高危儿运动发育迟缓的早期识别及低频脉冲电治疗对其运动功能的影响

目的 探讨高危儿运动发育迟缓的早期识别及低频脉冲电治疗对其运动功能的影响。方法 选取2016年1月～2017年1月本院出生的100例高危儿作为研究对象,将所有患儿随机分为2组,对照组(50例)进行常规肢体综合训练,观察组(50例)在常规肢体综合训练基础上根据需要增加低频脉冲电治疗,治疗1、2、3、6个月后,分别对2组患儿采用Alberta婴儿运动发育量表进行运动评估,观察干预后的变化。结果 干预前观察组与对照组仰卧位、俯卧位、坐位和立位的AIMS评分、AMIS 总分的差异不明显(P>0.05); 观察组患儿干预的时间越长,AIMS总分越高,而对照组的AIMS总分无显著差异,2组患儿在经过1、2、3、6个月的干预后有明显差异(P<0.05); 2组患儿在干预前的AIMS百分位数比较无明显差异(P>0.05),干预后观察组明显大于对照组,观察组的运动发育异常患儿发生率明显降低,2组的差异明显(P<0.05)。结论 早期发现高危儿存在运动发育迟缓并给予早期康复训练能改善患儿远期生存质量,低频脉冲电治疗是治疗运动发育迟缓患儿的有效治疗方法,能帮助患儿早期功能恢复。

Early identification of high risk infants and the effect of low frequency pulse electrical therapy on motor function

ObjectiveTo investigate the early identification of high risk infants and the effect of low frequency pulse electrical therapy on motor function.Methods 100 high-risk children born in our hospital from 2016 to 2017 was acted as the research objects, all high-risk children were randomly divided into two groups, the control group(50 cases)were treated by the conventional body comprehensive rehabilitation training, the observation group(50 cases)were treated by both the regular physical training of comprehensive rehabilitation training and the low frequency electric pulse. For 1 months, 2 months, 3 months and 6 months, the two groups were evaluated by Alberta, and the changes in the prognosis of the patients were observed.Results The AIMS score, AMIS score difference was no statistical significance between the observation group and the control group at supine and prone position, sitting and standing position before the intervention(P>0.05); there was no significant difference in the total score of AIMS between the two groups, while there was statistically significant difference between the two groups after 1 months, 2 months, 3 months, 6 months of the intervention(P<0.05); there was not statistically significant difference in the AIMS percentile between two groups before intervention(P>0.05), after the intervention, the AIMS percentile was significantly higher in the observation group than that in the control group, the motion abnormalities were significantly reduced in the observation group, the difference between the two groups was statistically significant(P<0.05).Conclusion Early detection of high risk infant movement retardation and early rehabilitation training could improve the quality of long-term survival,the low-frequency pulse was an effective treatment method for treatment of motor retardation, could help to restore the function of children in the early.