不同干预时机下被动操训练对极低出生体重儿生长发育的影响  

Effect of Passive Exercise Training under Different Intervention Timing on Growth and Development of Very Low Birth Weight Infants

作　　者：谢丽敏 刘锋 李玲 任娟 XIE Limin;LIU Feng;LI Ling;REN Juan(Department of Neonatal,Ganzhou Women and Children's Health Care Hospital,Ganzhou 341000,China;不详)

机构地区：[1]赣州市妇幼保健院新生儿科,江西赣州341000

出　　处：《中国医学创新》2024年第19期34-38,共5页Medical Innovation of China

摘　　要：目的:探讨不同干预时机下被动操训练对极低出生体重儿生长发育的影响。方法:选取2021年1月—2022年1月于赣州市妇幼保健院建档出生的92例极低出生体重儿,按随机数字表法分为早期组与中期组,各46例。早期组于校正6周龄时实施被动操训练,中期组于校正12周龄时实施被动操训练。比较两组校正6、12月龄时的体格、神经行为[新生儿20项行为神经评分法(NBNA)]及智能发育[Gesell发育量表(GDS)]。结果:早期组校正6、12月龄时的体重、头围均大于中期组,身长长于中期组,差异均有统计学意义(P<0.05);早期组校正6、12月龄时的NBNA各项评分均高于中期组,差异均有统计学意义(P<0.05);早期组校正6、12月龄时的粗大运动、精细运动、适应能力和社会行为评分均高于中期组,差异均有统计学意义(P<0.05);两组校正6、12月龄时的语言能力评分比较,差异均无统计学意义(P>0.05)。结论:早期坚持对极低出生体重儿做被动操训练对其体格和神经心理发育有一定的促进作用。Objective:To investigate the effect of passive exercise training under different intervention timing on growth and development of very low birth weight infants.Method:A total of 92 very low birth weight infants recorded and born in Ganzhou Women and Children's Health Care Hospital from January 2021 to January 2022 were selected and divided into early group and middle group according to random number table method,with 46 cases in each group.The early group received passive exercise training at 6 weeks of corrected age and the middle group received passive exercise training at 12 weeks of corrected age.The physique,neurobehavior[neonatal behavioral neurological assessment(NBNA)]and intellectual development[Gesell development schedules(GDS)]of the two groups were compared at 6 and 12 months of corrected age.Result:The body weight and head circumference of the early group were higher than those of the middle group at 6 and 12 months of corrected age,and the body length was longer than that of the middle group,the differences were statistically significant(P<0.05).The each items scores of NBNA of the early group at 6 and 12 months of corrected age were higher than those of the middle group,the differences were statistically significant(P<0.05).The scores of gross motor,fine motor,adaptability and social behavior at 6 and 12 months of corrected age in the early group were higher than those in the middle group,the differences were statistically significant(P<0.05).There were no significant differences in language ability scores between the two groups at 6 and 12 months of corrected age(P>0.05).Conclusion:Early adherence to passive exercise training for very low birth weight infants can promotes their physical and neuropsychological development to some extent.

关 键 词：极低出生体重儿 被动操训练 体格 神经行为 智能 

分 类 号：R174[医药卫生—妇幼卫生保健]