超早期康复治疗对高危儿神经心理发育影响的临床研究

Investgation of Super Early Rehabilitation Intervention on Neural Psychological Development of High-Risk Infants

目的:探讨超早期康复治疗对高危儿神经心理发育的影响,为推广超早期康复治疗在高危儿神经心理发育中的应用提供理论基础。方法:选取2013年3月~2014年3月在我院治疗的171例0~3月高危儿为研究对象,按家长意愿分为对照组81例和观察组90例,对照组给予神经生长因子等药物治疗,观察组患儿则在此基础上接受超早期儿童康复治疗技术治疗,治疗6个月后,采用全身运动量表(GMs)、Gesell量表(GDS)评估患儿的神经心理发育情况,并对比两组治疗效果。结果:治疗6个月后,两组扭动运动阶段、不安运动阶段的异常例数均较治疗前明显减少(P<0.05),且观察组患儿的不安运动阶段异常数明显较对照组减少(P<0.05);对照组的粗大运动、语言和个人-社交DQ值和观察组适应性、粗大运动、语言和个人-社交DQ值均高于治疗前(P<0.05),且观察组患儿的适应性、粗大运动得分均高于对照组(P<0.05);观察组患儿的总有效明显高于对照组(P<0.05)。结论:超早期康复治疗可促进高危儿的神经心理发育,对患儿及早进行康复干预可以取得较好的治疗效果,值得在临床上推广。

Objective： To study the influence on neural psychological development of the super early children rehabilitation treatment technology of high-risk infants, provide theoretical basis for the promotion of this treatment technology in high-risk infants. Methods： 171 cases of 0-3 month high-risk infants treated in our hospital fromMarch 2013 to March 2014 were randomly selected as the research object, observation group 90, the control group 81, they were given the drug treatment such as nerve growth factor,while observation group added the super early children rehabilitation technology treatment. After 6 months of treatment, the patients were assessed with the whole body exercise scale （GMs） and Gesell scale （GDS） to assess the neuropsychological development of the children. The treatment effect was compared between the two groups. Results： After 6 months of treatment, the abnormal cases of writhing movements and fidgety movements in two groups were significantly reduced compared with before treatment （P〈0.05）, and the the abnormal cases of fidgety movements in observation group were significantly decreased compared with the control group （P〈0.05）. The DQ values of gross motor, language and personal-social in control group and adaptive, gross motor, language and personal-social in observation group were higher than those before treatment （P〈0.05） and the DQ values of adaptive,gross motor in observation group were higher than control group （P〈0.05）. The total effective of observation group was significantly higher than that of control group （P〈0.05）. Conclusion： The Super early rehabilitation therapy can improve the neuropsychological development of high-risk infants, it will get better effect and worth popularizing in clinic.