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| 早期家庭康复干预对单调性扭动运动早产儿神经行为发育的影响 |
| Effect of early family rehabilitation intervention on neurobehavioral development of premature infants with poor repertoire general movement |
| 收稿日期：2023-05-12 |
| DOI：10.20047/j.issn1673-7210.2024.03.26 |
| 关键词: 早产儿 单调性扭动运动 神经行为发育 家庭康复干预 |
| Key Words: |
| 基金项目:河北省医学科学研究课题（20221764）；唐山市小儿神经重点实验室（2019TS008b） |
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| 摘要:目的 探讨早期家庭康复干预对单调性扭动运动早产儿神经行为发育的影响。 方法 选取2022年4月至2023年1月河北省唐山市妇幼保健院儿童康复科全身运动评估结果为单调性扭动运动的64例早产儿为研究对象。按照随机数字表法将其分为干预组和对照组，各32例。对照组给予常规家庭护理干预，干预组实施早期家庭康复干预，持续12周。比较两组干预后不安运动阶段结果；比较两组干预前后各能区发育商。 结果 两组不安运动阶段结果比较，差异无统计学意义（P＞0.05）。干预后，两组各能区发育商均高于干预前，且干预组大运动、个人-社交行为发育商高于对照组（P＜0.05）。 结论 对单调性扭动运动早产儿应用早期家庭康复干预可以有效改善大运动、个人-社交行为，值得临床推广应用。 |
| Abstract:Objective To explore the effect of early family rehabilitation intervention on neurobehavioral development of premature infants with poor repertoire general movement. Methods A total of 64 premature infants with whose general movements quality assessment results were poor repertoire general movement in the Department of Child Rehabilitation, Tangshan Maternal and Child Health Care Hospital of Hebei Province from April 2022 to January 2023 were selected as the research objects. According to the random number table method, they were divided into intervention group and control group, with 32 cases in each group. The control group was treated with routine home care instruction, and intervention group was treated with early family rehabilitation intervention, the intervention lasted 12 weeks. The results of fidgety movement stage were compared between two groups after intervention, and the development quotient of each functional areas was compared between two groups before and after intervention. Results There was no significant difference in fidgety movement stage between two groups (P＞0.05). After intervention, the developmental quotient of each functional areas in both groups were higher than those before intervention, and the development quotient of gross motor activity and individual-social behavior in intervention group were higher than those in control group (P＜0.05). Conclusion Early family rehabilitation intervention can effectively improve gross motor activity and individual-social behavior of premature infants with poor repertoire general movement, which is worthy of clinical application. |
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