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早期干预治疗在早产儿神经发育结局中的作用

The Role of Early Intervention Therapy in Neurodevelopmental Outcomes of Premature Infants.

作者信息

Malwade Sudhir, Chalipat Shiji, Shah Priyanka, Mane Shailaja

机构信息

Pediatrics, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

Pediatric Neurology, Dr. D. Y. Patil Medical College, Hospital and Research Centre, Dr. D. Y. Patil Vidyapeeth (Deemed to be University), Pune, IND.

出版信息

Cureus. 2024 Sep 4;16(9):e68618. doi: 10.7759/cureus.68618. eCollection 2024 Sep.

Abstract

Neurodevelopmental impairments are known to be more common in premature infants. Premature and low birth weight babies are now more likely to survive because of modern technologies and advancements in perinatal and postnatal care. However, long stays and exposure to harsh stimuli in neonatal intensive care units are known to have a negative impact on the developing neonatal brain. Therefore, the goal of early intervention (EI) is to assist an infant and their family in achieving the greatest potential outcome. This encompasses a broad spectrum of strategies and structured programs that might differ in many aspects, such as who should implement them, where they should take place, and when they should begin. They aid in minimizing brain damage and optimizing growth via varied sensory and motor stimuli. Current evidence supports the initiation of EI therapy soon after birth, starting from neonatal intensive care units and continuing post-discharge. This research is important, especially in developing countries like ours, owing to the increasing number of premature deliveries due to multiple reasons. The focus of this article is to analyze the various protocols and applications available to us for the implementation of EI therapies and their benefits.

摘要

众所周知,神经发育障碍在早产儿中更为常见。由于现代技术以及围产期和产后护理的进步,早产和低体重婴儿现在更有可能存活下来。然而,新生儿重症监护病房的长时间停留以及暴露于恶劣刺激下,已知会对发育中的新生儿大脑产生负面影响。因此,早期干预(EI)的目标是帮助婴儿及其家庭实现最大的潜在结果。这包括广泛的策略和结构化项目,这些策略和项目在许多方面可能会有所不同,比如应由谁来实施、在何处进行以及何时开始。它们通过各种感官和运动刺激,有助于将脑损伤降至最低并优化生长。目前的证据支持在出生后尽早开始EI治疗,从新生儿重症监护病房开始并持续到出院后。这项研究很重要,尤其是在像我们这样的发展中国家,由于多种原因导致早产的数量不断增加。本文的重点是分析我们可用于实施EI治疗的各种方案和应用及其益处。

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