Objective: Measure the effects of Early Intervention ad modum Katona (EI-K) in high-risk premature infants by means of clinical, neurobehavioral, and neurophysiologic tests. Method: We used the Amiel-Tison neurologic ...Objective: Measure the effects of Early Intervention ad modum Katona (EI-K) in high-risk premature infants by means of clinical, neurobehavioral, and neurophysiologic tests. Method: We used the Amiel-Tison neurologic examination, the Bayley Scale of Infant Behavior, and electroencephalography (EEG) recordings at 42 weeks of conceptional age, and after 6 months of treatment EI-K (n = 14) and compared these results with those of a group of infants without early intervention (nEI) (n = 11). Results: We found better performance of infants in EI-K than nEI group after 6 months of treatment in neurologic and behavioral examination measurements, but found no differences in EEG comparisons. Conclusion: Our data suggest significant benefit of the use of EI-K program over n-EI in the neurologic and neurobe-havior examinations of premature infants after 6 months of age.展开更多
Objective:To observe the clinical efficacy of Yinzhihuang Oral Liquid(YOL,茵栀黄口服液)to prevent the premature infantile jaundice.Methods:After excluded hemolytic,suffocation,infection,and the very low birth weight,2...Objective:To observe the clinical efficacy of Yinzhihuang Oral Liquid(YOL,茵栀黄口服液)to prevent the premature infantile jaundice.Methods:After excluded hemolytic,suffocation,infection,and the very low birth weight,242 cases of premature infants were randomly assigned to two groups,the treatment group and the control group.Both groups were taken conventional procedures,such as warmth,feeding,and blood glucose monitoring,and the treated group was administered YOL 5 mL each time,twice daily additionally,and the co...展开更多
Objective To evaluate the effect of early intervention on the intellectual development of the premature infants Methods Premature infants at gestational age of 28-36 9 weeks were randomly divided into two groups: ...Objective To evaluate the effect of early intervention on the intellectual development of the premature infants Methods Premature infants at gestational age of 28-36 9 weeks were randomly divided into two groups: intervention and conventional care groups Normal newborn infants during the same period were included in the control group (routine care) Up to March 1996, 156 cases were over the age 1 5-2 years (corrected age), 52 in the intervention group, 51 in the conventional care group and 53 in the normal control group Parents were taught to carry out the 0-2 year intervention program, which included motor, cognitive, speech development and social behavior Every three months, height, weight and head circumference were measured At the age of one and a half and two years, all infants in the three groups received infant development tests of Child Development Center of China (CDCC) scale The examiner did not know which infant had received intervention Results There was no significant difference in biological factors among the two premature groups and in cultural and social factors among the three groups Intelligence tests at the age of one and a half and two years showed that the average mental development index (MDI) in the intervention group was 13 8 and 14 6 higher than those in the conventional care group and the differences were significant The psychomotor development index (PDI) was 5 2 and 4 7 higher but the differences were not significant The MDI and PDI in the intervention group and normal control were quite close, but at two years, the MDI and PDI in the intervention group were 5 7 and 7 3 higher than those in the normal control and the differences were significant (P<0 05) Compared with the normal control, the MDI in conventional care group at one and a half and two years of age were 11 5 and 8 9 lower The difference was very significant There were four cases of mental retardation, whose mental development index (MDI) was less then 70 in the conventional care group, but none in the intervention group Conclusions Early intervention can promote intellectual development of the premature infants and may be beneficial to the prevention of mental retardation Early and intensive intervention can produce better results Bringing parent's initiative into full play through deepening their understanding of the importance of early intervention is the key to success展开更多
目的:研究重力喂养联合口腔运动干预(oral motor interventions,OMIs)在早产儿经口喂养中的作用。方法:60例早产儿随机分成观察组和对照组各30例,对照组采取常规管饲推注喂养,观察组采取重力喂养联合5 min OMIs,2组均给予科室自创的常...目的:研究重力喂养联合口腔运动干预(oral motor interventions,OMIs)在早产儿经口喂养中的作用。方法:60例早产儿随机分成观察组和对照组各30例,对照组采取常规管饲推注喂养,观察组采取重力喂养联合5 min OMIs,2组均给予科室自创的常压吸引方式,比较2组早产儿经口喂养关键时间点、喂养不耐受发生率、体质量增长情况、准备经口喂养得分。结果:观察组首次经口喂养胎龄、完全经口喂养胎龄、完全经口喂养体质量和出院体质量均低于对照组,喂养过渡时间短于对照组(P<0.01);干预后14 d和21 d,观察组准备经口喂养得分均高于对照组(P<0.01)。干预前后各时间点,2组得分均随时间增加呈现上升趋势(P<0.01);观察组呕吐、奶量不增发生率均低于对照组(P<0.01)。结论:重力喂养联合5 min OMIs可以促进早产儿更早地实现完全经口喂养,且能减少喂养不耐受率。展开更多
