首页|环境康复训练对新生儿缺氧性脑病体格及神经发育的影响

环境康复训练对新生儿缺氧性脑病体格及神经发育的影响

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目的 观察环境康复训练对新生儿缺氧缺血性脑病(HIE)体格、神经发育情况的影响。方法 选取 117例HIE患儿,按照随机数字表法将患儿分为常规组和环境组。常规组实施常规管理,环境组实施环境康复训练,比较两组患儿的生长、智力发育、肌张力发育及行为能力发育等情况。结果 在不同管理模式下,环境组的体质量、头围、上臂围、身高的测得值均大于常规组,差异具有统计学意义(P<0。05);干预1 个月、3 个月后,环境组管理的智力发育指数(MDI)、心理运动发育指数(PDI)均高于常规组(P<0。05);干预 1 个月、3 个月后,环境组管理的主动肌张力、被动肌张力均大于常规组(P<0。05);干预 1 个月、3 个月后,环境组管理的原始反射及一般反应发育能力均优于常规组(P<0。05)。结论 环境康复训练对改善HIE患儿的生长情况,并促进患儿智力、肌张力及行为能力发育均有积极意义。
Effects of environmental rehabilitation training on the physical and neurological development of newborns with hypoxic-ischemic encephalopathy
Objective To observe the impact of environmental rehabilitation training on the physical and neurological development of newborns with hypoxic ischemic encephalopathy(HIE).Methods 117 children with HIE were selected and divided into the routine group and environmental group according to random number tables.The conventional group were received routine management,while the environmental group were received environmental rehabilitation training.The growth,intellectual development,muscle tone development,and behavioral ability development were compared between two groups of children.Results Under different management modes,the body weight,head circumference,upper arm circumference,and height of the environmental group were higher than those of the conventional group.The difference was statistically significant(P<0.05).The intelligence development index(MDI)and psychomotor development index(PDI)in the environmental group were higher than those in the control group after 1 and 3 months of management(P<0.05).The active and passive muscle tone of the environmental group after 1 and 3 months of management were higher than those of the conventional group(P<0.05).The original reflex and general response of the environmental group after 1 and 3 months of management were higher than those of the conventional group(P<0.05).Conclusion Environmental rehabilitation training has a positive significance in improving the growth status of HIE children and promoting their intellectual,muscle tone,and behavioral development.

neonatal hypoxicischemic encephalopathyenvironmental rehabilitation trainingintellectual developmentmuscle tonebehavioral ability

王鑫、孟甜

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商丘市第一人民医院新生儿重症监护室,商丘 476000

新生儿缺氧缺血性脑病 环境康复训练 智力发育 肌张力 行为能力

2024

华夏医学
桂林医学院

华夏医学

影响因子:0.569
ISSN:1008-2409
年,卷(期):2024.37(6)