扭动运动对早产儿脑瘫的早期预测效果分析

齐倩 段晓娜

[摘要] 目的 探索扭动运动对早产儿脑瘫的早期预测效果。方法 方便选取2018年2月—2019年2月于该院接受治疗的82例脑瘫足月儿和脑瘫早产儿为研究对象，其中36例脑瘫足月儿为足月儿组，46例脑瘫早产儿为早产儿组。统计并对比两组患儿运动发育结局，统计两组患儿扭动运动异常率和不安运动异常率。结果 早产儿组新生儿窒息发生率26.09%、肺透明膜病发生率15.22%、呼吸暂停发生率17.39%、颅内出血发生率28.26%明显高于足月儿组，早产儿组高胆红素血症发生率明显低于足月儿组，数据对比差异有统计学意义（χ2=5.321、4.428、5.119、6.639、6.831，P=0.021、0.041、0.024、0.017、0.012）。早产儿组PR+CS+Ch扭动运动发生率26.09%明显高于足月儿组PR+CS+Ch扭动运动发生率16.67%，早产儿组N扭动运动发生率73.91%显著低于足月儿组N扭动发生率83.33%。结论 扭动运动评价对预测早产儿脑瘫结局效果较好。

[关键词] 扭动运动;早产儿;脑瘫;早期预测

[Abstract] Objective To explore the early prediction effect of twisting exercise on cerebral palsy in preterm infants. Methods Eighty-two children with cerebral palsy and premature infants with cerebral palsy who were treated in the hospital from February 2018 to February 2019 were convenient selected as the research subjects，of which 36 children with cerebral palsy term were in the term infant group and 46 children with cerebral palsy were premature group. The motor development outcomes of the two groups of children were counted and compared，and the abnormal rate of twisted movement and abnormal movement of the two groups of children were counted. Results The incidence of neonatal asphyxia in the preterm infant group was 26.09%，the incidence of hyaline membrane disease was 15.22%，the incidence of apnea was 17.39%，and the incidence of intracranial hemorrhage was 28.26%，which were significantly higher than those in the term infant group. The hyperbilirubinemia in the preterm infant group of incidences of the disease was significantly lower than the term infant group，and the data comparison was statistically significant （χ2=5.321，4.428，5.119，6.639，6.831，P=0.021，0.041，0.024，0.017，0.012）. The incidence of PR + CS + Ch torsional motion in the premature infant group was 26.09% significantly higher than that of the term infant group. The incidence of PR + CS + Ch torsional motion was 16.67%. The incidence of N twist group was 83.33%. Conclusion The evaluation of twisting motion is effective in predicting the outcome of cerebral palsy in preterm infants.

[Key words] Twisting motion; Premature infants; Cerebral palsy; Early prediction

臨床研究显示新生儿在胎儿期、分娩时容易出现高危因素并导致其发生脑瘫，由于脑瘫涉及的高危因素较多，病情较为复杂，因此临床诊断以及治疗均具有较大难度，但是近年来医学技术不断发展，早产儿的存活率得到较大提高，而由于早产儿脑组织尚未发育完善，因此在合并各种高危因素的同时容易提高发生脑瘫的风险[1-2]。脑瘫对患儿的影响较大，可能会导致患儿出现脑性瘫痪、智力低下等问题，同时对患儿成长、发育等造成严重影响，给患儿家属带来沉重的经济负担，对患儿往后的生长发育也造成较大影响[3-4]。该次研究探讨2018年2月—2019年2月于该院接受治疗的扭动运动82例脑瘫足月儿和脑瘫早产儿，对早产儿脑瘫的早期预测效果进行分析，为预防早产儿脑瘫及治疗提供参考，现报道如下。……