整合性团体干预对小于胎龄儿神经发育和气质的影响
投稿时间:2015-11-14  修订日期:2015-12-01  点此下载全文
引用本文:胡卓杰,钱莹莹,周亚芳,胡燕丽,任盈盈,凌春瀛,毛华芬,吕莹波,吕兰秋,高永嘉.整合性团体干预对小于胎龄儿神经发育和气质的影响[J].医学研究杂志,2016,45(6):115-118
DOI: 10.11969/j.issn.1673-548X.2016.06.030
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作者单位E-mail
胡卓杰 315012 宁波市妇女儿童医院儿保科  
钱莹莹 315012 宁波市妇女儿童医院儿保科  
周亚芳 315012 宁波市妇女儿童医院儿保科  
胡燕丽 315012 宁波市妇女儿童医院儿保科  
任盈盈 315012 宁波市妇女儿童医院儿保科  
凌春瀛 315012 宁波市妇女儿童医院儿保科  
毛华芬 315012 宁波市妇女儿童医院儿保科  
吕莹波 315012 宁波市妇女儿童医院儿保科  
吕兰秋 315012 宁波市妇女儿童医院儿保科  
高永嘉 315012 宁波市妇女儿童医院儿保科 gaoyongjia2005@126.com 
基金项目:宁波市医学科技计划项目(2013A22)
中文摘要:目的 探讨整合性团体干预模式对小于胎龄儿(small for gestational age,SGA)神经发育和气质的影响。方法 选择2013年8月~2014年2月期间高危儿门诊管理的SGA 67例,根据家长意愿分为干预组和对照组,干预组予整合性团体干预,对照组只进行常规高危儿管理。干预组于纠正6、12个月,对照组于纠正12个月进行GESELL、婴幼儿气质量表测试。结果 纠正12个月,GESELL发育测试:干预组大运动、语言、个人-社会性行为明显优于对照组,差异有统计学意义(P<0.05),适应性行为、精细动作得分无统计学意义(P>0.05);气质测试:节律性、趋避性、反应强度维度得分对照组高于干预组,差异有统计学意义(P<0.05)。干预组纠正6、12个月比较,GESELL发育测试:适应性行为、大运动、精细动作、个人-社会性行为轮区得分纠正12个月较纠正6个月高,差异有统计学意义(P<0.01),语言分无统计学意义(P>0.05);气质测试:气质类型一致性较差(Kappa=0.141,P=0.304),纠正12个月较纠正6个月易养型/中间型气质较多,难养型/启动缓慢型气质较少,在节律性、适应、心境、注意分散维度差异有统计学意义(P<0.05)。结论 整合性团体干预模式能促进小于胎龄儿神经发育,改变小于胎龄儿气质,是一项新的经济实用的早期康复干预模式,值得推广应用。
中文关键词:小于胎龄儿  整合团体干预  早期干预  Gesell量表  气质
 
Effect of Integrated Group Intervention on the Neural Development and Temperament of Small for Gestational Age Infants
Abstract:Objective To explore the effect of integrated group intervention on the neural development and temperament of small for gestational age infants(SGA). Methods During August 2013 to February 2014, 67 SGA from high-risk-infant clinic were divided into intervention group and control group according to the parents' will. Subjects in intervention group(n=33) received integrated group intervention, those in the control group (n=34) received conventional high-risk-infant management. At 6 and 12 months corrected age of the intervention group, Gesell developmental scale and infant temperament scale were measured. At 12 months corrected age of the control group, Gesell developmental scale and infant temperament scale were also evaluated. Results At 12 months corrected age, Gesell developmental scale test showed that motion,speech, personal-social behavior in the intervention group were better than those in the control group,and the differences had statistical significance (P<0.05). Between two groups, the differences of adaptability and fine motor had no statistical significance (P>0.05). Infant temperament scale test showed that rhythm, phobotaxis, reaction intensity in the control group were higher than those in the intervention group,and the differences had statistical significance(P<0.05). At 6 and 12 months corrected age of the intervention group, adaptability,motion,fine motor,personal-social behavior of 12 months corrected age were better than those of 6 months, and the differences had statistical significance(P<0.05). Speech had no statistical difference (P>0.05). Infant temperament scale test showed that temperament type consistency was poor(Kappa=0.141,P=0.304). Easy raising type or middle type of 12 months corrected age were more, difficult raising or start slowly type of 12 months were less. The differences of rhythm, adaptability, mood, attention dispersion had statistical significance(P<0.05). Conclusion The mode of integrated group intervention can promote the neural development, change the temperament of SGA. It is a new economic and practical mode of early rehabilitation intervention, is worthy of popularization and application.
keywords:Small for gestational age  Integrated group intervention  Early intervention  Gesell developmental scale  Temperament
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