中国医学创新
中國醫學創新
중국의학창신
MEDICAL INNOVATION OF CHINA
2014年
13期
65-67
,共3页
双胎%试管婴儿%早期干预%脑瘫防治%效果影响
雙胎%試管嬰兒%早期榦預%腦癱防治%效果影響
쌍태%시관영인%조기간예%뇌탄방치%효과영향
Twins%IVF%Early intervention%Cerebral palsy treatment%Effect
目的：探讨早期干预对双胎试管婴儿脑瘫防治效果的影响。方法：选择2012年9月-2013年9月本院收治的40例抢救存活双胎试管婴儿做研究对象，加强早期干预，回顾防治脑瘫效果。结果：40例双胎试管新生儿中，极轻度及轻度ZKS异常者11例，实施2个疗程干预后，均恢复正常，占100%；中度20例，3个疗程后呈正常恢复13例，占65%，5个疗程恢复正常7例，占35%；重度及极重度9例患儿，10个疗程恢复正常8例，1例最终发展至脑瘫。此例患儿为高胆红素血症、早产，存在颅内出血及窒息。与干预前比较，干预后家长护理满意度明显提高（P<0.05）。干预前，家长健康知识掌握程度为（81.1±7.5）分，干预后为（91.2±5.6）分，差异有统计学差异（P<0.05）。结论：双胎试管婴儿加强早期干预，对脑瘫有防治作用，可显著提高患儿生存质量，为健康生长发育提供了强有力的保障，并对护理水平的提高有非常重要的意义。
目的：探討早期榦預對雙胎試管嬰兒腦癱防治效果的影響。方法：選擇2012年9月-2013年9月本院收治的40例搶救存活雙胎試管嬰兒做研究對象，加彊早期榦預，迴顧防治腦癱效果。結果：40例雙胎試管新生兒中，極輕度及輕度ZKS異常者11例，實施2箇療程榦預後，均恢複正常，佔100%；中度20例，3箇療程後呈正常恢複13例，佔65%，5箇療程恢複正常7例，佔35%；重度及極重度9例患兒，10箇療程恢複正常8例，1例最終髮展至腦癱。此例患兒為高膽紅素血癥、早產，存在顱內齣血及窒息。與榦預前比較，榦預後傢長護理滿意度明顯提高（P<0.05）。榦預前，傢長健康知識掌握程度為（81.1±7.5）分，榦預後為（91.2±5.6）分，差異有統計學差異（P<0.05）。結論：雙胎試管嬰兒加彊早期榦預，對腦癱有防治作用，可顯著提高患兒生存質量，為健康生長髮育提供瞭彊有力的保障，併對護理水平的提高有非常重要的意義。
목적：탐토조기간예대쌍태시관영인뇌탄방치효과적영향。방법：선택2012년9월-2013년9월본원수치적40례창구존활쌍태시관영인주연구대상，가강조기간예，회고방치뇌탄효과。결과：40례쌍태시관신생인중，겁경도급경도ZKS이상자11례，실시2개료정간예후，균회복정상，점100%；중도20례，3개료정후정정상회복13례，점65%，5개료정회복정상7례，점35%；중도급겁중도9례환인，10개료정회복정상8례，1례최종발전지뇌탄。차례환인위고담홍소혈증、조산，존재로내출혈급질식。여간예전비교，간예후가장호리만의도명현제고（P<0.05）。간예전，가장건강지식장악정도위（81.1±7.5）분，간예후위（91.2±5.6）분，차이유통계학차이（P<0.05）。결론：쌍태시관영인가강조기간예，대뇌탄유방치작용，가현저제고환인생존질량，위건강생장발육제공료강유력적보장，병대호리수평적제고유비상중요적의의。
Objective: To investigate the effect of early intervention on infant cerebral palsy twin tube control effect.Method: 40 cases of survival twin IVF as research object, were in our hospital from 2012 September to 2013 September were retrospective effect, strengthen the early intervention, prevention and treatment of cerebral palsy. Result: 40 cases of newborn twins in the selection, very mild and mild abnormal ZKS, the implementation of 2 treatment intervention, 11 cases were normal, accounted for 100%; 20 moderate cases, after 3 courses were returned to normal in 13 cases, accounting for 65%, 5 treatment returned to normal in 7 cases, accounting for 35%; severe and very severe in 9 cases, 10 were recovered to normal in 8 patients, 1 patients eventually develop to cerebral palsy. In this case, there were preterm hyperbilirubinemia, intracranial hemorrhage and asphyxia. Compared with before intervention, parents care satisfaction significantly increased after intervention (P<0.05). Carried out before the parents health knowledge level was (81.1 ± 7.5)%, (91.2 ± 5.6)after intervention, there were significant differences (P<0.05).Conclusion: Twin IVF to strengthen the early intervention, prevention and treatment of cerebral palsy, can significantly improve the life quality of the children, for the healthy growth and development to provide a strong protection, and to improve the level of care is very important.
