早期干预在晚期早产儿不同时期的应用效果

Applicationeffect of early intervention in different stage of late preterm infants

目的探讨早期干预在晚期早产儿不同时期的应用效果。方法选取2016年1月~2018年12月我院收治的晚期早产儿120名,根据是否接受早期干预,将其分为普通护理组和早期干预组,各60例。普通护理组按照常规措施进行干预,早期干预组接受抚触护理、早期训练、前庭功能训练,同时选取正常新生儿60名作为正常对照组。比较三组的近期和远期发育情况。结果在胎龄42、44周时,早期干预组的新生儿20项行为神经评分(NBNA)、身长、头围和体重均高于普通护理组,差异有统计学意义(P<0.05);早期干预组的NBNA、身长、头围和体重低于正常对照组,差异有统计学意义(P<0.05);早期干预组的大运动行为、精细运动行为、个人-社交行为、语言行为和适应性行为评分均高于普通护理组,差异有统计学意义(P<0.05);正常对照组的大运动行为、精细运动行为、个人-社交行为、语言行为和适应性行为评分稍高于早期干预组,但差异无统计学意义(P>0.05);早期干预组的后遗症发生率低于普通护理组,差异有统计学意义(P<0.05)。结论早期干预的实施可有效提升晚期早产儿的智能及体格发育,减少后遗症的发生。

Objective To explore the applicationeffect of early intervention in different stage of late preterm infants.Methods All of 120 late preterm infants admitted to our hospital from January 2016 to December 2018 were selected and they were divided into the general nursing group and early intervention group according to whether they received early intervention or not,60 cases in each group.The general nursing group was intervened according to the routine measures.The early intervention group received touch nursing,early training and vestibular function training.At the same time,60 normal newborns were selected as the normal control group.The short-term and long-term development among the three groups were compared.Results At 42 and 44 weeks of gestational age,the neonatal behavioral neurological score (NBNA),body length,head circumference and body weight of early intervention group were higher than those of general nursing group,and the differences were statistically significant(P<0.05).NBNA,body length,head circumference and body weight of early intervention group were lower than those of normal control group,and the differences were statistically significant (P<0.05).The scores of motor behavior,personal-social behavior,language behavior and adaptive behavior in the normal control group were higher than those in the early intervention group,and the differences were statistically significant (P<0.05).The scores of major motor behavior,fine motor behavior,personal-social behavior,language behavior and adaptive behavior in the normal control group were slightly higher than those in the early intervention group,but there was no significant difference (P>0.05).The incidence of symptoms was lower than that of general nursing group,and the difference was statistically significant (P<0.05).Conclusion The implementation of early intervention can effectively improve the intelligence and physical development of late preterm infants and reduce the occurrence of sequelae.