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穴位按摩主导的早期综合干预对脑损伤早产儿预后的影响

[Effect of acupoint massage dominant early comprehensive intervention on the prognosis of premature infants with brain injury].

作者信息

Hu Chun-Wei, Wei Yu-Shan, Du Ya-Mei, Li He-Qin, Liu Zhi-Hua, Qiu Yan-Ping, Yang Hui-Ting

出版信息

Zhongguo Zhong Xi Yi Jie He Za Zhi. 2014 Sep;34(9):1074-7.

Abstract

OBJECTIVE

To explore the effect of acupoint massage dominant early comprehensive intervention on the prognosis of premature infants with brain injury.

METHODS

Totally 210 premature infants with brain injury were assigned to the intervention group (112 cases) and the control group (98 cases). All patients received routine therapy (medicinal + routine care instructions). Patients in the intervention group additionally received acupoint massage. Those with abnormal early motion received physical sports treatment. Those with upper limbs dysfunction or with fine movement disorders received occupational therapy. Premature infants' development quotient (DQ) was performed at corrected age of 6 and 12 months by using neuropsychological development examination table for 0 - 6 years old children. The incidence of cerebral palsy was statistically calculated.

RESULTS

At corrected age of 6 months, DQ of gross motor, fine motor, language three functional areas was higher in the intervention group than in the control group with significant difference (P < 0.05). At corrected age of 12 months, DQ of gross motor, fine motor, language, social and adaptive capacities was higher in the intervention group than in the control groupwith significant difference (P < 0.05). The incidence of cerebral palsy was 4.46% (5/112) in the intervention group and 12.24% (12/98) in the control group (P < 0.05).

CONCLUSION

Acupoint massage dominant early comprehensive intervention could obviously improve the intelligence development level and lower the incidence of cerebral palsy in premature infants with brain injury.

摘要

目的

探讨穴位按摩为主的早期综合干预对脑损伤早产儿预后的影响。

方法

将210例脑损伤早产儿分为干预组(112例)和对照组(98例)。所有患儿均接受常规治疗(药物+常规护理指导)。干预组患儿在此基础上接受穴位按摩。早期运动异常者接受体育治疗。上肢功能障碍或精细运动障碍者接受作业治疗。采用0-6岁儿童神经心理发育检查表,在矫正年龄6个月和12个月时对早产儿进行发育商(DQ)测定,并统计脑瘫发生率。

结果

矫正年龄6个月时,干预组粗大运动、精细运动、语言三个功能区的DQ均高于对照组,差异有统计学意义(P<0.05)。矫正年龄12个月时,干预组粗大运动、精细运动、语言、社会适应能力的DQ均高于对照组,差异有统计学意义(P<0.05)。干预组脑瘫发生率为4.46%(5/112),对照组为12.24%(12/98),差异有统计学意义(P<0.05)。

结论

穴位按摩为主的早期综合干预可明显提高脑损伤早产儿的智力发育水平,降低脑瘫发生率。

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