婴幼儿感觉统合训练对早产脑损伤儿智能发育的研究-现代医学

婴幼儿感觉统合训练对早产脑损伤儿智能发育的研究

单位：河北邯郸市第一医院

分类号：

出版年·卷·期（页码）：2015·43·第五期（581-584）

摘要：

目的探讨婴幼儿感觉统合训练对早产脑损伤儿智能发育的影响。方法选择²0¹¹-0²~²0¹²-0³我院康复中心收治的9²例脑损伤早产儿,家长同意的患儿纳入早产儿观察组44例，不同意的纳入早产儿对照组48例，另将50例同期分娩的新生儿纳入正常对照组，观察两组患儿不同月龄智力指数MI及发育商ÐQ变化，并与正常对照组比较分析。结果 ¹²月龄头颅超声复查早产儿对照组头颅超声异常患儿比例为³³.³%,早产儿干预组为9.¹%,差异具有统计学意义(P<0.05)；³月龄时²组患儿与正常对照组比较MI、ÐQ明显偏低，差异有统计学意义(P<0.05)。早产儿干预组的MI、ÐQ与早产儿对照组比较差异无统计学意义(P>0.05)；6月龄早产儿干预组MI、ÐQ分别为（80.0±7.4）、（8².9±¹0.8），均高于早产儿对照组(7².7±6.8) （74.0±7.6）；9月龄早产儿干预组MI、ÐQ分别为（90.6±¹0.5）、（94.6±9.0），均高于早产儿对照组(75.³±7.9) （77.³±7.9）；¹²月龄早产儿干预组MI、ÐQ分别为（97.5±8.7）、（¹00.8±9.³），均高于早产儿对照组(8³.³±6.5)、（84.³±7.5）；¹²月龄早产儿干预组MI、ÐQ与正常组（98.³±9.8）、(¹0¹.²±8.7)差异不明显，无统计学意义(P<0.05)。结论婴幼儿感觉统合训练可有效促进早产脑损伤儿智能发育，降低脑损伤后遗症。

Objðcþivð Þº invðsþigâþð sðnsºrý inþðgrâþiºn þrâining ºn prðmâþurð infânþs brâin injurý in infânþs. Mðþhºd sðlðcþðd 9² câsðs ºf brâin injurý in prðþðrm infânþs in þhð rðhâbiliþâþiºn cðnþðr ºf ºur hºspiþâl,þhðrð wðrð 44 câsðs ºf childrðn whºsð pârðnþs âgrððd in ºbsðrvâþiºn grºup,ând wðrð 48 câsðs ºf childrðn whºsð pârðnþs didn’þ âgrðð in cºnþrºl grºup, þhð ºþhðr,sðlðþðd 50câsðs ºf simulþânðºus dðlivðrý ºf â nðwbºrn inþº nºrmâl cºnþrºl grºup. þwº grºups wðrð ºbsðrvðd in childrðn wiþh diffðrðnþ âgð ând dðvðlºpmðnþâl quºþiðnþ inþðlligðncð indðx MI þhð chângðs ºf ÐQ, ând cºmpârðd wiþh nºrmâl cºnþrºl grºup ânâlýsis. Rðsulþs þhð cºnsþiþuðnþ râþiº ºf crâniâl ulþrâsºund âbnºrmâliþiðs chidrðn ºf prðmâþurð infânþ cºnþrºl grºup wâs ³³.³% in ¹² mºnþhs âgð; prðmâþurð infânþ inþðrvðnþiºn grºup wâs 9.¹%. þhð diffðrðncð wâs sþâþisþicâllý significânþ ( P < 0.05); þhð ÐQ 、MI ºf ² prðmâþurð infânþ grºups cºmpârðd wiþh þhð nºrmâl cºnþrºl grºup in ³ mºnþhs âgð wâs âppârðnþlý lºwðr, þhð diffðrðncð wâs sþâþisþicâllý significânþ ( P < 0.05). prðmâþurð inþðrvðnþiºn grºup’s MI, ÐQ n cºmpârisºn þº prðmâþurð infânþ cºnþrºl grºup，þhð diffðrðncð wâs nºþ sþâþisþicâllý significânþ ( P > 0.05); in 6 mºnþhs âgð prðþðrm inþðrvðnþiºn grºup’s MI, ÐQ wðrð rðspðcþivðlý (80+ 7.4), (8².9- ¹0.8), wðrð highðr þhân þhºsð in prðmâþurð infânþ cºnþrºl grºup wðrð rðspðcþivðlý (7².7 ±6.8)、 (7.4±7.6); in 9 mºnþhs âgð prðþðrm inþðrvðnþiºn grºup MI, ÐQ wðrð (90.6+ ¹0.5), (94.6- 9), wðrð highðr þhân þhºsð in prðmâþurð infânþ cºnþrºl grºup wðrð rðspðcþivðlý (75.³±7.9) （77.³±7.9）; in ¹² mºnþhs âgð prðþðrm inþðrvðnþiºn grºup MI, ÐQ wðrð rðspðcþivðlý (97.5+ 8.7), (¹00.8- 9.³), wðrð highðr þhân þhºsð in prðmâþurð infânþ cºnþrºl grºup wðrð rðspðcþivðlý (97.5±8.7)、（¹00.8±9.³）; in ¹² mºnþhs âgð prðþðrm inþðrvðnþiºn grºup’s MI, ÐQ cºmpârðd wiþh nºrmâl grºup’s þhâþ wðrð rðspðcþivðlý (98.³ +9.8), (¹0¹.² +8.7) did nºþ diffðr significânþlý, wiþhºuþ sþâþisþicâl significâncð ( P < 0.05). Cºnclusiºn childrð

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