益肾健脾按摩法早期干预对早产儿心身发育的临床研究

发布时间：2018-03-23 04:02

本文选题：早产儿　切入点：早期干预　出处：《广州中医药大学》2012年硕士论文　论文类型：学位论文

【摘要】：目的：采取随机分组对照实验的方法,通过两组不同的干预方案对早产儿行早期干预,观察早产儿的心身发育水平,对益肾健脾按摩组与婴儿抚触组行疗效比较,评价中医之“益肾健脾按摩”的可行性。方法：本课题采用分组对照实验方法,按照纳入标准收入病例82例,对纳入病例进行随机分组,试验组和对照组各41例。两组均予早期教育的基础上,试验组予益肾健脾按摩法,对照组予婴儿抚触法。分别在干预前,干预1个月结束、干预3个月结束时进行评测。主要评估体格发育指标,体重、身长、头围；神经心理发育指标,大运动、精细运动、适应能力、语言、社交行为相当月龄值。将所得的全部资料在Excel上建立数据文件,数据应用SPSS13.0软件进行统计分析。成果： (1)干预治疗前两组间的基本情况,入组时纠正月龄、体重、身长、头围、20项新生儿行为神经测定(neonatal behavioral neurological assessment, NBNA)测量值,差异无统计学意义(P0.05)。 (2)干预3个月后,两组前后对比,体格发育水平及神经心理发育商均高于干预1月后,且两组分别行前后对比有显著性差异(P0.01) (3)干预3个月后,两组间对比,试验组体格发育指标(身高、体重、头围)的总体均数高于对照组,差异有统计学意义(P0.05)；试验组神经心理发育指标,大运动、精细运动、适应能力、语言、社交行为的相当月龄值总体均数高于对照组,但这五项的组间差异无统计学意义(P0.05)。结论：益肾健脾按摩与婴儿抚触早期干预法皆能促进早产儿体格与神经心理发育,在干预3月后,益肾健脾按摩法在促体格发育方面(体重,身长,头围)疗效比婴儿抚触干预法更显著；在神经心理发育,组间对比无明显差异。
[Abstract]:Objective:. A randomized controlled trial was conducted to observe the psychosomatic development of premature infants by two different intervention schemes. The therapeutic effects were compared between the massage group of tonifying kidney and strengthening spleen and the touching group of infants. To evaluate the feasibility of "tonifying kidney and strengthening spleen massage" of traditional Chinese medicine. Methods:. In this study, 82 cases of standard income were randomly divided into two groups, 41 cases in the experimental group and 41 cases in the control group. On the basis of early education, the experimental group was given the method of tonifying the kidney and strengthening the spleen, and the experimental group was given the massage method of tonifying the kidney and strengthening the spleen. The control group was treated with infant touch method. Before the intervention, the intervention ended at the end of 1 month, and the intervention was evaluated at the end of 3 months. The indexes of physical development, body weight, body length, head circumference, neuropsychological development index, large movement, fine movement were evaluated. Adaptive ability, language, and social behavior are equivalent months of age. The data files are built on Excel, and the data are analyzed by SPSS13.0 software. Outcome:. 1) the basic condition of the two groups before the intervention treatment was corrected when entering the group. There was no significant difference in 20 neonatal behavioral nerve measurements (NBNAs), such as age, weight, body length, head circumference, and neonatal behavioral nerve assessment (NBNAs). There was no significant difference between the two groups (P 0.05). (2) after 3 months of intervention, the physical development level and neuropsychological development quotient of the two groups were higher than those after one month of intervention, and there was a significant difference between the two groups before and after the intervention (P 0.01). 3) after 3 months of intervention, the total mean of physical development indexes (height, weight, head circumference) in the experimental group was higher than that in the control group, and the difference was statistically significant (P 0.05). The total mean of age of adaptation, language and social behavior was higher than that of control group, but there was no significant difference among the five groups (P 0.05). Conclusion:. Both Yishen Jianpi massage and early infant touch intervention can promote physical and neuropsychological development of preterm infants. After 3 months of intervention, Yishen Jianpi massage can promote physical development (body weight, length, body length). Head circumference) was more effective than infant touch intervention, but there was no significant difference in neuropsychological development between groups.
【学位授予单位】：广州中医药大学
【学位级别】：硕士
【学位授予年份】：2012
【分类号】：R272

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