk infants. Methods A prospective analysis of 106 high-risk infants was conducted for admitting from January 2018 to October 2020. The control and observation groups were divided by a random number table method, with 53 cases in each group. The control group was treated with early neurodevelopmental promotion therapy, and the observation group was given early multisensory perceptual stimulation therapy based on the treatment of the control group. The changes in head circumference, body mass, length, and Gesell developmental(Gesell) scale scores in the 2 groups before and after 6 months of treatment were compared using a t test. The incidence of adverse prognosis in the 2 groups before and after 6 months of treatment was compared using χ^(2) test. Results Before treatment, there was no significant difference in head circumference, body mass, and length between the observation and control groups(all P > 0.05). After 6 months of treatment, the head circumference, body mass, length, and Gesell scale scores of the observation group were significantly better than those of the control group, and the differences were statistically significant(all P < 0.05). After 6 months of treatment, the incidence of poor prognosis in the observation group was 5.66%, significantly lower than the 18.87% in the control group, and the difference was statistically significant(χ^(2)=4.296;P < 0.05). Conclusion Early multisensory perceptual stimulation combined with neurodevelopmental promotion therapy can effectively promote the physical and intellectual development of high-risk infants with less poor prognosis and is worth promoting.

关 键 词：婴儿 生长和发育 体格 智力 感知觉刺激 

分 类 号：R720.597[医药卫生—急诊医学]