CAJ | 학술논문

目的：探讨早期干预对早产儿不安运动阶段全身运动(GMs)质量的影响。方法315例不安运动阶段早产儿分为早期干预组(n=160)和对照组(n=155)。早期干预组在婴儿入住新生儿科后，采用对婴儿直接干预和指导家长相结合的方法进行干预，对照组正常喂养。干预前后比较两组患儿各类GMs分布。结果干预前，两组间扭动阶段GMs分布无显著性差异(χ2=0.641, P=0.726)。干预后，早期干预组正常不安运动数明显多于对照组(χ2=8.710, P=0.003)，而不安运动缺乏数少于对照组(χ2=5.685, P=0.017)。结论早期干预可提高正常不安运动的发生率。
목적：탐토조기간예대조산인불안운동계단전신운동(GMs)질량적영향。방법315례불안운동계단조산인분위조기간예조(n=160)화대조조(n=155)。조기간예조재영인입주신생인과후，채용대영인직접간예화지도가장상결합적방법진행간예，대조조정상위양。간예전후비교량조환인각류GMs분포。결과간예전，량조간뉴동계단GMs분포무현저성차이(χ2=0.641, P=0.726)。간예후，조기간예조정상불안운동수명현다우대조조(χ2=8.710, P=0.003)，이불안운동결핍수소우대조조(χ2=5.685, P=0.017)。결론조기간예가제고정상불안운동적발생솔。
Objective To investigate the effect of early intervention on general movements (GM) in preterm infants during fidgety move-ment. Methods 315 preterm infants during fidgety movement period were divided into intervention group (n=160) and control group (n=155). The intervention group accepted very early intervention program consisted of hospital intervention and family intervention, and the control group accepted routine treatment and nursing. The incidences of different kinds of GMs were compared. Results There is no statisti-cal difference (χ2=0.641, P=0.726) in writhing movement before intervention, and the fidgety movement presented more in the intervention group than in the control group (χ2=8.710, P=0.003), while the absence of fidgety movement was significantly fewer (χ2=5.685, P=0.017) af-ter intervention. Conclusion Very early intervention can reduce the incidence of absence of fidgety movement and improve fidgety move-ment.