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目的 观察和分析睡眠家庭养育干预对早产儿和低出生体重儿生长发育的干预效果，为临床指导早产儿和低出生体重儿生长发育提供参考依据。方法 采用前瞻性随机对照方法。研究对象为2021年10月至2022年7月在四川省泸州市妇幼保健院出生的早产儿和低出生体重儿。共纳入120例早产儿和低出生体重儿，98例完成随访，其中对照组48例，干预组50例。对照组早产儿和低出生体重儿接受常规家庭养育，干预组在对照组的基础上接受特定的睡眠家庭养育干预，两组均于0～4月龄接受体格测量，第1～4月龄接受神经心理发育量表评估，并对两组结果进行分析和评价。结果 干预组与对照组1～4月龄身长、体重增长差异均无统计学意义（P> 0.05）,4月龄时干预组发育商、适应性、语言、社交评分均高于对照组（P <0.05），两组间大运动、精细运动评分差异无统计学意义（P> 0.05）。结论 睡眠家庭养育干预可以提高早产儿和低出生体重儿婴儿早期总的发育商，对适应性、语言和社交分维度影响明显，但对大运动、精细运动无影响。
Abstract：Objective To observe and analyze the effect of sleep-focused home parenting intervention on the growth and development of premature and low birth weight infants, to provide a reference for clinical guidance in their growth and development.Methods A prospective randomized controlled study was conducted. The subjects were premature and low birth weight infants born in Luzhou Maternal and Child Health Care Hospital from October 2021 to July 2022. A total of 120 premature and low birth weight infants were included, with 98 cases completing the follow-up, including 48 cases in the control group and 50 cases in the intervention group. Premature and low birth weight infants in the control group received routine home parenting, while the intervention group received specific sleep-focused home parenting intervention in addition to the control group's routine. Both groups underwent physical measurements from 0 to 4 months of age and neuropsychological development assessments from 1 to 4 months of age. The results of the two groups were analyzed and evaluated. Results There was no significant difference in length and weight gain between the intervention group and the control group from 1 to 4 months of age(P > 0.05). At the age of 4 months, the intervention group had higher developmental quotient, adaptability, language, and social interaction than the control group(P < 0.05), and there was no significant difference in gross motor and fine motor between the two groups(P > 0.05). Conclusion The implementation of sleepfocused home parenting intervention can improve the overall development quotient of premature and low birth weight infants in early infancy, with significant effects on adaptability, language, and social sub-dimensions, but has no effect on gross motor and fine motor skills of them.
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基本信息:
DOI：10.19757/j.cnki.issn1674-7763.2024.05.009
中图分类号:R174
引用信息:
[1]赵利娟,张璐,王涛.睡眠家庭养育干预对早产儿和低出生体重儿生长发育的效果评价[J].中国妇幼卫生杂志,2024,15(05):49-55.DOI:10.19757/j.cnki.issn1674-7763.2024.05.009.
基金信息:
国家自然科学基金青年基金（81701888）; 中国疾病预防控制中心妇幼保健中心母婴营养与健康研究项目（2022FYH014）; 四川省科技厅重点研发项目（2023YFS0206）; 四川省妇幼医学科技创新课题（FXYB02）
2024-10-20
2024-10-20