早期干预降低早产儿脑性瘫痪发生率的临床研究

目的探讨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80例早产儿分为干预组44例,未干预组36例。干预组自早产儿出院后除接受常规育儿指导外,还接受视、听、触觉剌激及按摩、体操和主动运动训练,出现运动异常者做相应康复训练。未干预组只接受与干预组相同的常规育儿指导。结果6、12月龄时干预组患儿智力发育指数(MDI),运动发育指数(PDI)明显高于未干预组(P<0.01);1岁时脑瘫发生率干预组为2%(1/44),运动发育落后发生率为4%(2/44),未干预组为5%(2/36)和11%(4/36),P均<0.01。结论早期干预可降低早产儿脑瘫发生率。

Objective To explore the effects of early intervention in lowering the incidence of cerebral palsy among premature infants. Methods 80 premature infants were divided into intervention group 44 cases and non-intervention group 36 cases. In the intervention group, the premature infants received after discharge from hospital, in addition to routine care, stimulation of vision, hearing touch and were given massage, subjected to exercise and received active motor training. All infants with abnormal motor manifestations were given appropriate rehabilitation training. In the routine care group, infants received similar routine care only. Results When they were at the age of 6 months and 12 months, both their mental development index （MDI） and psychomotive development index （PDI） of the infants in the intervention group were significantly higher than those of the non-intervention group （P0.01）. At 1 year old, the incidence of cerebral palsy was 2% （1/44） in the intervention group and 5% （2/36） in the routine care group （P0.01）. Conclusion Early intervention can reduce the incidence of cerebral palsy of premature infants.