CAJ | 학술논문

目的探讨早期干预能否降低极低出生体重早产儿脑瘫、智力低下的发生率.方法将出生胎龄小于32周和/或出生体重小于1500g的早产儿为研究对象(无先天畸形和遗传代谢病).分干预组和对照组;对干预组实施早期干预,定期进行体格检查及运动、智能发育测试,对照组于出生后校正胎龄1岁时进行1次体格及运动、智力发育评估.结果干预组无一例发展为脑瘫和智力低下;对照组:5例出现脑瘫,其中3例合并智力低下;3例单纯智力低下.两组差异具有统计学意义(P<0.05).干预组智力发育及运动发育明显高于对照组,两组差异有统计学意义(P<0.05).结论早期干预可以降低极低出生体重早产儿脑瘫、智力低下发生率,提高极低出生体重早产儿运动、智力发育水平.
목적 탐토조기간예능부강저겁저출생체중조산인뇌탄、지력저하적발생솔.방법 장출생태령소우32주화/혹출생체중소우1500g적조산인위연구대상(무선천기형화유전대사병).분간예조화대조조;대간예조실시조기간예,정기진행체격검사급운동、지능발육측시,대조조우출생후교정태령1세시진행1차체격급운동、지력발육평고.결과 간예조무일례발전위뇌탄화지력저하;대조조:5례출현뇌탄,기중3례합병지력저하;3례단순지력저하.량조차이구유통계학의의(P<0.05).간예조지력발육급운동발육명현고우대조조,량조차이유통계학의의(P<0.05).결론 조기간예가이강저겁저출생체중조산인뇌탄、지력저하발생솔,제고겁저출생체중조산인운동、지력발육수평.
Objective To explore whether early intervention can reduce the incidence of cerebral palsy and mental retardation of premature infants with extremely low birth weight. Methods The study object is a group of premature infants aged less than 32 gestational weeks and/or with birth weight less than 1500g, without congenital malformations and genetic metabolic disease. They were divided into invention group and control group. The invention group was given regular medical examination, motor and intelligence development test as early intervention. The control group would be assessed for physical, motive and mental development at the corrective gestational age of one year. Results None of the intervention group developed into cerebral palsy and mental retardation. However, five babies from the control group were mentally paralyzed, in which three babies were retarded. Another three babies were only associated with impaired intellectual function. These two differences have statistical significance (p<0.05).The intelligence and motor development of intervention group are significantly higher than those of control group. Two differences have statistical significance (p<0.05). Conclusion Early intervention helps reduce the incidence of cerebral palsy and mental retardation of premature infants with very low birth weight, improve their physical and intelligent development.