丰富环境康复训练对缺氧缺血性脑病新生儿的体格及神经行为发育的影响  

Effects of rich environmental rehabilitation training on the physical and neurobehavioral development of neonates with hypoxic-ischemic encephalopathy

作　　者：徐欢岚 梁冠军[1] 张何威[1] 胡佳[2] 张爱霞[1] 顾琴[1] XU Huanlan;LIANG Guanjun;ZHANG Hewei(Rehabilitation Department of Affiliated Children's Hospital of Suzhou University,Suzhou,215004)

机构地区：[1]苏州大学附属儿童医院康复科,江苏省苏州市215004 [2]苏州大学附属儿童医院新生儿科

出　　处：《中国康复医学杂志》2023年第12期1701-1706,共6页Chinese Journal of Rehabilitation Medicine

摘　　要：目的:观察丰富环境康复训练对缺氧缺血性脑病(HIE)新生儿体格及神经系统发育的影响。方法:采用随机数字表法将61例HIE新生儿分为观察组31例,对照组30例。对照组给予常规临床治疗和护理,观察组在对照组的基础上辅以丰富环境康复训练,共3周。于入院时、干预3周后分别测量两组的身长、体重、头围评估患儿的体格发育情况,并采用新生儿行为神经评分(NBNA)和婴儿运动表现测试(TIMP)评估患儿的神经系统发育及运动功能。结果:干预后,观察组身长和体重变化均优于对照组(P<0.05),头围变化两组差异无显著性意义(P>0.05),观察组干预后的NBNA评分及TIMP评分均高于对照组(P<0.05)。结论:应用丰富环境康复训练可促进缺氧缺血性脑病新生儿体格和神经系统的快速发育,提高运动功能。Objective:To observe the effect of rich environmental rehabilitation training on the physical system and nervous system development of newborns with hypoxic-ischemic encephalopathy(HIE).Method:Sixty-one HIE newborns were divided into the observation group(n=31) and the control group(n=30).The control group was given the routine clinical treatment and care,and the observation group was supplemented with enriched environmental rehabilitation training on the basis of the control group for 3 weeks.The body length and weight,and the head circumference of the two groups were measured to assess the physical development at admission and 3 weeks after the intervention,and the neonatal behavioral neurological assessment(NBNA)and test of infant motor performance(TIMP)were used to evaluate the neurological development and motor function.Result:After the intervention,the changes of body length and weight changes in the observed group were better than the control group(P<0.05),and the NBNA score and TIMP score were higher than those of the control group(P<0.05).Conclusion:The application of rich environmental rehabilitation training can promote the rapid development of physique and nervous system of the newborns with HIE and improve the motor function.

关 键 词：丰富环境 缺氧缺血性脑病 新生儿行为神经评分 婴儿运动表现测试 神经行为 

分 类 号：R741[医药卫生—神经病学与精神病学] R493[医药卫生—临床医学]