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融入听乐疗法的早期综合干预对早产儿1岁后运动功能的研究

Research of early comprehensive intervention with integrated therapeutic listening on motor function of premature infants after 1 year of age

    摘要
  • 摘要:
    目的 将听乐疗法应用于早产儿的早期综合干预中, 并观察其对早产儿纠正1岁后运动功能的影响。
    方法 选取2019年1—12月在江苏省南通市妇幼保健院高危儿门诊就诊的186例早产儿为研究对象, 采用随机数字表法将早产儿分为对照组和干预组各93例。对照组和干预组均接受常规的体格检查、早期综合干预和每月1次的定期随访。干预组在此基础上, 每天增加听乐治疗2次, 每次15 min。整个治疗干预周期为3个月, 所有早产儿均在出院后纠正月龄1个月于门诊随访时进行干预。两组早产儿在干预前、干预后3个月时进行体格发育测量、婴儿运动表现测试、Gesell发育量表运动评估和Peabody-2运动发育量表评估。干预11个月后再次进行体格发育测量、Gesell发育量表运动评估和Peabody-2运动发育量表评估。
    结果 干预前, 两组早产儿在体格发育测量、婴儿运动表现测试、Gesell发育量表评估和Peabody-2运动发育量表评估结果的比较差异均无统计学意义（均P > 0.05）。干预3个月后, 两组早产儿运动表现测试结果均较干预前有所改善, 且干预组较对照组提高得更加明显（均P < 0.001）。经单因素重复测量方差分析结果显示, 两组Gesell发育量表测试各能区发育商和Peabody-2运动发育量表评估各能区发育商在早期干预后均有提高（均P < 0.05）；多变量方差分析结果显示, 干预组干预3、11个月后Gesell大运动和精细动作能区发育商及Peabody-2各能区发育商均高于对照组（均P < 0.05）。
    结论 早期综合干预对早产儿运动功能的改善和提高有促进作用, 融入听乐疗法的早期干预有助于改善早产儿的运动功能。

     

    Abstract:
    Objective To integrate therapeutic listening in early comprehensiveintervention of premature infants and observe its effects on motor function after corrected age of 1 year old.
    Methods 186 premature infants who visited high-risk infant outpatient clinic of Nantong Maternal and Child Health Hospital from January to December 2019 were recruited as study subjects. They were randomly divided into two groups by random number table, 93 cases in each group. Both control and intervention group received routine physical examination, early comprehensive intervention and regular follow-up (once a month). The intervention group was additionally treated with therapeutic listening twice a day for 15 minutes each time, and the whole intervention period lasted for 3 months. All premature infants received intervention at the outpatient follow-up after discharge at the time of corrected age of 1 month. Physical development measurements, Test of Infant Motor Performance(TIMP), Gesell Development Scale and Peabody-2 motor Development Scale were performed before intervention and 3 months after intervention. They were assessed by physical development measurements, Gesell Development Scale and Peabody-2 motor Development Scale again 11 months after intervention.
    Results There were no significant differences in physical development measurement, TIMP, Gesell development scale and Peabody-2 motor Development Scale between the two groups before intervention(all P > 0.05). The results of TIMP in both groups were improved 3 months after early comprehensive intervention, but intervention group was better than control group (all P < 0.001). The results of One-Way repeated measure analysis of variance showed that the ability zone development quotient of Gesell developmental scale and Peabody-2 motor development scale increased in both groups after early intervention (all P < 0.05). Multivariate analysis of variance showed that the developmental quotient of Gesell's gross motor and fine motor areas, and developmental quotient of all Peabody-2 ability areas in the intervention group were higher than those in the control group 3 and 11 months after intervention (all P < 0.05).
    Conclusion Early comprehensive intervention can improve motor function of premature infants. Early intervention integrated with therapy listening is helpful to improve motor function of premature infants.

     

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