CAJ | 학술논문

目的研究脑瘫高危儿早期实施多元化护理对体格智能发育的影响.方法选择新乡市中心医院NICU救治存活的脑瘫高危儿150例,按照父母自愿的原则,分为干预组78例,常规组72例,并设同期在产科出生的足月顺产儿74例,作为对照组.干预组高危儿采取早期多元化护理模式,在新生儿期即开始功能训练,并结合药物、物理治疗手段,同时对家长进行系统培训,家庭积极参与强化训练,治疗至2岁.常规育儿组仅进行常规治疗护理.3组婴儿均于6,12,24个月时进行体格(即身长、体质量、头围)的测量和智能测试.结果体格发育在6,12,24个月时,干预组优于常规组.干预组与对照组体格指标比较差异无统计学意义.智能发育比较:6个月时CDCC智力发育指数(MDI)干预组与常规组比较差异无统计学意义,但2组MDI指数均低于对照组.精神运动发育指数(PDI)干预组高于常规组,干预组与对照组比较差异无统计学意义.12个月时干预组MDI、PDI指数显著高于常规组.干预组与对照组比较差异无统计学意义.24个月时干预组MDI、PDI指数高于对照组.结论早期多元化护理干预模式是提高脑瘫高危儿体格智能发育的有效途径.
목적 연구뇌탄고위인조기실시다원화호리대체격지능발육적영향.방법 선택신향시중심의원NICU구치존활적뇌탄고위인150례,안조부모자원적원칙,분위간예조78례,상규조72례,병설동기재산과출생적족월순산인74례,작위대조조.간예조고위인채취조기다원화호리모식,재신생인기즉개시공능훈련,병결합약물、물리치료수단,동시대가장진행계통배훈,가정적겁삼여강화훈련,치료지2세.상규육인조부진행상규치료호리.3조영인균우6,12,24개월시진행체격(즉신장、체질량、두위)적측량화지능측시.결과 체격발육재6,12,24개월시,간예조우우상규조.간예조여대조조체격지표비교차이무통계학의의.지능발육비교:6개월시CDCC지력발육지수(MDI)간예조여상규조비교차이무통계학의의,단2조MDI지수균저우대조조.정신운동발육지수(PDI)간예조고우상규조,간예조여대조조비교차이무통계학의의.12개월시간예조MDI、PDI지수현저고우상규조.간예조여대조조비교차이무통계학의의.24개월시간예조MDI、PDI지수고우대조조.결론 조기다원화호리간예모식시제고뇌탄고위인체격지능발육적유효도경.
Objective To explore the influence of early comprehensive nursing intervention on physical and mental development in children with high risk of cerebral palsy.Methods 150 children with high risk of cerebral palsy who were treated in neonatal intensive care unit(NICU) of Xinxiang central hospital were randomly divided into two groups.78 cases in the intervention group received early comprehensive nursing intervention,including functional training combined with medication and physical treatment method.At the same time,their parents received systematic training and participated in the intervention till the babies reached 2 years old.72 cases in the routine group were given conventional baby care.74 termfor-age neonates who were born in our department of maternity in the same period were selected as the control group,which received conventional baby care.The infants of the routine care group received only conventional baby care.The physical development of the weight,length and head circumference and intelligence of three groups were checked at the age of six months,one year and two years.Results M the age of six months,one and two years old,the physical development were higher significantly in the intervention group than those in the routine group,and had not evident difference with the control group.The mental development index (MDI) of the intervention group was lower than that of the control group at the 6 months,had no obvious difference with the control group at one year old,and was great higher than that of the control group.At the sixth month and one year phychomotor development index (PDI) of the intervention group had no difference with that of the control group,and at two years old were higher than that in the control group.The incidence of the phychomotor development retardment and the cerebral palsy in the intervention group was lower than that in the routine group.Conclusions Early nursing intervention is beneficial to the development of the physical and intelligent development of children with high risk of cerebral palsy.