摘要
目的探究引导式教育训练对高危儿早期神经行为发育的影响。方法将105例1月龄以内的高危患儿随机分为干预组和对照组,对干预组高危儿进行定期随访及引导式教育训练,对照组只接受定期随访。于矫正月龄3月龄、6月龄、12月龄时对两组高危儿进行Gesell发育诊断量表测试评价其神经行为发育。结果干预组的高危儿Gesell发育测试的各项评估明显优于对照组,具有显著的统计学差异(P<0.05);在Gesell总发育商异常率方面,干预组发育迟缓患儿比率在3月龄(1.54%)、6月龄(0.00%)和12月龄(0.00%)均低于对照组3月龄(7.50%)、6月龄(5.00%)和12月龄(5.26%),具有显著的统计学差异(P<0.05)。结论引导式教育训练可以促进高危儿的神经行为发育,并降低高危儿发育迟缓的发生率。
Objective:To evaluate the effect of conductive education(CE)on neurodevelopment of high risk infants.Methods:Total 105 high risk infants within 1 month were enrolled and divided into two groups.The interventional group received regular follow-up and CE.The control group just received regular follow-up.The developmental states of high risk infants in both groups were assessed using Gesell scale at three,six and twelve months of corrected age respectively.Results:The Gesell scores in the interventional group were better than those in the control group,the differences were significant(P<0.05);The morbidity of delayed development in interventional group at three(1.54%),six(0.00%)and twelve(0.00%)months were significantly lower than that in the control group at three(7.50%),six(5.00%)and twelve(5.26%)months respectively,the difference was statistically significant(P<0.05).Conclusion:CE can effectively improve the neurodevelopment and reduce the morbidity of delayed development for the high risk infants.
引文
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