| 廖火生,赵 萍,郭秀东,严文康,曾雪飞.家庭早期干预对降低早产儿脑性瘫痪发生率的影响[J].中国康复医学杂志,2009,24(2):136~138 |
| 家庭早期干预对降低早产儿脑性瘫痪发生率的影响 点此下载全文 |
| 廖火生 赵 萍 郭秀东 严文康 曾雪飞 |
| 广东省惠州市中心人民医院儿科， 516001 |
| 基金项目：广东省惠州市科技局科研基金立项课题（2007Y030） |
| DOI： |
| 摘要点击次数: 2834 |
| 全文下载次数: 1993 |
| 摘要： |
| 目的：探讨家庭早期干预对降低早产儿脑性瘫痪（简称脑瘫）发生率的作用。方法：将140例早产儿分为干预组65例，未干预组75例。干预组：自早产儿出院后除接受常规育儿指导外，在医生指导下在家中接受视、听、触觉刺激及水疗、按摩、体操和主动运动训练，出现运动异常者做相应康复训练，共2年。未干预组：只接受与干预组相同的常规育儿指导。结果：3、6、12月龄时干预组早产儿智力发育指数（MDI）、运动发育指数（PDI）显著高于未干预组（P＜0.01）；1岁时脑瘫发生率干预组为1.5%(1/65)，未干预组为5.3%(4/75)，干预组早产儿脑瘫发生率显著低于未干预组 (P＜0.01)；2岁时Gesell智能检查，五大能区干预组与未干预组比较差异均有显著性意义（P<0.05，P<0.01）。结论：家庭早期干预有助于降低早产儿脑瘫发生率。 |
| 关键词：早产 婴儿 早期干预 脑性瘫痪 |
| Clinical study of early family intervention to decrease the incidence of cerebral palsy of premature infants Download Fulltext |
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| Dept. of Pediatrics Huizhou Municipal Central Hospital, 516001 |
| Fund Project: |
| Abstract: |
| Objective： To explore the effects of early intervention in lowering the incidence of cerebral palsy among premature infants. Method: One hundred and forty premature infants were divided into intervention group（65 cases） and non-intervention group（75 cases）. In intervention group, in addition to routine care，the premature infants received early intervention in family after discharge from hospital, including stimulation of vision, hearing, touch and under-water-therapy, massage, exercises and active motor training for 2 years under the doctor′s orders. In non-intervention group, infants received similar routine care only. Result: When the infants in intervention group were at the age of 3、6 months and 12 months, both their mental development index(MDI) and psychomotor development index(PDI) were significantly higher than those in non-intervention group（P＜0.01）. At 1 year of age, the incidence of cerebral palsy was 1.5%(1/65) in intervention group and 5.3%(4/75) in non-intervention group(P＜0.01). When they were 2 year old, the five large intelligent area were significantly better than those in the non-intervention group(P<0.05, P<0.01) through Gesell Development-Diagnosis Scale. Conclusion: Early intervention can reduce the incidence of cerebral palsy of premature infants. |
| Keywords:premature infants early intervention cerebral palsy |
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