新生儿个体化发育支持和评估项目在早期早产儿全身运动中的应用

目的探讨新生儿个体化发育支持和评估项目(newborn individualized development care and assessment program,NIDCAP)在早期早产儿全身运动(general movements,GMs)中的应用价值,旨在临床上对早产儿进行早期干预,改善神经发育预后。方法 2014年1-5月在本院新生儿科住院的早期早产儿为研究对象,分为干预组(n=41)和对照组(n=41)。对于干预组,入院即开始给予NIDCAP干预,对照组给予早产儿常规护理,评估两组早产儿在足月前的GMs。结果正常GMs NIDCAP干预组34例(82.9%),多于对照组22例(53.6%)],而单调性扭动运动5例(12.1%)]、痉挛-同步性扭动2例(4.8%)]例数均少于对照组分别为12例(29.2%)和7例(17.0%)],差异均有统计学意义(P0.05)。结论通过NIDCAP干预可提高早期早产儿足月前正常GMs发生率,减少异常GMs发生率,可能会对神经发育结局有影响。

Application of newborn individualized development care and assessment program on early-preterm infants' general movements

Objective To explore the application of newborn individualized development care and assessment program (NIDCAP) on early-preterm infants,general movements (GMs),and to guide NIDCAP clinically for prematurity and improve neurodevelopmental outcome. Methods The research was carried out among 82 early-preterm infants during writhing period who were in newborn department of pediatrics from January 2014 to May 2014.The cases were divided into NIDCAP group (n=41) and control group (n=41).The NIDCAP intervention was given from birth and the control group was guided on routine nursing care.Cases of different GMs during writhing period were compared between two groups. Results The outcomes for the NIDCAP intervention group compared to the control group were:the cases of normal general movements was more34/41(82.9%) vs 22/41(53.6%),P＜0.05],while poor repertoire general movements and cramped-synchronized general movements were significantly fewer5/41(12.1%) vs 12/41(29.2%),2/41(4.8%) vs 7/41(17.0%)],P＜0.05]. Conclusions NIDCAP intervention can reduce incidence rates of PR and CS,improve incidence rate of normal general movements.It is possibly enhance neurodevelopmental outcome.