摘要
目的观察神经行为检测(NBNA)及家庭干预对早产儿生长发育的影响。方法选取240例早产儿,分为对照组120例,干预组120例。纠正月龄后对照组新生儿接受常规临床护理,干预组新生儿在此基础上进行NBNA检测并根据测定结果给予家庭干预,干预前后采用0~1岁52项神经系统检查及0~6岁小儿神经心理发育检查量表对两组早产儿进行评估。结果干预一周后干预组评估异常早产儿例数减少;对照组视反应、拉起竖头、肌张力增高、肌张力降低发生例数高于干预组,差异显著(P<0.05);干预组在大运动、适应能力、发育商方面优于对照组,差异显著(P<0.05)。结论神经行为检测能早期发现早产儿神经发育异常,有助于早期干预的进行;针对性的家庭干预可降低神经系统异常检出率,促进早产儿的生长发育。
Objective To explore the effects of neurobehavioral examination and family intervention in the growth and development of premature infants. Methods A total of 240 eases of preterm infants were divided into two groups, 120 cases in the control group and 120 cases in the intervention group. NBNA was tested and the intervention was given according to the results in the intervention group while only regular clinical nursing care was given in the control group after ages were corrected in both group. 0 - 1 year old 52 neurological examination and 0-6 years old children neuro-psychological behavior check scale were used to assess the development of all the infants 3 months later. Results Cases of infants with abnormal NBNA assessment results were lower after 1 week intervention. Cases of infants with poor visual response, pulling up vertical head and increased/decreased muscle tension were significantly higher in the control group than that of the intervention group （P〈0.05） . The scores of big sports, adaptability and development scale were higher in the intervention group than that of the control group （P 〈 0.05 ） . Conclusions Neurobehavioral examination can detect early neurodevelopmental abnormalities in premature infants and help the conduction of early intervention. Targeted family intervention can reduce the occurrence of nervous system abnormalities and promote the growth and development of premature infants.
出处
《国际精神病学杂志》
2017年第2期294-297,共4页
Journal Of International Psychiatry
关键词
早产儿
神经行为检测
家庭干预
生长发育
Premature infant
Neurobehavioral examination
Family intervention
Growth and development
