CAJ | 학술논문

目的探讨施捷因配合早期综合护理干预对早产儿潜能开发的影响.方法将320例早产儿按随机数字表法分为观察组和对照组各160例,对照组仅接受常规治疗及育儿指导、评估,观察组除常规治疗外,施行施捷因配合早期丰富的环境干预和综合康复功能训练,出院后依据0～3岁小儿智能发育规律及教育大纲,随访干预治疗至5岁.比较两组早产儿潜能开发情况.结果观察组早产儿新生儿行为神经系统评分(NPNA)中行为能力及一般状态得分分别为(9.32±0.33),(5.94±0.83)分,均高于对照组的(6.35±1.35),(4.39±0.42)分,差异均有统计学意义(t分别为9.573,3.590;P ＜0.01)；观察组早产儿神经、心理发育完成月份中俯卧位抬头、头竖立、翻身、有意识发音笑出声、用手指抓小玩具、坐稳(双手自由活动)及手腹向前匐行完成月份均明显少于对照组,差异均有统计学意义(t分别为3.29,4.27,3.62,2.98,4.62,4.52,4.51;P＜0.01)；观察组早产儿智能发育商(CDCC)监测中智能发育指数(MDI)和运动发育商数(PDI)分别为(95.46±12.35),(98.87±12.20)分,分别高于对照组的(79.12±14.71),(84.03±13.37)分,差异均有统计学意义(t分别为5.761,6.832;P ＜0.01)；观察组早产儿智能发育商及各能区发育商评分比较均高于对照组,且发育落后及后遗症发生率均低于对照组,差异均有统计学意义(P＜0.05).结论早产儿应用施捷因配合早期丰富的环境干预、系统的综合康复功能训练、足够的治疗疗程及随访,可降低早产儿脑瘫及智能低下的发生率,在降低了早产儿后遗症的同时也促进了早产儿潜能的全面发展,提高早产儿的存活质量及人口素质.
목적 탐토시첩인배합조기종합호리간예대조산인잠능개발적영향.방법 장320례조산인안수궤수자표법분위관찰조화대조조각160례,대조조부접수상규치료급육인지도、평고,관찰조제상규치료외,시행시첩인배합조기봉부적배경간예화종합강복공능훈련,출원후의거0～3세소인지능발육규률급교육대강,수방간예치료지5세.비교량조조산인잠능개발정황.결과 관찰조조산인신생인행위신경계통평분(NPNA)중행위능력급일반상태득분분별위(9.32±0.33),(5.94±0.83)분,균고우대조조적(6.35±1.35),(4.39±0.42)분,차이균유통계학의의(t분별위9.573,3.590;P ＜0.01)；관찰조조산인신경、심리발육완성월빈중부와위태두、두수립、번신、유의식발음소출성、용수지조소완구、좌은(쌍수자유활동)급수복향전복행완성월빈균명현소우대조조,차이균유통계학의의(t분별위3.29,4.27,3.62,2.98,4.62,4.52,4.51;P＜0.01)；관찰조조산인지능발육상(CDCC)감측중지능발육지수(MDI)화운동발육상수(PDI)분별위(95.46±12.35),(98.87±12.20)분,분별고우대조조적(79.12±14.71),(84.03±13.37)분,차이균유통계학의의(t분별위5.761,6.832;P ＜0.01)；관찰조조산인지능발육상급각능구발육상평분비교균고우대조조,차발육락후급후유증발생솔균저우대조조,차이균유통계학의의(P＜0.05).결론 조산인응용시첩인배합조기봉부적배경간예、계통적종합강복공능훈련、족구적치료료정급수방,가강저조산인뇌탄급지능저하적발생솔,재강저료조산인후유증적동시야촉진료조산인잠능적전면발전,제고조산인적존활질량급인구소질.
Objective To explore the usage of Shi Jie Yin (Monosialotetrahexosylganglioside) with early comprehensive nursing intervention on the potential development of premature children.Methods 320 cases of premature children were randomly divided into intervention group and control group.The intervention group with 160 cases was given Shi Jie Yin with early rich environment intervention and comprehensive rehabilitation functional training in addition to conventional treatment.Control group only received conventional treatment,parental guidance and assessments.After discharging,children in both groups were followed up till 5 years old according to the 0 ～3 years outline of intellectual development in children and education programs.Results Scores of intervention group were significantly higher than the control group in behavioral and general condition according to NBNA [ (9.32 ± 0.33) and (5.94 ± 0.83 ) for intervention group,(6.35 ± 1.35 ) and (4.39 ± 0.42) for the control group; t =9.573,3.590,respectively; P ＜ 0.0 1 ].In the month with completed neurological and psychological developments,children in control group showed significantly less raising head at the supine position,upright of head,turn over,conscious pronouncing and laughing,grabbing toys with fingers,sitting steady with free hands and crawling than those of the intervention group (t =3.29,4.27,3.62,2.98,4.62,4.52,4.51,respectively ;P ＜0.01 ).The CDCC scale monitoring of the two groups included development index (MDI) and physical development index (PDI).Intervention group had higher scores in both indexes than the control group[ (95.46 ± 12.35 ) and ( 98.87 ± 12.20) vs ( 79.12 ± 1 4.71 ) and ( 84.03 ± 1 3.37 ) ; t =5.761,6.832,respectively;P ＜ 0.01 ].Comparing two groups of the development of intelligent energy region and the total developmental quotient,the intervention group was significantly higher than the control group ( P ＜0.01 ).For retardation and the incidence of complications,the intervention group was significantly lower than the control group ( P ＜ 0.05 ).Conclusions Application of Shi Jie Yin with early comprehensive nursing intervention in the potential development of premature children,together with comprehensive system of rehabilitation functional training,adequate treatment and follow-up treatment could reduce the incidence of cerebral palsy and mental retardation and complications,promote the overall development potential of premature children,and improve the quality of survival of premature children and population quality.