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纸质出版:2009
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廖伟,赵聪敏,温恩懿,张雨平,王丽雁.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].陆军军医大学学报(原第三军医大学学报),2009,31(22):2193-2195.
LIAO Wei,ZHAO Cong-min,WEN En-yi,ZHANG Yu-ping,WANG Li-yan.Effects of neurodevelopmental support care on growth and neuropsychological development of premature infants[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(22):2193-2195.
廖伟,赵聪敏,温恩懿,张雨平,王丽雁.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].陆军军医大学学报(原第三军医大学学报),2009,31(22):2193-2195. DOI:
LIAO Wei,ZHAO Cong-min,WEN En-yi,ZHANG Yu-ping,WANG Li-yan.Effects of neurodevelopmental support care on growth and neuropsychological development of premature infants[J].J Amry Med Univ (J Third Mil Med Univ),2009,31(22):2193-2195. DOI:
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(P0.01);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(P0.01);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(P0.01)。 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。
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 (P0.01). 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 (P0.01). Conclusion Neurodevelopmental support care is beneficial for the growth
intellectual and motional development of premature infants.
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