脑血流剪切力作用机制下的游泳训练对HIE患儿康复效果分析

Effect of Swimming Training on Rehabilitation of HIE Children under Mechanism of Cerebral Blood Flow Shear Force

目的 通过回顾性分析探讨脑血流剪切力作用机制下游泳训练对新生儿缺血缺氧脑病(hypoxia ischemic encephalopathy,HIE)患儿康复效果.方法 选取64例HIE患儿为研究对象,在常规治疗康复手段基础上参与游泳的患儿为观察组(n=31例),未参与的为对照组(n=33例);对照组采用常规治疗及护理方案,观察组患儿在常规方案基础上,出生7 d后参与保健院的游泳训练,比较两组患儿NBNA评分及DDST筛查结果.结果 与对照组比较,观察组患儿28 d的行为能力、被动肌张力、主动肌张力、原始反射、一般评估和总得分均有所提高;6个月、8个月和12个月的DDST筛查阳性率下降(P<0.05).结论 脑血流剪切力作用机制下游泳训练可在一定程度上改善HIE患儿的神经行为和智能发育.

Objective To investigate the effect of swimming training on the rehabilitation of HIE children under the mechanism of cerebral blood flow shear force by retrospective analysis.Method A total of 64 children with HIE were selected as the study objects.The control group(n=33 cases) received routine treatment and nursing plan,and the observation group(n=31 cases) participated in swimming training in the health hospital 7 days after birth based on the routine plan.NBNA score and DDST screening results were compared between the two groups.Results Compared with the control group,the behavioral ability,passive muscle tone,active muscle tone,primitive reflex,general assessment and total score of children in the observation group at 28 days improved,and the positive rate of DDST screening at 6 months,8 months and 12 months decreased(P<0.05).Conclusion Swimming training under the mechanism of cerebral blood flow shear force can improve the neurobehavior and intelligent development of HIE children to a certain extent.