CAJ | 학술논문

目的：观察早期综合康复干预治疗对降低早产儿脑性瘫痪发生率及智能影响的效果。方法选择2012年6月至2013年12月在彩虹集团公司彩虹医院儿保康复科就诊的158例无合并症的早产儿为研究对象，按照就诊编号和家长自愿的原则，73例早产儿从纠正胎龄40周开始进行早期医疗康复干预结合家庭干预（综合干预组），85例早产儿只行常规的家庭干预（常规干预组），两组患儿均在3、6、9、12个月用发育量表检查发育商，1岁时进行脑瘫诊断和排除诊断。结果从9月龄后，综合干预组儿童各能区得分均高于常规干预组儿童，且综合干预组儿童6月龄时的社交能力（ t＝2．53，P＜0．05）；9月龄时的社交能力（t＝2．50，P＜0．05）和语言能力（t＝2．04，P＜0．05）；12月龄时的大运动（t＝4．00，P＜0．05）、精细运动（t＝2．40，P＜0．05）、适应能力（t＝2．34，P＜0．05）和社会行为（t＝2．12，P＜0．05）得分都明显高于常规干预组。综合干预组儿童脑性瘫痪的检出率为4．1％（3/73），明显低于常规干预组的12．9％（11/85），χ2＝6．10，P＜0．05。结论早期综合康复干预对早产儿脑性瘫痪有显著的预防作用，对婴儿期智能发展具有明显的促进作用。
목적：관찰조기종합강복간예치료대강저조산인뇌성탄탄발생솔급지능영향적효과。방법선택2012년6월지2013년12월재채홍집단공사채홍의원인보강복과취진적158례무합병증적조산인위연구대상，안조취진편호화가장자원적원칙，73례조산인종규정태령40주개시진행조기의료강복간예결합가정간예（종합간예조），85례조산인지행상규적가정간예（상규간예조），량조환인균재3、6、9、12개월용발육량표검사발육상，1세시진행뇌탄진단화배제진단。결과종9월령후，종합간예조인동각능구득분균고우상규간예조인동，차종합간예조인동6월령시적사교능력（ t＝2．53，P＜0．05）；9월령시적사교능력（t＝2．50，P＜0．05）화어언능력（t＝2．04，P＜0．05）；12월령시적대운동（t＝4．00，P＜0．05）、정세운동（t＝2．40，P＜0．05）、괄응능력（t＝2．34，P＜0．05）화사회행위（t＝2．12，P＜0．05）득분도명현고우상규간예조。종합간예조인동뇌성탄탄적검출솔위4．1％（3/73），명현저우상규간예조적12．9％（11/85），χ2＝6．10，P＜0．05。결론조기종합강복간예대조산인뇌성탄탄유현저적예방작용，대영인기지능발전구유명현적촉진작용。
Objective To assess the effects of early comprehensive intervention and rehabilitation therapy on the incidence of cerebral palsy and intellectual development in premature infants .Methods Totally 158 preterm infants without complications were included , who did health care examination in rehabilitation department of Rainbow Hospital of Rainbow Group Company during the period of June 2012 to December 2013.Based on the number and voluntary principle , 73 preterm infants ( intervention group ) received early medical rehabilitation intervention combined with family intervention from 40 weeks of corrected gestational age , and the other 85 preterm infants (control group) received routine family intervention .Developmental scale was used to examine their development at the age of 3, 6, 9, and 12 months, and cerebral palsy diagnosis was done when they were 1-year old.Results The scores of developmental scale of each region were higher in the intervention group than those of the control group from age of 9 months.The score of social skill at age of 6 months (t=2.53,P<0.05), social skills (t=2.50, P<0.05) and language skills (t=2.04,P<0.05) at age of 9 months, cross motor (t=4.00, P<0.05), fine motor (t =2.40,P <0.05), adaptation (t =2.34,P <0.05) and social behavior (t =2.12,P <0.05) in the intervention group were significantly higher than those of the controls .The detection rate of cerebral palsy in the intervention group was 4.1%(3/73) , which was significantly lower than that of the control group (12.9%, 11/85) (χ2 =6.10, P<0.05).Conclusion Early comprehensive rehabilitation intervention has preventive effect on cerebral palsy , and plays an important role in improving the intelligence development of premature infants .