早期综合干预预防早产儿脑性瘫痪的作用观察

发布时间：2018-07-23 21:07

【摘要】：选取我院出生的100例早产儿分为干预组和常规组各50例。两组早产儿在出生后均入住新生儿重症监护病房,对早产儿进行静脉营养注射、保温处理、预防感染处理,如果有必要还可以进行输氧,对于干预组的早产儿医护人员要配合家长进行早期综合干预,干预内容包括进行运动训练、肌肉按摩以及一些早期教育等等,而常规组的50例早产儿则采用常规的喂养方法,对比两组早产儿的发育情况。结果对两组患儿进行跟踪调查,结果显示,在患儿1岁时,干预组仅1例早产儿出现脑性瘫痪,发生率为2.0%,而常规组有4例早产儿出现脑性瘫痪,发生率为8.0%,对比可知,干预组脑性瘫痪的发生率要明显低于常规组,对比结果具有统计学意义(P0.05)。随访至早产儿2岁时发现,干预组2例脑性瘫痪患儿均属于轻度脑瘫,而常规组的4例脑性瘫痪患儿有2例属于为轻度,1例为中度,1例为重度。早期综合干预对于早产儿脑性瘫痪具有良好的预防效果,建议临床推广。
[Abstract]:A total of 100 premature infants were selected and divided into intervention group (n = 50) and routine group (n = 50). Both groups of premature infants were admitted to the neonatal intensive care unit after birth. They were given intravenous nutrition injections, heat preservation, prevention of infection and, if necessary, oxygen, For preterm infants in the intervention group, doctors and nurses should cooperate with their parents for early comprehensive intervention, which includes exercise training, muscle massage and some early education, while in the conventional group, 50 premature infants are given routine feeding methods. The development of preterm infants was compared between the two groups. Results two groups of children were followed up. The results showed that only one premature infant in intervention group had cerebral palsy at the age of 1 year, the incidence rate was 2.0, while in the routine group, 4 premature infants had cerebral palsy, the incidence rate was 8.0. The incidence of cerebral palsy in the intervention group was significantly lower than that in the routine group, and the results were statistically significant (P0.05). Follow-up to 2 years of age showed that 2 cases of cerebral palsy in intervention group were mild cerebral palsy, while 2 cases of 4 cases of cerebral palsy in routine group were mild and 1 case were moderate or severe. Early comprehensive intervention has a good preventive effect on premature cerebral palsy and is recommended to be popularized clinically.
【作者单位】：黄梅县妇幼保健院;
【分类号】：R742.3

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