穴位按摩为主的早期综合干预对早产脑损伤患儿预后的影响

目的探讨穴位按摩为主的早期综合干预对早产脑损伤患儿预后的影响。方法将210例脑损伤早产儿分为干预组（112例）及对照组（98例）。两组均接受常规综合治疗（药物联合常规保健指导）。干预组在此基础上联合穴位按摩,出现运动异常者进行运动治疗,上肢功能障碍或精细动作障碍者进行作业治疗。纠正月龄6、1 2个月时应用0~6岁小儿神经心理发育量表检测患儿发育商（developmental quotient,DQ）,并统计脑瘫发生率。结果纠正月龄6个月时,干预组患儿大运动、精细动作、语言3个能区DQ均高于对照组（P〈0.05）。纠正月龄12个月时,干预组患儿在大运动、精细动作、语言、社交及适应能力5大能区DQ值均高于对照组（P〈0.05）。干预组患儿脑瘫发生率为4.46%（5/1 12）,明显低于对照组脑瘫发生率12.24%（12/98）（P〈0.05）。结论穴位按摩为主的早期综合干预可提高早产儿各项智能发育水平,并明显降低脑瘫的发生率。

Effect of Acupoint Massage Dominant Early Comprehensive Intervention on the Prognosis of Premature Infants with Brain Injury

Objective To explore the effect of acupoint massage dominant early comprehensive intervention on the prognosis of premature infants with brain injury.Methods Totally 210 premature infants with brain injury were assigned to the intervention group（112 cases） and the control group（98 cases）.All patients received routine therapy（medicinal ＋ routine care instructions）.Patients in the intervention group additionally received acupoint massage.Those with abnormal early motion received physical sports treatment.Those with upper limbs dysfunction or with fine movement disorders received occupational therapy.Premature infants＇ development quotient（DQ） was performed at corrected age of 6 and12 months by using neuropsychological development examination table for 0-6 years old children.The incidence of cerebral palsy was statistically calculated.Results At corrected age of 6 months,DQ of gross motor,fine motor,language three functional areas was higher in the intervention group than in the control group with significant difference（P〈0.05）.At corrected age of 12 months,DQ of gross motor,fine motor,language,social and adaptive capacities was higher in the intervention group than in the control group with significant difference（P〈0.05）.The incidence of cerebral palsy was 4.46%（5/112） in the intervention group and 12.24%（12/38） in the control group（P〈0.05）.Conclusion Acupoint massage dominant early comprehensive intervention could obviously improve the intelligence development level and lower the incidence of cerebral palsy in premature infants with brain injury.