CAJ | 학술논문

目的探讨改善和促进新生儿缺氧缺血性脑病神经运动功能恢复的辅助疗法.方法将85例新生儿缺氧缺血性脑病患儿随机分为两组:观察组(45例)和对照组(40例),观察组在常规综合药物治疗的基础上加用早期运动干预,对照组单纯常规综合药物治疗.比较两组新生儿行为神经评分(NBNA)、智力发育指数(MDI)和精神运动发育指数(PDI).结果出生后7 d两组患儿NBNA比较差异无统计学意义,14 d观察组[(38.84±1.56)分]较对照组[(36.12±2.23)分]明显增高,两组比较差异有统计学意义.6个月两组MDI比较,差异无统计学意义,而PDI比较差异有统计学意义[(90.11±9.97)分和(86.35±11.26)分];12个月观察组MDI、PDI均较对照组明显增高,差异有统计学意义.结论早期运动干预可促进新生儿缺氧缺血性脑病患儿神经运动功能的恢复,预防和减轻脑损害后遗症,提高生存质量.
목적 탐토개선화촉진신생인결양결혈성뇌병신경운동공능회복적보조요법.방법 장85례신생인결양결혈성뇌병환인수궤분위량조:관찰조(45례)화대조조(40례),관찰조재상규종합약물치료적기출상가용조기운동간예,대조조단순상규종합약물치료.비교량조신생인행위신경평분(NBNA)、지력발육지수(MDI)화정신운동발육지수(PDI).결과 출생후7 d량조환인NBNA비교차이무통계학의의,14 d관찰조[(38.84±1.56)분]교대조조[(36.12±2.23)분]명현증고,량조비교차이유통계학의의.6개월량조MDI비교,차이무통계학의의,이PDI비교차이유통계학의의[(90.11±9.97)분화(86.35±11.26)분];12개월관찰조MDI、PDI균교대조조명현증고,차이유통계학의의.결론 조기운동간예가촉진신생인결양결혈성뇌병환인신경운동공능적회복,예방화감경뇌손해후유증,제고생존질량.
Objective To investigate the assistant method for improving and promoting nervous movement functional recovery on neonate hypoxie ischemic encephalopathy. Methods Eighty-five patients with neonate hypoxic ischemic encephalopathy were divided into two groups: observed group (45 cases) and control group(40 cases). Observed group added early exercises intervention on basis of routine synthetic drug treatment, compared to control group which just purely synthetic drug treatment with neonatal behavior neurological assessment (NBNA), mental development index (MDI) and psychomotor development index (PDI). Results NBNA at 14 days [(38.84±1.56)scores] in observed group was significantly higher than that in control group [(36.12±2.23)scores]. PDI at 6, 12 months and MDI at 12 months in observed group were significantly higher than those in control group. Conclusion Early exercises intervention can promote nervous movement functional recovery on neonate hypoxic ischemic encephalopathy, prevent or lessen brain injury sequels, elevate life quality for patients with neonate hypoxic ischemic encephalopathy.