早期抚触干预对缺氧缺血性脑病患儿神经行为康复的影响

Effect of early touch intervention on neurobehavioral rehabilitation in children with hypoxic ischemic encephalopathy

目的探讨早期抚触干预对缺氧缺血性脑病(HIE)患儿神经行为康复的影响.方法选取2013年4月~2017年10月新生HIE患儿140例,采用随机数字表法分为抚触组(70例)和对照组(70例).对照组患儿予以育儿指导、康复教育、病情监测及药物用法指导常规干预.抚触组患儿在对照组基础上加以早期抚触干预,连续干预28 d.观察两组患儿干预前与干预28 d后神经行为发育情况,并比较1年后神经系统损害情况.结果干预28 d后,两组患儿NBNA评分较干预前明显升高,差异有统计学意义(P<0.05),且抚触组患儿明显高于对照组,差异有统计学意义(P<0.05);干预1年后,抚触组患儿神经系统损害的总发生率(11.43%)明显低于对照组(25.71%),差异有统计学意义(P<0.05).结论早期抚触干预用于新生HIE患儿治疗具有一定的辅助作用,能加快神经行为康复;且其远期效果亦较确切,能有效改善患儿神经系统发育,减轻神经系统损害,改善预后.

Objective To explore the effect of early touch intervention on neurobehavioral rehabilitation in children with hypoxic ischemic encephalopathy(HIE). Methods A total of 140 neonates with HIE from April 2013 to October 2017 were selected and divided into the touch group and the control group according to randomly number table method, each with 70 cases. The neonates in the control group were given routine interventions such as parenting guidance, rehabilitation education, disease monitoring, and medication usage guidance. The neonates in the touch group were given early intervention on the basis of the control group for 28 days. The neurobehavioral development of the two groups before and after the intervention was observed, and the neurological damage was compared 1 year later. Results After 28 days of intervention, the NBNA scores of the neonates in the two group were significantly higher than those before the intervention, and the difference was statistically significant(P<0.05), and witch in the touch group was ligher than that of the control group, and the difference was statistically significant(P<0.05);After 1 year, the total incidence of neurological damage in neonates in the touch group (11.43%) was significantly lower than that in the control group(25.71%), and the difference was statistically significant(P<0.05). Conclusion Early touch intervention has a certain auxiliary effect on the treatment of neonatal HIE patients, which can accelerate the recovery of neurobehavior;and its long-term effect is also accurate, which can effectively improve the development of nervous system, reduce nervous system damage and improve prognosis.