目的:系统评价口腔运动干预对促进早产儿神经行为发育的有效性。方法:计算机检索PubMed、EMbase、Web of Science、the Cochrane Library、中国知网、万方数据库、中华医学期刊全文数据库、维普数据库,搜集关于口腔运动干预对早产儿神...目的:系统评价口腔运动干预对促进早产儿神经行为发育的有效性。方法:计算机检索PubMed、EMbase、Web of Science、the Cochrane Library、中国知网、万方数据库、中华医学期刊全文数据库、维普数据库,搜集关于口腔运动干预对早产儿神经行为发育影响的随机对照研究(RCT),检索时限为建库至2023年4月14日。根据文献纳入与排除标准,由2名研究者独立筛选文献、提取数据并评价纳入研究的偏倚风险,使用RevMan 5.3软件进行Meta分析。结果:共纳入7个RCT,涉及746例早产儿。Meta分析结果显示:干预组新生儿行为神经测定NBNA量表得分[MD=2.32,95%CI(1.13,3.51),P<0.001]、心理运动发育指数(PDI)得分[MD=6.44,95%CI(1.62,11.26),P=0.009]高于对照组,至矫正胎龄3月龄和矫正胎龄6月龄时,干预组神经系统发育正常的比例高于对照组[矫正至3月龄:OR=2.17,95%CI(1.38,3.41),P<0.001;矫正至6月龄:OR=2.80,95%CI(1.69,4.64),P<0.001]。结论:当前证据显示,口腔运动干预可促进早产儿神经行为发育,有效改善近期发育结局。展开更多
文摘Objective: Measure the effects of Early Intervention ad modum Katona (EI-K) in high-risk premature infants by means of clinical, neurobehavioral, and neurophysiologic tests. Method: We used the Amiel-Tison neurologic examination, the Bayley Scale of Infant Behavior, and electroencephalography (EEG) recordings at 42 weeks of conceptional age, and after 6 months of treatment EI-K (n = 14) and compared these results with those of a group of infants without early intervention (nEI) (n = 11). Results: We found better performance of infants in EI-K than nEI group after 6 months of treatment in neurologic and behavioral examination measurements, but found no differences in EEG comparisons. Conclusion: Our data suggest significant benefit of the use of EI-K program over n-EI in the neurologic and neurobe-havior examinations of premature infants after 6 months of age.
文摘Objective:To observe the clinical efficacy of Yinzhihuang Oral Liquid(YOL,茵栀黄口服液)to prevent the premature infantile jaundice.Methods:After excluded hemolytic,suffocation,infection,and the very low birth weight,242 cases of premature infants were randomly assigned to two groups,the treatment group and the control group.Both groups were taken conventional procedures,such as warmth,feeding,and blood glucose monitoring,and the treated group was administered YOL 5 mL each time,twice daily additionally,and the co...
文摘Objective To evaluate the effect of early intervention on the intellectual development of the premature infants Methods Premature infants at gestational age of 28-36 9 weeks were randomly divided into two groups: intervention and conventional care groups Normal newborn infants during the same period were included in the control group (routine care) Up to March 1996, 156 cases were over the age 1 5-2 years (corrected age), 52 in the intervention group, 51 in the conventional care group and 53 in the normal control group Parents were taught to carry out the 0-2 year intervention program, which included motor, cognitive, speech development and social behavior Every three months, height, weight and head circumference were measured At the age of one and a half and two years, all infants in the three groups received infant development tests of Child Development Center of China (CDCC) scale The examiner did not know which infant had received intervention Results There was no significant difference in biological factors among the two premature groups and in cultural and social factors among the three groups Intelligence tests at the age of one and a half and two years showed that the average mental development index (MDI) in the intervention group was 13 8 and 14 6 higher than those in the conventional care group and the differences were significant The psychomotor development index (PDI) was 5 2 and 4 7 higher but the differences were not significant The MDI and PDI in the intervention group and normal control were quite close, but at two years, the MDI and PDI in the intervention group were 5 7 and 7 3 higher than those in the normal control and the differences were significant (P<0 05) Compared with the normal control, the MDI in conventional care group at one and a half and two years of age were 11 5 and 8 9 lower The difference was very significant There were four cases of mental retardation, whose mental development index (MDI) was less then 70 in the conventional care group, but none in the intervention group Conclusions Early intervention can promote intellectual development of the premature infants and may be beneficial to the prevention of mental retardation Early and intensive intervention can produce better results Bringing parent's initiative into full play through deepening their understanding of the importance of early intervention is the key to success
文摘目的:研究重力喂养联合口腔运动干预(oral motor interventions,OMIs)在早产儿经口喂养中的作用。方法:60例早产儿随机分成观察组和对照组各30例,对照组采取常规管饲推注喂养,观察组采取重力喂养联合5 min OMIs,2组均给予科室自创的常压吸引方式,比较2组早产儿经口喂养关键时间点、喂养不耐受发生率、体质量增长情况、准备经口喂养得分。结果:观察组首次经口喂养胎龄、完全经口喂养胎龄、完全经口喂养体质量和出院体质量均低于对照组,喂养过渡时间短于对照组(P<0.01);干预后14 d和21 d,观察组准备经口喂养得分均高于对照组(P<0.01)。干预前后各时间点,2组得分均随时间增加呈现上升趋势(P<0.01);观察组呕吐、奶量不增发生率均低于对照组(P<0.01)。结论:重力喂养联合5 min OMIs可以促进早产儿更早地实现完全经口喂养,且能减少喂养不耐受率。
