持续性体位管理在婴儿扁头综合征中的应用价值研究

Application value of continuous posture management in infants with flat head syndrome

目的 探讨持续性体位管理在婴儿扁头综合征(DPB)中的应用价值。方法 选取2021年6月至2022年6月就诊于吉安市中心人民医院的吉安市城区0~9月龄儿63例作为研究对象,采用数字编码法将其分为对照组、干预一组和干预二组,各21例。对照组患儿未予相关干预,干预一组患儿采用常规干预方式;干预二组患儿予持续体位管理干预方式(利用头盔矫形装置基本原理的睡姿矫正方法)。比较3组患儿干预前及干预1、2、3个月后经颅斜径差、头颅指数情况,并比较干预3个月后3组患儿监护人的满意度评分。结果 3组患儿干预前经颅斜径差、头颅指数比较,差异均无统计学意义(P>0.05)。3组患儿干预1、2、3个月后经颅斜径差、头颅指数均低于干预前;干预一、二组患儿干预2、3个月后经颅斜径差、头颅指数均低于干预1个月后,干预3个月后均低于干预2个月后,差异均有统计学意义(P<0.05)。干预二组患儿干预1、2、3个月后经颅斜径差、头颅指数低于干预一组及对照组,差异均有统计学意义(P<0.05)。干预二组患儿干预3个月后监护人满意度评分高于干预一组及对照组,差异均有统计学意义(P<0.05)。结论 持续性体位管理方法操作简便,利于照护者接受,在头颅存在可塑性条件下予短期1个月干预,DPB即可得到有效纠正,较普通干预方法效果明显,也可作为预防手段,值得临床推荐。

Objective To explore the application value of continuous position management in infants with flat head syndrome(DPB).Methods A total of 63 children aged 0-9 months in the urban area of Ji′an City,who were presented in Ji′an Central Hospital from June 2021 to June 2022 were selected as the research subjects.They were divided into the control group,the intervention group one,and the intervention group two using digital coding method,with 21 cases in each group.The children in the control group were not given relevant intervention,while the children in the intervention group one were given routine intervention,the children in the intervention group two were given continuous position management intervention(using the basic principle of helmet orthodontic devices for sleeping posture correction).The difference of transcranial oblique diameter and head index of the three groups of children before intervention and after one,two and three months of intervention were compared,and the satisfaction scores of the guardians of the three groups of children after three months of intervention were compared.Results There was no statistically significant difference in transcranial oblique diameter and head index among the three groups of children before intervention(P>0.05).After one,two and three months of intervention,the difference in transcranial oblique diameter and head index of the three groups of children were lower than before intervention;After two and three months of intervention,the transcranial oblique diameter difference and head index of the children in the intervention group one and the intervention group two were lower than those after one month of intervention.After three months of intervention,the transcranial oblique diameter difference and head index were lower than those after two months of intervention;The differences were statistically significant(P<0.05).After one,two and three months of intervention,the difference in transcranial oblique diameter and head index in the intervention group two were lower than those in the intervention group one and the control group,and the differences were statistically significant(P<0.05).After three months of intervention,the satisfaction score of guardians in the intervention group two was higher than that in the intervention group one and the control group,and the differences were statistically significant(P<0.05).Conclusion The continuous position management method is easy to operate and beneficial for caregivers to accept.With short-term one-month intervention in the presence of cranial plasticity,DPB can be effectively corrected,which is more effective than ordinary intervention methods.It can also be used as a preventive measure and is worthy of clinical recommendation.