|
|
Effect of early neurodevelopmental therapy on intelligence and motor development of high-risk infants with brain injury |
LI Ling1 XING Mengting1 CHEN Chunli1 ZHANG Yaodan1 JIANG Suixue1 YANG Wenxu2▲ |
1.Department of Pediatric, Guang’an District Maternal and Child Health Care Family Planning Service Center, Sichuan Province, Guangan 638000, China; 2.Department of Child Care Guidance Center, Women’s and Children’s Hospital, School of Medicine, University of Electronic Science and Technology Chengdu Women and Children’s Central Hospital, Sichuan Province, Chengdu 610073, China
|
|
|
Abstract Objective To investigate the effect of early neurodevelopmental therapy on intelligence and motor development of high-risk infants with brain injury. Methods A total of 100 children at high risk of brain injury from January 2018 to January 2022 in the Maternal and Child Health and Family Planning Service Center of Guang’an District, Sichuan Province were selected as the research objects. They were divided into observation group and control group by random number table method, with 50 cases in each group. The control group was treated with conventional nursing intervention, and the observation group was treated with neurodevelopmental therapy on the basis of control group. After intervention, developmental quotient (DQ) scale, gross motor function rating scale (GM-FM-88) and neonatal behavioral neurological assessment (NBNA) were respectively evaluated in the two groups. Results DQ score and total percentage of GM-FM-88 in both groups were significantly higher after 6 and 12 months than after 1 month of intervention, and DQ score and total percentage of GM-FM-88 after 12 months were significantly higher than those after 6 months (P<0.05). Comparison between groups: DQ score and total percentage of GM-FM-88 in the observation group were higher than those in the control group at 3, 6, and 12 months after intervention (P<0.05). Neurobehavioral scores in both groups were higher after intervention than before intervention, and those in the observation group were higher than those in the control group after treatment (P<0.05). Conclusion Early neurodevelopmental therapy can significantly improve and promote the intellectual and motor development of children at high risk of brain injury.
|
|
|
|
|
[1] 张九菊,梁丽霞,袁志忠,等.早期全面干预对全身运动评估 异常的脑损伤高危儿神经发育的影响[J].临床和实验医学杂志,2020,19(10):1113-1117.
[2] Yates N,Gunn AJ,Bennet L,et al. Preventing Brain Injury in the Preterm Infant-Current Controversies and Potential Therapies [J]. Int J Mol Sci,2021,22(4):1671.
[3] 闫冬梅,施庆喜,仝娇,等.区域性高危儿网络化管理体系在预防残疾中的作用[J].中国康复理论与实践,2020, 26(2):242-248.
[4] Acar G,Ejraei N,Turkdo■an D,et al. The Effects of Neurodevelopmental Therapy on Feeding and Swallowing Activities in Children with Cerebral Palsy [J]. Dysphagia,2022,10(4):800-811.
[5] 张尚,李晓捷,郭爽,等.神经发育学疗法应用于脑性瘫痪的循证医学研究进展[J].中国康复医学杂志,2019,34(7):865-869.
[6] 孙玉芬,殷秀燕,于娟.神经发育疗法联合核心稳定性训练对脑卒中患者平衡功能康复的影响[J].国际护理学杂志,2022,41(12):2198-2202.
[7] 吴德,崔珍珍,朱静,等.目标-活动-运动环境疗法和神经发育学疗法对脑性瘫痪高风险儿早期干预效果的比较[J].中华实用儿科临床杂志,2019,34(11):832-836.
[8] 程冰梅,肖华,何璐,等.Alberta婴儿运动量表与Gesell发育量表在高危儿运动评估中的一致性[J].广东医学,2017,38(20):3158-3159,3163.
[9] 刘鹏,黄东锋,江沁,等.脑瘫患儿粗大运动功能测量量表的标准化研究[J].中国康复医学杂志,2004,19(3):170-173.
[10] 鲍秀兰.新生儿行为能力和测查方法[J].实用诊断与治疗杂志,2003,1(6):441-443.
[11] 刘春丽,刘春枝,王秀,等.早产儿脑损伤治疗热点的研究进展[J].实用药物与临床,2021,24(2):176-180.
[12] 叶艳艳,吴若雅,夏雯丽,等.血清S100B和髓鞘碱性蛋白对早产儿脑损伤的早期诊断价值[J].中国妇幼保健,2021,36(3):575-578.
[13] Murthy P,Zein H,Thomas S,et al. Neuroprotection Care Bundle Implementation to Decrease Acute Brain Injury in Preterm Infants [J]. Pediatr Neurol,2020,11(5):42-48.
[14] 王剑桥,刘惠林.神经发育疗法在脑卒中患者平衡功能康复中的应用进展[J].中国康复理论与实践,2019,25(5):550-552.
[15] 田小玉,王秋,李娜,等.婴幼儿神经发育疗法在脑性瘫痪康复治疗的疗效分析[J].四川医学,2019,40(1):28-32.
[16] 黄雅琳,龙耀斌.神经发育治疗结合前庭训练对脑性瘫痪患儿运动功能的影响[J].中国康复医学杂志,2019, 34(8):971-973.
[17] 宋尚道,余小锋,卢爱兰,等.婴幼儿神经发育疗法对脑瘫患儿康复的疗效[J].中国妇幼保健,2020,35(24):4776- 4778.
[18] Finder M,Boylan GB,Twomey D,et al. Two-Year Neurodevelopmental Outcomes After Mild Hypoxic Ischemic Encephalopathy in the Era of Therapeutic Hypothermia [J]. JAMA Pediatr,2020,174(1):48-55.
[19] 张秀亚,夏明月,刘彦岐,等.极低体质量新生儿血清中KL-6、BNP水平与小儿支气管肺发育不全的相关分析[J].国际检验医学杂志,2021,42(10):1242-1245.
[20] 宫为大,纪红,许凤丽,等.循经针刺联合Bobath疗法对痉挛型脑瘫患儿肢体运动功能、平衡功能、智力恢复及脑血流动力学的影响[J].中医学报,2020,35(7):1564- 1569.
[21] Tekin F,Kavlak E,Cavlak U,et al. Effectiveness of Neuro-Developmental Treatment (Bobath Concept) on postural control and balance in Cerebral Palsied children [J]. J Back Musculoskelet Rehabil,2018,31(2):397-403.
[22] 李素珍,杨忠秀,李新剑,等.督脉经穴针刺法联合神经发育学康复疗法治疗痉挛型脑瘫的临床研究[J].中西医结合心脑血管病杂志,2021,19(19):3410-3412.
[23] Zanon MA,Pacheco RL,Latorraca COC,et al. Neurodevelopmental Treatment (Bobath) for Children With Cerebral Palsy: A Systematic Review [J]. J Child Neurol,2019,34(11): 679-686.
[24] 陆清清,刘媛媛,王奇,等.神经发育学疗法配合辨证推拿改善痉挛型脑性瘫痪患儿活动能力的疗效观察[J].中国康复医学杂志,2021,36(10):1292-1295.
[25] Corrado B,Sommella N,Ciardi G,et al. Can early physical therapy positively affect the onset of independent walking in infants with Down syndrome? A retrospective cohort study [J]. Minerva Pediatr (Torino),2022,74(1):31-39.
[26] 梁艳.融入神经发育治疗的感觉统合训练对脑瘫患儿运动功能的影响[J].中国医药科学,2021,11(16):102- 105. |
|
|
|