早期神经发育疗法对脑损伤高危儿智力及运动发育的影响  

Effect of early neurodevelopmental therapy on intelligence and motor development of high-risk infants with brain injury

作　　者：李灵 邢梦婷 陈春丽 张耀丹 姜岁雪 杨文旭 LI Ling;XING Mengting;CHEN Chunli;ZHANG Yaodan;JIANG Suixue;YANG Wenxu(Department of Pediatric,Guang’an District Maternal and Child Health Care Family Planning Service Center,Sichuan Province,Guangan 638000,China;Department of Child Care Guidance Center,Women’s and Children’s Hospital,School of Medicine,University of Electronic Science and Technology Chengdu Women and Children’s Central Hospital,Sichuan Province,Chengdu 610073,China)

机构地区：[1]四川省广安市广安区妇幼保健计划生育服务中心儿科,四川广安638000 [2]电子科技大学医学院附属妇女儿童医院、成都市妇女儿童中心医院儿童保健指导中心,四川成都610073

出　　处：《中国医药导报》2023年第16期181-184,192,共5页China Medical Herald

基　　金：四川省科技计划重点研发项目(2020YFS0484)。

摘　　要：目的探讨早期神经发育疗法对脑损伤高危儿智力及运动发育的影响。方法选取2018年1月至2022年1月四川省广安市广安区妇幼保健计划生育服务中心100例脑损伤高危儿作为研究对象,采用随机数字表法将其分为对照组及观察组,各50例。对照组采用常规护理干预,观察组在对照组基础上加用神经发育疗法干预。分别于干预后对两组行智能发育商(DQ)量表、粗大运动功能评定量表(GM-FM-88)比较、干预前后对两组新生儿神经行为(NBNA)进行比较。结果两组干预6、12个月后DQ评分,GM-FM-88总百分比均显著高于干预1个月后,12个月后DQ评分、GM-FM-88总百分比显著高于6个月后(P<0.05);组间比较:观察组干预3、6、12个月DQ评分、GM-FM-88总百分比均高于对照组(P<0.05);两组干预后神经行为评分均高于干预前,且观察组高于对照组(P<0.05)。结论早期神经发育疗法能显著改善和促进脑损伤高危儿的智力发育和运动发育。Objective To investigate the effect of early neurodevelopmental therapy on intelligence and motor development of high-risk infants with brain injury.Methods A total of 100 children at high risk of brain injury from January 2018 to January 2022 in the Maternal and Child Health and Family Planning Service Center of Guang’an District,Sichuan Province were selected as the research objects.They were divided into observation group and control group by random number table method,with 50 cases in each group.The control group was treated with conventional nursing intervention,and the observation group was treated with neurodevelopmental therapy on the basis of control group.After intervention,developmental quotient(DQ)scale,gross motor function rating scale(GM-FM-88)and neonatal behavioral neurological assessment(NBNA)were respectively evaluated in the two groups.Results DQ score and total percentage of GM-FM-88 in both groups were significantly higher after 6 and 12 months than after 1 month of intervention,and DQ score and total percentage of GM-FM-88 after 12 months were significantly higher than those after 6 months(P<0.05).Comparison between groups:DQ score and total percentage of GM-FM-88 in the observation group were higher than those in the control group at 3,6,and 12 months after intervention(P<0.05).Neurobehavioral scores in both groups were higher after intervention than before intervention,and those in the observation group were higher than those in the control group after treatment(P<0.05).Conclusion Early neurodevelopmental therapy can significantly improve and promote the intellectual and motor development of children at high risk of brain injury.

关 键 词：神经发育疗法 脑损伤高危儿 智力发育 运动发育 

分 类 号：R473[医药卫生—护理学]