丰富环境刺激干预联合吞咽治疗对低出生体重儿神经心理行为及体格发育的影响

Influence of enriched environment stimulation intervention combined with swallowing therapy on neuropsychic behavior and physical development of low birth weight infants

目的:探讨丰富环境刺激干预联合吞咽治疗应用于低出生体重儿对其神经心理行为和体格发育的影响。方法:选择2013年1月~2016年6月我院出生的低出生体重儿164例,随机等分为对照组与观察组,对照组实施常规护理干预;观察组实施丰富环境刺激干预联合吞咽治疗。观察并记录两组干预后神经行为、智能发育、体格发育和喂养情况,并进行比较分析。结果:观察组干预第15,28天的行为能力、原始反射、主动肌张力、被动肌张力等评分均高于对照组,差异有统计学意义(P<0.05);观察组干预后MDI和PDI评分均高于对照组,差异有统计学意义(P<0.05);观察组干预第28天身长增长、头围增长和体质量增长情况均优于对照组,差异有统计学意义(P<0.05)。结论:丰富环境刺激干预联合吞咽治疗应用于低出生体重儿可有效改善其神经心理行为,促进智力发育和体格发育,降低喂养不耐受率,值得临床推广应用。

Objective： To discuss the influence of enriched environment stimulation combined with swallowing therapy on neuropsychic behavior and physical development of low birth weight infants. Methods： Selected 164 cases of low birth weight infants born in our hospital in the period from January 2013 ~ June2016,and they were equally divided into control group and observation group at random. Routine nursing intervention was given to the control group; and the nursing intervention of enriched environment stimulation combined with swallowing therapy was given to the observation group. The infants from the two groups were observed,and their neurobehavior,intellectual development,physical development and feeding conditions after the intervention were recorded and then compared and analyzed. Results： The infants from the observation group were superior to those from the control group in the scores of active ability,primitive reflex,active muscular tension,and passive muscular tension on the 15 th and 28 th days after the intervention,and the difference was of statistical significance（ P〈0. 05）; the infants from the observation group had higher MDI and PDI scores than those from the control group,and the difference was of statistical significance（ P〈0. 05）; the infants from the observation group were superior to those from the control group in body height increase,head circumference growth,and body weight increase conditions on the 28 th day after the intervention,and the difference was of statistical significance（ P〈0. 05）. Conclusion： Through application of enriched environment stimulation combined with swallowing therapy on low birth weight infants,it was able to effectively improve the infants＇ neuropsychic behavior,promote their intellectual development and physical development,and reduce their feeding intolerance,therefore,it was worthy of popularization and application.