摘要
目的探讨早产儿神经行为检测及早期干预在儿保科门诊中的临床效果分析。方法选择2015年3月~2017年3月在我院出生的早产儿235例作为研究对象,按照神经行为评测及干预方式的不同分为观察组(110例)和对照组(125例)。观察组早产儿在纠正月龄3个月后实施神经行为测定,评分<37分的早产儿,要求住院治疗并给予运动疗法、物理治疗、神经电刺激治疗仪等干预措施;评分≥37分的早产儿指导家长在家中行个性化训练,并在随访中依据神经实际测评状况予以合理调整,纠正月龄干预治疗3个月后,进行神经行为发育评估。对照组早产儿在纠正月龄3个月后直接行神经筛查及评估发育状况,比较两组患儿神经行为筛查的临床干预效果。结果观察组患儿神经异常状况检出率明显低于对照组,差异有统计学意义(P<0.05);发育评估各功能区检测,观察组在大运动、适应能力、发育商方面明显优于对照组,差异有统计学意义(P<0.05)。结论早产儿实施神经行为检测,具有安全性强,简单操作的特点,可对早产儿神经偏离做到早发现,早干预,减少早产儿神经异常的发生,提升早产儿运动发育和智力水平。
Objective To investigate clinical effect analysis of the neural behavior detection in premature infants and early intervention in child heahhcare clinic.Methods From March 2015 to March 2017,235 preterm infants born in our hospital were selected as research objects.According to the neurobehavioral evaluation and differences of intervention methods,they were divided into observation group （n=110） and control group （n=125）.In the observation group,premature infants were provided with neurobehavioral evaluation 3 months after month corrections.If the score less than 37 points, infants were required to be hospitalized and performed with intervention measures such as exercise therapy,physical therapy,and nerve electrical stimulation.If the score no less than 37 points,personalized training at home was necessary after instructing parents.The training was adjusted reasonably according to the actual state of neurological assessment. After 3 month intervention,the development of neural behavior was assessed.In the control group,neurobehavioral screening and status of development assessment were directly performed 3 months after month corrections.The clinical intervention effect on neurobehavioral screening was compared in the two groups.Results In the observation group,the detection rate of nervous abnormality was significantly lower than that in the control group with a statistical difference （P〈 0.05）.With regard to development assessment of the functional areas,the large movement,adaptive capacity,and development quotient were significantly better than those in the control group,which were displayed statistical significance （P〈0.05）. Conclusion The implementation of neurobehavioral detection in premature infants has advantages of strong safety and simple operation.Early detection and intervention on neural deviation in premature infants can reduce the incidence of their nerve abnormalities,and improve the motor development as well as intelligence level of premature infants.
出处
《中国当代医药》
2018年第2期62-64,共3页
China Modern Medicine
基金
广东省佛山市十三五医学重点专科项目(FSZDZ K135057)
关键词
早产儿
神经行为检测
早期干预
儿保科门诊
Premature infant
Neurobehavioral detection
Early intervention
Child healthcare clinic
