早期中西医综合干预对不同胎龄全面性发育迟缓患儿的疗效研究

Study on curative effect on early intervention for different gestational age children with global developmental delay

目的研究早期干预对不同胎龄全面性发育迟缓患儿的疗效差异,为临床有效干预提供参考。方法对73例符合标准的全面性发育迟缓患儿,按胎龄分为早产儿组(胎龄28~37周)35例,足月儿组(胎龄37周以上)38例,两组均进行我院早期干预六项(中药浴式水疗+运动疗法+通督醒脑益肾健脾按摩法+视听刺激+脑血管超声波+五行体感音乐),分别于干预前和干预4个月后用Gesell智力测试进行疗效评估。结果 1)对早产儿组及足月儿组全面性发育迟缓患儿进行干预后Gesell智力测试各个能区发育商均高于干预前,差异有统计学意义(P均<0.05);2)早期干预六项治疗前,足月儿组Gesell智力测试各个能区发育商均高于早产儿组,差异有统计学意义(P均<0.05);治疗4个月后,足月儿组Gesell智力测试社会适应、精细运动、语言、社交能区发育商均高于早产儿组,差异有统计学意义(P均<0.05),而大运动能区发育商与早产儿组相近,差异无统计学意义(P>0.05)。结论早期干预六项对不同胎龄全面型发育迟缓患儿均有明确的疗效,尤其在促进早产儿大运动发育方面具有优势。

Objectives To study the difference of the curative effect on early intervention for different gestational age children with global developmental delay. Methods A total of 73 infants with global developmental delay were selected and divided into two groups by gestational-age,premature group（28~37 weeks gestational-age）35 cases,term-infant group（ more than 37 weeks gestational-age） 38 cases. Two groups received regular early intervention. The Gesell Developmental Scales（DQ）were tested before and 4 months after the treatment designed. Results 1） After 4 months early intervention, two groups both had significant superiority in improving the DQ of all five fields （P〈0.05）. 2）Before the intervention, term-infant group had significant superiority than the premature group in the DQ of all five fields （P〈0. 05）. 3）After 4 months early intervention,term-infant group had significant superiority than the premature group in the DQ of social adaption,fine movement,language,personal association fields （P〈0.05） and had a close level in the DQ of gross motor function （P〉0.05）. Conclusion Early intervention has definite curative effect for different gestational-age children with global developmental delay,especially on the development of gross-motor function.