早期出院后按时随访及家庭训练对早产儿运动功能的疗效探讨  

Effect of Regular Follow-up After Early Discharge and Family Training on Motor Function of Premature Infants

作　　者：黄晓凌 卢秋月 贾颖 刘恩赐 袁江萍 许接花 HUANG Xiao-ling;LU Qiu-yue;JIA Ying;LIU En-ci;YUAN Jiang-ping;XU Jie-hua(Yangjiang Maternal and Child Health Hospital Yangjiang 529500,Guangdong Province,China)

机构地区：[1]阳江市妇幼保健院,广东阳江529500

出　　处：《罕少疾病杂志》2023年第6期102-103,106,共3页Journal of Rare and Uncommon Diseases

基　　金：阳江市科学技术局医疗卫生项目(SF2020086)。

摘　　要：目的 探讨早产儿出院后按时随访及家庭训练对早产儿运动功能的早期干预的价值。方法 随机选择2019年4月至2021年4月接收300例早产儿进行回顾性研究,按干预方法 分为对照组(n=140,选用常规家庭带养)、观察组(n=160,出院后按时随访及家庭训练),次月回访均评估运动发育里程碑,并根据AIMS量表评价纠正3~6月龄后早产儿大运动情况。凡在纠正3~6月龄里运动发育里程碑落后于相应月龄,AIMS量表评估结果 百分位低于10TH,同时满足这两个条件,均需转介康复科康复师介入协助康复训练,统计两组大运动评估、康复师介入率情况。结果 (1)大运动评估:观察组3月、4月、5月、6月AIMS量表评估结果 百分位低于10TH的人数低于对照组,组间对比P<0.05。(2)康复师介入率:观察组(9.37%)低于对照组(42.14%),组间对比P<0.05。(3)训练效果:观察组在纠正3~6月龄里运动发育里程碑落后于相应月龄人数与AIMS量表评估结果 百分位低于10TH的人数低于对照组,组间对比P<0.05。结论 在早产儿纠正6月龄内,通过早期干预促进神经系统发育,能够有效降低早产儿发育风险,提高社会人口质量,值得借鉴。Objective To explore the value of timely follow-up and family training in the early intervention of motor function of premature infants after discharge.Methods 300 preterm infants from April 2019 to April 2021 were randomly selected for retrospective study.According to the intervention method,they were divided into control group(n=140,conventional family care)and observation group(n=160,regular follow-up and family training after discharge).The milestone of motor development was evaluated in the next month,and the exercise of preterm infants after 3~6 months was evaluated and corrected according to aims scale.If the milestone of motor development lags behind the corresponding month in the corrected 3~6 months,the percentile of the evaluation result of aims is lower than 10th,and these two conditions are met at the same time,it is necessary to refer the rehabilitation division to intervene to assist in rehabilitation training,and count the major exercise evaluation and rehabilitation division intervention rate of the two groups.Results(1)large exercise evaluation:the number of people whose percentile is lower than 10th in the observation group in March,April,may and June is lower than that in the control group(P<0.05).(2)The intervention rate of rehabilitation division:the observation group(9.37%)was lower than the control group(42.14%),and the comparison between groups was P<0.05.(3)Training effect:the number of people in the observation group who lag behind the corresponding months in correcting the motor development milestone in the age of 3~6 months and the number of people whose percentile is lower than 10th in the evaluation results of aims scale are lower than those in the control group,and the comparison between groups is P<0.05.Conclusion early intervention can effectively reduce the development risk of preterm infants and improve the quality of social population.

关 键 词：出院后 按时随访 家庭训练 早产儿 早期干预 

分 类 号：R714.21[医药卫生—妇产科学]