[1]廖伟,赵聪敏,温恩懿,等.神经发育支持模式对早产儿体格及神经心理发育的影响[J].第三军医大学学报,2009,31(22):2193-2195.
 LIAO Wei,ZHAO Cong-min,WEN En-yi,et al.Effects of neurodevelopmental support care on growth and neuropsychological development of premature infants[J].J Third Mil Med Univ,2009,31(22):2193-2195.
点击复制

神经发育支持模式对早产儿体格及神经心理发育的影响(/HTML )
分享到:

《第三军医大学学报》[ISSN:1000-5404/CN:51-1095/R]

卷:
31卷
期数:
2009年第22期
页码:
2193-2195
栏目:
专题报道
出版日期:
2009-11-30

文章信息/Info

Title:
Effects of neurodevelopmental support care on growth and neuropsychological development of premature infants
作者:
廖伟赵聪敏温恩懿张雨平王丽雁
第三军医大学新桥医院儿科
Author(s):
LIAO Wei ZHAO Cong-minWEN En-yiZHANG Yu-pingWANG Li-yan
Department of Pediatrics, Xinqiao Hospital, Third Military Medical University, Chongqing 400037, China
关键词:
早产儿神经发育支持模式生长发育神经心理发育
Keywords:
premature infants neurodevelopmental support care growth development neuropsychological development
分类号:
R181.2;R473.72;R714.7
文献标志码:
A
摘要:
目的  探讨在新生儿重症监护室(NICU)实行神经发育支持模式对早产儿体格及神经心理发育的影响。  方法  将78例早产儿随机抽样分为观察组38例,对照组40例。观察组在传统方法护理基础上予以神经发育支持照顾模式,对照组采用传统方法护理。两组患儿在出入院时均测定头围、身长及体质量;在纠正年龄14 d对两组患儿进行新生儿神经行为(NBNA)测试;纠正年龄2、6个月时,用Gesell发育量表对发育商进行评估。  结果  观察组在出院时体质量增加较对照组体质量增加有显著差异(P<0.01);观察组新生儿神经行为测试其行为能力、被动肌张力、主动肌张力及一般评估4个方面的NBNA评分均显著高于对照组(P<0.01);观察组在6月龄时Gesell测试其动作能、应物能及应人能3个能区发育商分值均显著高于对照组(P<0.01)。  结论  在NICU对早产儿实行神经发育支持疗法可促进其体格及神经心理的发育,值得提倡、推广。
Abstract:
Objective   To explore the effects of neurodevelopmental support care on the growth and neuropsychological development of premature infants in the neonatal intensive care unit.     Methods   A total of 78 premature infants were randomly divided into observed group (38 cases) and control group (40 cases). Observed group was treated with neurodevelopmental support care on the basis of traditional nursing. The control group was treated with traditional nursing. The growth velocity of weight, head circumference and height were measured at hospital admission and discharge. Neonatal behavioral neurological assessment (NBNA) was administered at the adjusted age of 14 days. Gesell development schedules (GDS) were performed to test the nervous behaviors, intellectual and motional development of the infants at the adjusted age of 2 and 6 months.    Results   The average increase in weight and the NBNA scores in the 4 aspects of nervous behaviors of the observed group were higher than those of the control group (P<0.01). At the age of 6 months, the Gesell scores of 3 functional areas (social area, adaptive area and motor area) in the observed group were significantly higher than those of the control group (P<0.01).    Conclusion   Neurodevelopmental support care is beneficial for the growth, intellectual and motional development of premature infants.

参考文献/References:

廖伟,赵聪敏,温恩懿,等.神经发育支持模式对早产儿体格及神经心理发育的影响[J]. 第三军医大学学报,2009,31(22):2193-2195.

相似文献/References:

[1]万小红,曾小靓.肺表面活性物质预防早产儿呼吸窘迫综合征的疗效观察[J].第三军医大学学报,2008,30(03):225.
[2]陈霞,何念海.早产儿甲胎蛋白的测定与新生儿高胆红素血症的关系[J].第三军医大学学报,2006,28(13):1446.
[3]赵聪敏,鲁利群.早产儿脑损伤动物模型的研究现状与展望[J].第三军医大学学报,2009,31(22):2167.
[4]李禄全,余加林,陈静宇,等.牛肺表面活性物质治疗早产儿呼吸窘迫综合征对脑血流动力学的影响[J].第三军医大学学报,2010,32(21):2333.
 Li Luquan,Yu Jialin,Chen Jingyu,et al.Effect of bovine pulmonary surfactant on cerebral hemodynamics in premature neonates with respiratory distress syndrome[J].J Third Mil Med Univ,2010,32(22):2333.
[5]包蕾,王荞,方静,等.早产儿视网膜病变的彩色多普勒超声诊断与临床眼科随访对比分析[J].第三军医大学学报,2009,31(22):2278.
 BAO Lei,WANG Qiao,FANG Jing,et al.Comparative study on retinopathy of prematurity by color Doppler flow imaging diagnosis and clinical ophthalmology[J].J Third Mil Med Univ,2009,31(22):2278.
[6]廖翎帆,龚华,易明,等.不同起始量肺表面活性物质治疗新生儿呼吸窘迫综合征的多中心临床疗效比较[J].第三军医大学学报,2016,38(04):411.
 Liao Lingfan,Gong Hua,Yi Ming,et al.Difference of multi-center controlled clinical efficacy in treatment of neonatal respiratory distress syndrome with different initial doses of pulmonary surfactant[J].J Third Mil Med Univ,2016,38(22):411.
[7]唐夕琴,徐娜,黄志,等.受孕龄28~30周早产儿脑电图高幅慢波改变对其预后的评估价值及临床意义[J].第三军医大学学报,2013,35(15):1624.
 Tang Xiqin,Xu Na,Huang Zhi,et al.Prognostic value and clinical significance of high-amplitude slow wave changes in video electroencephalogram of preterm infants between 28 and 30 weeks of conceptional age[J].J Third Mil Med Univ,2013,35(22):1624.
[8]李小玉,邓春,苏云娟.98例足月儿、早产儿化脓性脑膜炎临床分析[J].第三军医大学学报,2013,35(19):2105.
 Li Xiaoyu,Deng Chun,Su Yunjuan.Clinical analysis of neonatal purulent meningitis: a retrospective cohort study of 98 cases[J].J Third Mil Med Univ,2013,35(22):2105.
[9]赵聪敏,李为明,温恩懿,等.一例脐部联体儿的术前检查与处理[J].第三军医大学学报,1998,20(04):0.[doi:10.16016/j.1000-5404.1998.04.014 ]
[10]冉丽红,包蕾.早产儿经母乳获得性巨细胞病毒感染情况及随访观察[J].第三军医大学学报,2018,40(10):939.
 RAN Lihong,BAO Lei.Infection status and follow-up observation for acquiring cytomegalovirus infection via breast milk among premature infants[J].J Third Mil Med Univ,2018,40(22):939.

更新日期/Last Update: 2009-11-23