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目的探讨个体化情景式运动训练对晚期早产儿体格发育、认知及运动能力发展的影响,为开展晚期早产儿早期干预工作提供理论依据及实践基础。方法随机抽取2018年6—9月辽宁省大连市妇幼保健院儿童保健门诊高危儿门诊随诊的晚期早产儿92例为研究对象,随机分为对照组45例及干预组47例。对照组接受常规的早产儿随访,干预组在对照组的基础上进行个体化情景式运动训练,比较两组早产儿矫正月龄6、12、18月龄体格、认知和运动发育情况的差异。结果对照组与干预组均能按时完成随诊,无失访。干预组1年的训练完课率97.7%。矫正月龄6、12、18月龄时,干预组早产儿身长、体重及头围均优于对照组,差异均具有统计学意义(均P<0.05);智力发展指数和运动发展指数均优于对照组,差异均具有统计学意义(均P<0.05)。结论对晚期早产儿进行个体化情景式运动训练早期干预能更好地促进其体格及体智能发育,值得临床推广。
Abstract：Objective To investigate the effect of individualized situational exercise training on physical, cognitive and motor function development of late preterm infants in order to provide theoretical and practical evidence for the early development intervention of late preterm infants.Methods Totally 92 infants were randomly recruited from outpatient clinic for high risk children at Dalian maternal and child health care hospital from June to September in 2018. They were randomly divided into control group(45 cases) and intervention group(47 cases). The control group received routine medical follow-up, and the intervention group received individualized situational exercise training on the basis of routine care. Their physical, cognitive and motor function were compared between two groups at 6,12 and 18 months of corrected age.Results The infants in both groups completed all follow-up visits on time. 97. 7%children in the intervention group completed training course, and their length, weight and head circumference were significantly better than the control group at 6, 12 and 18 months of corrected age(P< 0. 05). In addition, children in the intervention group had better cognitive and motor functions than those in the control group(P< 0. 05).Conclusion Individualized situational exercise training for late preterm infants can improve physical, cognitive and motor function development, which is worthy of clinical application.
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基本信息:
DOI：10.19757/j.cnki.issn1674-7763.2021.06.008
中图分类号:R722.6
引用信息:
[1]曾敏慧,李鑫,郭华蕾等.个体化情景式运动训练对晚期早产儿生长发育的影响[J].中国妇幼卫生杂志,2021,12(06):34-38.DOI:10.19757/j.cnki.issn1674-7763.2021.06.008.
基金信息:
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(2019FYH029)