健脾提督推拿法对早产低体重儿神经行为发育影响的研究

发布时间：2018-05-12 04:16

本文选题：健脾提督推拿法 + 早产低体重儿　；参考：《云南中医学院》2017年硕士论文

【摘要】：目的观察健脾提督推拿法对早产低体重儿神经行为发育的影响,并与西医常规处理方法相比较,旨在探索一种安全、有效,符合循证要求且能促进早产低体重儿神经行为发育的方法。方法将符合纳入标准的64例早产低体重儿,采用“数字表法”随机的分为试验组(n=32)和对照组(n=32),其中每组脱落2例,实际纳入60例,每组30例。对照组采用西医常规处理方法,试验组在对照组的基础上加用健脾提督推拿法,两组相同时间点进行评估,并记录结果,即在入组时、入组3月后、入组6月后分别采用《0~6岁小儿神经心理发育检查表》(以下简称《儿心量表》进行评估。主要评估身长,体重,大运动,精细运动等五大能区发育商及综合发育商评分值,建立数据文件,采用SPSS21.0软件进行统计分析。结果(1)入组前:两组患儿性别、胎龄、出生体重和身长、就诊年龄、纠正月龄、就诊时体重和身长、《儿心量表》五大能区发育商及综合发育商评分值,差异无统计学意义(P0.05),具有可比性。(2)入组3月后:试验组体重的总体均数高于对照组,差异有统计学意义(P0.05),两组身长差异无统计学意义(P0.05);试验组神经行为综合发育商的总体均数高于对照组,差异有统计学意义(P0.05)。其中:试验组大运动及精细运动的发育商的总体均数高于对照组,差异有统计学意义(P0.05),而社交行为、适应能力、语言的发育商差异无统计学意义(P0.05)。(3)入组6月后:试验组体重与身长的总体均数均高于对照组,差异有统计学意义(P0.05);试验组神经行为综合发育商的总体均数高于对照组,差异有统计学意义(P0.05),试验组大运动、精细运动、社交行为、适应能力和语言五大能区发育商较对照组有明显差异,差异统计学意义(P0.01)。结论健脾提督推拿法可以促进早产低体重儿追赶生长,促进神经行为发育,尤其是体重及大运动和精细运动的发育方面更为明显,而身长、语言、社交行为以及适应能力的发育则需要较长时间。使用健脾提督推拿法的时间越长,效果越明显,健脾提督推拿法可以作为早产低体重儿的有效干预方案,值得临床进一步探索。
[Abstract]:Objective to observe the effect of tonifying spleen on neurobehavioral development of premature infants with low birth weight and to explore a safe and effective method compared with western medicine. Methods that meet the evidence-based requirements and promote neurobehavioral development in preterm low birth weight infants. Methods 64 premature infants with low birth weight were randomly divided into the experimental group (n = 32) and the control group (n = 30). The control group was treated with routine western medicine, and the experimental group was treated with the method of strengthening the spleen and raising the governor with massage on the basis of the control group. The two groups were evaluated at the same time point, and the results were recorded, that is, at the time of entering the group, 3 months after entering the group, After 6 months, the neuropsychological development of children < 0 ~ 6 years old was evaluated respectively (hereinafter referred to as the "Pediatric Heart scale"). This paper mainly evaluates the scores of development quotient and comprehensive development quotient in five energy regions, such as body length, body weight, big movement and fine movement, establishes the data file, and makes statistical analysis by SPSS21.0 software. Results 1) before entering the group: gender, gestational age, birth weight and body length, age of visit, corrected month age, weight and length at the time of visit, and scores of development quotient and comprehensive development quotient in five major energy regions of the two groups. The difference was not statistically significant (P 0.05), but comparable. After 3 months, the total mean body weight of the trial group was higher than that of the control group. The difference was statistically significant (P 0.05), and there was no significant difference in body length between the two groups (P 0.05). The total mean of neurobehavioral integrative development quotient in the test group was higher than that in the control group, and the difference was statistically significant (P 0.05). Among them: the total average of development quotient of large motor and fine motor in the experimental group was higher than that in the control group, the difference was statistically significant (P 0.05), while the social behavior and adaptability, There was no significant difference in language development quotient (P 0.05) after 6 months: the total mean of body weight and body length in the experimental group was higher than that in the control group, and the difference was statistically significant (P 0.05), and the total mean of the neurobehavioral integrative development quotient in the experimental group was higher than that in the control group. There was significant difference in the development quotient of the five energy regions in the experimental group (P 0.05), and the difference was statistically significant compared with that in the control group (P 0.01). Conclusion the method of invigorating spleen and raising the blood vessel can promote the growth of premature infants with low birth weight and promote the development of neurobehavioral, especially in the development of body weight, large movement and fine movement, but the body length and language are more obvious. Social behavior and adaptive development take longer. The longer the time is, the more obvious the effect is. It can be used as an effective intervention scheme for premature low birth weight infants, which is worthy of further clinical exploration.
【学位授予单位】：云南中医学院
【学位级别】：硕士
【学位授予年份】：2017
【分类号】：R244.1

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