CAJ | 학술논문

目的探讨早期系统的医院-家庭综合康复模式对早产儿发育的影响.方法将符合标准的早产儿256例分成早期干预组(148例)和常规对照组(108例).早期干预组除接受常规育儿指导外,还进行早期评估、定期随访和医院-家庭康复治疗;对照组只接受常规育儿指导.采用小儿神经心理发育量表定期对2组患儿的粗大运动、精细运动、适应能力、语言、社交能力发育商和总体发育商进行评估.结果经早期系统的医院-家庭综合康复干预后,早期干预组在生后第6、12、18和24个月后时,以上各项评估指标均高于对照组,差异有统计学意义(P<0.01);早期干预组出现脑瘫1例,其粗大运动功能分级(GMFCS)为Ⅲ级,脑瘫发生率为0.71%(1/148);对照组出现脑瘫5例,GMFCS分级Ⅲ级Ⅰ例、Ⅳ级4例,脑瘫发生率为5.1%(5/98),两组比较差异有统计学意义(x2=4.516,P<0.05).结论早期医院-家庭综合康复模式能有效地提高早产儿的发育商,降低脑性瘫痪的发生率,减轻神经行为缺陷程度.
목적 탐토조기계통적의원-가정종합강복모식대조산인발육적영향.방법 장부합표준적조산인256례분성조기간예조(148례)화상규대조조(108례).조기간예조제접수상규육인지도외,환진행조기평고、정기수방화의원-가정강복치료;대조조지접수상규육인지도.채용소인신경심리발육량표정기대2조환인적조대운동、정세운동、괄응능력、어언、사교능력발육상화총체발육상진행평고.결과 경조기계통적의원-가정종합강복간예후,조기간예조재생후제6、12、18화24개월후시,이상각항평고지표균고우대조조,차이유통계학의의(P<0.01);조기간예조출현뇌탄1례,기조대운동공능분급(GMFCS)위Ⅲ급,뇌탄발생솔위0.71%(1/148);대조조출현뇌탄5례,GMFCS분급Ⅲ급Ⅰ례、Ⅳ급4례,뇌탄발생솔위5.1%(5/98),량조비교차이유통계학의의(x2=4.516,P<0.05).결론 조기의원-가정종합강복모식능유효지제고조산인적발육상,강저뇌성탄탄적발생솔,감경신경행위결함정도.
Objective To explore the effects of early hospital-family comprehensive rehabilitation on the development of pretenn infants. Methods A total of 256 premature infants were chosen and divided into an early intervention group (n = 148) and a control group (n =108). Besides being given the conventional mothering instruction , the early intervention group was given early assessment, regular visits and hospital-family comprehensive rehabilitation treatment. The control group was only given the conventional mothering instruction. The fine and gross motor growth quotients, adaptation, verbalisation and social behavior and general growth quotient of all the premature infants were assessed periodically using the infant neuropsychology growth scale. Results The growth quotient assessment indicators of the infants receiving the intervention were obviously better at the 6th, 12th, 18th and 24th month after birth, and the differences between the two groups were statistically significant. The incidence of cerebral palsy in the early intervention group was 0.71% (1/148), with only one cerebral palsy infant in the early intervention group who was at level Ⅲ of the gross motor function classification system ( GMFCS) , while the incidence of cerebral palsy in the control group was 5.1% (5/98) , with 5 cerebral palsy infants, one of whom was at GMFCS level Ⅲ and 4 of whom were at level Ⅳ. Conclusions Early systematic hospital-family comprehensive rehabilitation can improve the general growth of premature infants, decrease the incidence of cerebral palsy, and neurobehavior deficits.