点线面训练法对脑损伤早产儿发育商的影响

The effect of training method of point-line-plane on development quotient in premature infants with brain injury

目的：评价点线面训练法对脑损伤早产儿发育商的临床康复疗效。方法选择符合入组标准的174例早产儿脑损伤患儿，随机分为研究组89例和对照组85例，对照组给予Bobath和Vojta传统康复训练，研究组给予点线面训练法。分别于治疗前、治疗1个、2个和3个疗程后，采用首都儿研所“0～6岁儿童神经心理发育评估”量表对两组患儿的康复效果进行比较。结果治疗前研究组和对照组发育商（ DQ）评分差异无统计学意义（P＞0．05）。与治疗前比较，治疗3个疗程后研究组和对照组患儿DQ评分均较治疗前有明显改善[研究组治疗第1，2，3疗程的DQ分别为（82．71±12．28）分，（89．65±10．02）分，（95．26±8．87）分；对照组第1，2，3疗程的DQ分别为（81．17±9．63）分，（87．02±7．39）分，（91．31±7．63）分]，差异有统计学意义（F＝194．95， P＜0．01）。与对照组比较，治疗第1，2个疗程后研究组DQ评分差异无统计学意义（ t＝0．859， P＞0．05；t＝1．747， P＞0．05），第3个疗程后DQ评分明显高于对照组，差异有统计学意义（ t＝2．945， P＝0．004）。结论点线面训练法对脑损伤早产儿临床康复有较好的疗效，值得临床推广应用。

Objective To evaluated the improving effect of training method of point-line-plane on development quotient in premature infants with brain injury.Methods 174 cases of premature children with brain injury were randomly divided into study group （89 cases） and control group （85 cases）.Control group given Bobath and Vojta traditional rehabilitation training,and the study group was given training method of point-line-plane.Patients in both groups were evaluated synthetically based on The Evaluation Chart on Neu-robehavioral Development of Children Aged 0-6 Years,developed by Capital Institute of Pediatrics,prior to the treatment,and after the first,the second,and the third course of the training programs,respectively.Re-sults The score of developmental quotient （ DQ） between study group and control group was no significantly different（P〉0.05）.Compared with before treatment, the scores of DQ was significantly increased after the first, the second and the third course of training treatment in study group and control group（（82.71±12.28） vs （81.17±9.63）, t=0.859, P〉0.05;（89.65±10.02） vs （87.02±7.39）, t=1.747, P〉0.05）. Compared with the control group, the scores of DQ in study group was no significant difference after the first and the second course of treatment,but there was significantiy different after the third course treatment（（95.26±8.87） vs （91.31±7.63）, t=2.945, P=0.004）.Conclusion The training method of point-line-plane can improve the clinical efficacy of premature infants with brain injury at the early phase, which is worth widely applying in clinical practice.