CAJ | 학술논문

目的评价早产儿定期随访、系统管理对早期发现脑瘫及早期干预的效果.方法以我院早教门诊发现的50例脑瘫早产儿作为研究组,普通门诊就诊发现的40例脑瘫早产儿为对照组,研究组给予系统定期随访、系统干预,对照组行非系统随访.在治疗年龄及治疗效果上进行对比分析.结果 (1)研究组治疗年龄(4.0±1.2)月,对照组(7.0±1.4)月(P＜0.05).(2)1岁时研究组心理发育指数(MDI)为91.8±10.2,运动发育指数(PDI)为90.2±11.2,对照组的MDI为80.2±11.7、PDI为79.3±10.2,2组比较差异均有统计学意义(P均＜0.05).结论系统管理有助于及时发现早产儿脑瘫,并可促进早产儿身心发育.
목적 평개조산인정기수방、계통관리대조기발현뇌탄급조기간예적효과.방법 이아원조교문진발현적50례뇌탄조산인작위연구조,보통문진취진발현적40례뇌탄조산인위대조조,연구조급여계통정기수방、계통간예,대조조행비계통수방.재치료년령급치료효과상진행대비분석.결과 (1)연구조치료년령(4.0±1.2)월,대조조(7.0±1.4)월(P＜0.05).(2)1세시연구조심리발육지수(MDI)위91.8±10.2,운동발육지수(PDI)위90.2±11.2,대조조적MDI위80.2±11.7、PDI위79.3±10.2,2조비교차이균유통계학의의(P균＜0.05).결론 계통관리유조우급시발현조산인뇌탄,병가촉진조산인신심발육.
Objective To evaluate the effects of regular follow-up and systematic management in premature infants on early discovering of cerebral palsy and intervention efficacy in early phase. Methods Fifty premature infants with cerebral palsy recruited from early children development outpatient service, were classified as treatment group; 40 premature infants with cerebral palsy recruited from general outpatient service, were classified as control group. The infants of treatment group received systematic follow-up and intervention. while the infants of control group received no systematic management. Age and therapeutic efficacy were compared between the two groups. ResultsThe average age in the treatment group ( [4. 0 ± 1.2] months) was significantly younger than that of the control group ( [7.0 ± 1.4] months) ( P ＜ 0. 05 ). The mental development index ( MDI )and physical development index (PDI) in the treatment group was 91.8 ± 10. 2 and 90. 2 ± 11.2,respectively,which were significantly higher than that of the control group(80. 2 ± 11.7 for MDI and 79. 3 ± 10. 2 for PDI)( P ＜ 0. 05 ) . Conclusion Systematic management could help discover cerebral palsy in premature infants in time and could improve physical and mental development of these infants.